Evidence map›Paper›PMID 42082553›Full record

ArticleScientific reports2026

Radiographic Imaging to improve frontal plane weight bearing symmetry and its impact on gait in transtibial bone anchored prosthesis users.

Niels Jonkergouw, Maarten R Prins, Han Houdijk, Manon Witteman, Vera G M Kooiman, Ruud A Leijendekkers

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Niels JonkergouwMilitary Rehabilitation Center Aardenburg, Doorn, The Netherlands. n.jonkergouw@mrcdoorn.nl.
Maarten R PrinsMilitary Rehabilitation Center Aardenburg, Doorn, The Netherlands.
Han HoudijkDepartment of Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Manon WittemanMilitary Rehabilitation Center Aardenburg, Doorn, The Netherlands.
Vera G M KooimanDepartment of Rehabilitation, Radboud University Medical Center, Nijmegen, The Netherlands.
Ruud A LeijendekkersDepartment of Rehabilitation, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

Stichting ZiektenkostenVerzekering Krijgsmacht 20-0231
6 · The paper itself

Abstract

Optimal frontal plane alignment of transtibial bone-anchored prostheses (BAPs) is essential to minimize knee joint loading asymmetries. This study examined whether bilateral whole-leg radiographic imaging could improve static alignment and reduce knee joint loading during gait in 23 unilateral transtibial BAP users with press-fit osseointegration implants with an experimental within subject study design. Static weight-bearing line (WBL) alignment and frontal plane knee moments during gait were assessed before and after the intervention. Pain levels were monitored one week before and one week after the intervention. Radiographic imaging significantly improved static WBL symmetry (p < 0.001). Thereby, it can be said with 90% confidence that asymmetries above 4.2 mm can be improved by alignment adjustments. The magnitude of these changes was significantly associated with changes in prosthetic-side peak knee adduction moment (p < 0.001), although no significant group-level improvement in dynamic knee adduction moment asymmetry was observed. Pain levels remained unchanged (p = 0.773), and 19 of 23 participants preferred the radiograph-based alignment over their original setup. These findings support radiographic imaging as an effective method for detecting and correcting static misalignments in transtibial BAP users, while highlighting the need for complementary dynamic gait evaluation.

Indexed as

Bone-Anchored ProsthesisGaitTibiaWeight-BearingAdultAgedFemaleHumansKnee JointMaleMiddle AgedRadiography

Identifiers

PMID42082553
PMCPMC13328697

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.