Osteoarthritis

Patients with knee osteoarthritis exhibit an abnormal three-dimensional lower limb phenotype: An EOS imaging study

Osteoarthritis CartilagePublished Retrospective cohort study

Authors' conclusion

Together, these findings reveal a focused multiplanar, weight-bearing lower-limb phenotype in KOA patients

Study context

Population
Weight-bearing EOS images from a single-centre database; patients with knee OA and matched controls
Participants
558 participants279 knee osteoarthritis (KOA)-control pairs
Exposure
Knee OA vs matched controls
  • KOAn = 279
  • Controlsn = 279reference
Outcome
Weight-bearing 3D lower-limb phenotype: 17 pelvic and lower-limb 3D parameters
Methodological detailssingle-centre, exact sex matching plus 1:1 nearest-neighbor propensity score matching for age and BMI, linear regression with matched-pair clustered robust SE, false discovery rate adjustment
  • Single-centre
  • Exact sex matching plus 1:1 nearest-neighbor propensity score matching for age and BMI
  • Linear regression with matched-pair clustered robust SE
  • False discovery rate adjustment

Main finding

As reported in the abstract

Β (HKA; greater varus alignment)

−3.72 °

95% CI −4.50 to −2.94

KOA

Β (sagittal flexion)

6.74 °

95% CI 5.58–7.90

KOA

Β (internal femorotibial rotation)

−2.95 °

95% CI −4.43 to −1.47

KOA

Parameters differing after FDR adjustment
9 out of 17

Observational data: associations, not effects.

Further findings

Optimism-corrected AUC, demographic/coronal model vs adding sagittal parameters

Demographic/coronal model AUC
0.691
Adding sagittal parameters AUC
0.776
  • Exploratory models

Original publication

Patients with knee osteoarthritis exhibit an abnormal three-dimensional lower limb phenotype: An EOS imaging study. Osteoarthritis Cartilage. Published 9 July 2026. doi:10.1016/j.joca.2026.07.003

Composed by AI from the published abstract and checked against it. How Briefs are made →

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