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Optimization of the fixed-flexion knee radiograph.

Publication ,  Journal Article
Charles, HC; Kraus, VB; Ainslie, M; Hellio Le Graverand-Gastineau, M-P
Published in: Osteoarthritis Cartilage
November 2007

PURPOSE: To develop a user-friendly method of achieving optimal radiographs for measurement of joint space width of the knee with minimal radiation exposure. In order to accomplish this the X-ray technologist must (1) be able to identify the anterior and posterior rims of the tibial plateau at a variety of X-ray head angles and (2) be able to choose the direction to adjust the head angle to get a better view based on the criteria for acceptable radiographs. METHODS: We have developed a training manual and materials to instruct investigators and radiology technologists in a method that uses a commercially available Plexiglas positioning frame (Synaflexer) and standard X-ray equipment to achieve optimal X-rays with regard to tibial plateau alignment of the knee. This should be accomplished with four or fewer radiographs. RESULTS: Optimized radiographs for joint space width measurements are achieved without the need for fluoroscopy or foot maps. CONCLUSIONS: This method is readily understood and instituted by radiology technologists in the field.

Duke Scholars

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Published In

Osteoarthritis Cartilage

DOI

ISSN

1063-4584

Publication Date

November 2007

Volume

15

Issue

11

Start / End Page

1221 / 1224

Location

England

Related Subject Headings

  • Reproducibility of Results
  • Radiography
  • Osteoarthritis, Knee
  • Knee Joint
  • Humans
  • Arthritis & Rheumatology
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences
 

Citation

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Charles, H. C., Kraus, V. B., Ainslie, M., & Hellio Le Graverand-Gastineau, M.-P. (2007). Optimization of the fixed-flexion knee radiograph. Osteoarthritis Cartilage, 15(11), 1221–1224. https://doi.org/10.1016/j.joca.2007.05.012
Charles, H. C., V. B. Kraus, M. Ainslie, and M. -. P. Hellio Le Graverand-Gastineau. “Optimization of the fixed-flexion knee radiograph.Osteoarthritis Cartilage 15, no. 11 (November 2007): 1221–24. https://doi.org/10.1016/j.joca.2007.05.012.
Charles HC, Kraus VB, Ainslie M, Hellio Le Graverand-Gastineau M-P. Optimization of the fixed-flexion knee radiograph. Osteoarthritis Cartilage. 2007 Nov;15(11):1221–4.
Charles, H. C., et al. “Optimization of the fixed-flexion knee radiograph.Osteoarthritis Cartilage, vol. 15, no. 11, Nov. 2007, pp. 1221–24. Pubmed, doi:10.1016/j.joca.2007.05.012.
Charles HC, Kraus VB, Ainslie M, Hellio Le Graverand-Gastineau M-P. Optimization of the fixed-flexion knee radiograph. Osteoarthritis Cartilage. 2007 Nov;15(11):1221–1224.
Journal cover image

Published In

Osteoarthritis Cartilage

DOI

ISSN

1063-4584

Publication Date

November 2007

Volume

15

Issue

11

Start / End Page

1221 / 1224

Location

England

Related Subject Headings

  • Reproducibility of Results
  • Radiography
  • Osteoarthritis, Knee
  • Knee Joint
  • Humans
  • Arthritis & Rheumatology
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences