The Teitge test.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Danish medical journal Pub Date : 2024-11-12 DOI:10.61409/A10230666

Rikke Dyhr Hansen, Jørgen Haraszuk, Robert Allan Teitge, Per Hölmich, Kristoffer Weisskirchner Barfod

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Abstract

Introduction: High tibial osteotomy (HTO) is used to treat medial knee osteoarthritis (OA). A simple clinical test to select the patients most likely to benefit from the procedure was suggested by R. A. Teitge., MD, Professor Emeritus, a pioneer in osteotomies. This study aimed to investigate the interrater reliability of the Teitge test.

Methods: A reliability study was performed. The Teitge test consists of a varus stress test to provoke the patient's known symptoms, followed by a valgus stress test to simulate the realignment achieved by HTO. The test is considered positive if valgus stress relieves pain. Two experienced orthopaedic surgeons performed the test. The inclusion criteria were unicompartmental medial knee OA Kellgren-Lawrence type 2-3, pain at the medial joint line, varus malalignment > 5 degrees and English or Danish proficiency. Reliability was determined using Cohen's kappa (κ).

Results: A total of 18 patients, mean age (± SD) 56.7 (± 8.7), male/female 6/12 were included. Agreement was found in 12/18 cases, resulting in κ = 0.22 (95% confidence interval (CI): -0.29-0.72). Due to a weighted number of positive test results (11/18 and 15/18, respectively) a prevalence and bias-adjusted kappa was applied, reaching κ = 0.33 (95% CI: -0.1-0.77).

Conclusions: Fair agreement was found. We do not recommend the Teitge test for absolute decision-making, but it could be a valuable contributor to the complex mechanics of decision-making. Clinicians should be careful when interpreting the test due to the low interrater agreement.

Funding: None.

Trial registration: Not relevant.

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泰格测验。

导读：胫骨高位截骨术（HTO）用于治疗膝关节内侧骨关节炎（OA）。R. A. Teitge建议进行一项简单的临床试验，以选择最有可能从手术中受益的患者。医学博士，名誉教授，截骨术的先驱。本研究旨在探讨Teitge测验的被译者信度。方法：进行可靠性研究。Teitge测试包括内翻压力测试，以激发患者的已知症状，然后是外翻压力测试，以模拟HTO实现的调整。如果外翻压力减轻疼痛，该测试被认为是阳性的。两位经验丰富的骨科医生进行了测试。纳入标准为单室内侧膝OA kelgren - lawrence型2-3，内侧关节线疼痛，内翻畸形bbb50°，英语或丹麦语熟练程度。信度采用Cohen’s kappa （κ）测定。结果：共纳入18例患者，平均年龄（±SD） 56.7（±8.7），男/女6/12。12/18例中发现一致，导致κ = 0.22（95%置信区间（CI）： -0.29-0.72）。由于阳性检测结果的加权数（分别为11/18和15/18），应用了患病率和偏差调整后的kappa，达到κ = 0.33 （95% CI: -0.1-0.77）。结论：找到了公平一致的结论。我们不推荐用Teitge测试来做绝对决策，但它对复杂的决策机制可能是一个有价值的贡献者。临床医生在解释测试时应小心，因为解读者的一致性较低。资金:没有。试验注册：不相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.