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. 2026 Apr 2;8:24. doi: 10.1186/s42836-026-00381-y

Table 2.

Standard error of measurement and smallest detectable change for long-axis radiographic angles across intra-operator, inter-operator, and test–retest conditions

Descriptive SEM [95% CI] SDC [95% CI]
Mean SD Min Max Intra Inter Trtest Intra Inter Trtest
Osteoarthritic knee
 LDFA 88.9 2.3 84 95 0.6 [0.5–0.6] 0.7 [0.6–0.8] 0.8 [0.7–0.8] 1.8 [1.4–1.7] 2.0 [1.8–2.1] 2.3 [1.9–2.3]
 MPTA 87.4 2.7 78 94 0.9 [0.7–0.8] 1.4 [1.2–1.4] 1.2 [1.1–1.3] 2.4 [1.9–2.3] 3.8 [3.4–3.9] 3.4 [2.9–3.5]
 JLO 176.3 2.8 168 186 1.1 [0.8–1.0] 1.5 [1.4–1.6] 1.5 [1.3–1.6] 3.1 [2.3–2.9] 4.2 [3.8–4.4] 4.2 [3.6–4.4]
 aHKA 1.4 4.1  − 9 12 1.1 [0.8–1.0] 1.6 [1.4–1.6] 1.4 [1.2–1.5] 3.0 [2.3–2.8] 4.3 [3.9–4.5] 4.0 [3.4–4.0]
Knee with total knee arthroplasty
 LDFA 90.0 2.3 83 95 0.5 [0.4–0.5] 0.7 [0.6–0.7] 0.8 [0.6–0.8] 1.4 [1.1–1.4] 1.9 [1.7–2.0] 2.1 [1.8–2.2]
 MPTA 89.6 2.1 84 95 0.5 [0.4–0.5] 0.6 [0.5–0.7] 0.7 [0.6–0.7] 1.4 [1.0–1.5] 1.8 [1.5–1.9] 1.9 [1.6–2.0]
 JLO 179.5 3.0 173 188 0.7 [0.5–0.7] 1.0 [0.9–1.1] 1.0 [0.9–1.1] 2.1 [1.5–2.1] 2.9 [2.5–3.1] 2.9 [2.4–3.0]
 aHKA 0.4 3.2  − 9 9 0.7 [0.6–0.7] 0.8 [0.7–0.9] 1.0 [0.8–1.0] 2.0 [1.5–1.9] 2.3 [2.0–2.4] 2.8 [2.3–2.9]

Results are presented as estimates [95% confidence interval]. The criteria are defined as follows: for SEM, Excellent (0.7°), Good (0.7° to 1.1°), Moderate (1.1° to 1.8°), and Poor (> 1.8°); for SDC, Excellent (< 2°), Good (2° to 3°), Moderate (3° to 5°), and Poor (> 5°)

Abbreviations: SEM, standard error of measurement; SDC, smallest detectable change; Intra, intra-operator; Inter, inter-operator; Trtest, test–retest; LDFA, lateral distal femoral angle; MPTA, medial proximal tibial angle; JLO, joint line obliquity; aHKA, arithmetic hip-knee-ankle angle