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Contralateral preoperative templating of lower limbs' mechanical angles is a reasonable option
- Source :
- Knee Surgery, Sports Traumatology, Arthroscopy, Knee Surgery, Sports Traumatology, Arthroscopy, Springer Verlag, 2020, 28 (5), pp.1445-1451. ⟨10.1007/s00167-019-05524-0⟩, Knee Surgery, Sports Traumatology, Arthroscopy, 2020, 28 (5), pp.1445-1451. ⟨10.1007/s00167-019-05524-0⟩
- Publication Year :
- 2018
-
Abstract
- International audience; Purpose In cases where the femur or tibia exhibits abnormal mechanical angulation due to degenerative changes or fracture, the contralateral leg is often used to complete preoperative templating. The aim of this study was to determine the degree of asymmetry between knee joints in healthy individuals and to determine whether it is affected by differing demographic parameters. Methods A CT scan-based modelling and analysis system was used to examine the lower limb of 233 patients (102 males, 131 women; mean age 61.2 ± 15.2 years, mean body mass index 24.9 ± 4.4 kg/m 2) The hip-knee angle (HKA), lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA), posterior proximal tibial angle (ppta) and posterior distal femoral angle (PDFA) were then calculated for each patient. Results were then analysed to calculate femoral symmetry based on absolute differences (AD) and percentage asymmetry (%AS) using a previously validated method. Results Our results do not demonstrate any considerable asymmetry (percentage of asymmetry > 2%) for all the anatomical parameters analysed: HKA (mean AD = 1.5°; mean AS % = 0.8, n.s), MPTA (AD = 1.1°; AS % = 1.3, n.s), PPTA (AD = 1.4°; AS % = 1.0, n.s), LDFA (AD = 1.2 mm; AS % = 1.4, n.s) and PDFA (AD = 0.9°; AS % = 1.0, n.s). Gender and ethnicity were not associated with significantly higher AD asymmetry. A significant correlation of AD asymmetry was observed between BMI and HKA, BMI and MPTA, and between patients' age and the MPTA.Conclusion: This data demonstrate that there is a non-statistically significant mechanical angle asymmetry between the two lower limbs. In cases where contralateral templating is used, such asymmetry will induce minimal (if any) clinical differences.
- Subjects :
- Adult
Male
medicine.medical_specialty
Knee Joint
Computed tomography
Lower limb
03 medical and health sciences
Young Adult
0302 clinical medicine
Preoperative Care
Medicine
Humans
Orthopedics and Sports Medicine
Femur
Knee
Tibia
Contralateral templating
Arthroplasty, Replacement, Knee
Mechanical axis
MESH: Lower Extremity / diagnostic imaging
Middle Aged
Tibia / diagnostic imaging
Tomography, X-Ray Computed / methods
Aged
2. Zero hunger
Aged, 80 and over
030222 orthopedics
medicine.diagnostic_test
business.industry
Asymmetry
Mean age
030229 sport sciences
Bone Malalignment
MESH: Adult
Algorithms
Arthroplasty, Replacement, Knee / methods
Bone Malalignment / diagnostic imaging
[SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system
Lower Extremity
Healthy individuals
Orthopedic surgery
MESH: Bone Malalignment / prevention & control
Female
Femur / diagnostic imaging
Knee / diagnostic imaging
Knee / surgery
Knee Joint / diagnostic imaging
Surgery
business
Nuclear medicine
Tomography, X-Ray Computed
Subjects
Details
- ISSN :
- 14337347 and 09422056
- Volume :
- 28
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
- Accession number :
- edsair.doi.dedup.....b5905302d6bc3db380028143ddb4729b