Trochlear Inclination Angles in Normal and Dysplastic Knees

Abstract Trochlear morphology impacts component position in patellofemoral arthroplasty. We devised a measurement of the trochlear inclination angle (TIA) and determined the average TIA in normal and dysplastic knees. Three hundred twenty-nine consecutive magnetic resonance imagings of normal and dy...

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Veröffentlicht in:The Journal of arthroplasty 2013-02, Vol.28 (2), p.214-219
Hauptverfasser: Kamath, Atul F., MD, Slattery, Thomas R., MD, Levack, Ashley E., MAS, Wu, Chia H., BA, Kneeland, J. Bruce, MD, Lonner, Jess H., MD
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container_end_page 219
container_issue 2
container_start_page 214
container_title The Journal of arthroplasty
container_volume 28
creator Kamath, Atul F., MD
Slattery, Thomas R., MD
Levack, Ashley E., MAS
Wu, Chia H., BA
Kneeland, J. Bruce, MD
Lonner, Jess H., MD
description Abstract Trochlear morphology impacts component position in patellofemoral arthroplasty. We devised a measurement of the trochlear inclination angle (TIA) and determined the average TIA in normal and dysplastic knees. Three hundred twenty-nine consecutive magnetic resonance imagings of normal and dysplastic knees were evaluated. The TIA was measured by 2 reviewers. The Student t test was used, and intraobserver reliability measurements were made. The mean TIA in normal and dysplastic knees was internally rotated 11.4° (range, 6°-20°) and 9.4° (range, 4°-15°), respectively. The mean TIA did not differ significantly by sex or age. Trochlear inclination angles in both normal and dysplastic knees tend toward internal rotation. Positioning a trochlear patellofemoral arthroplasty component flush with the articular surface of the native trochlea would result in internal rotation malposition.
doi_str_mv 10.1016/j.arth.2012.04.017
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Bruce, MD</creatorcontrib><creatorcontrib>Lonner, Jess H., MD</creatorcontrib><title>Trochlear Inclination Angles in Normal and Dysplastic Knees</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Trochlear morphology impacts component position in patellofemoral arthroplasty. We devised a measurement of the trochlear inclination angle (TIA) and determined the average TIA in normal and dysplastic knees. Three hundred twenty-nine consecutive magnetic resonance imagings of normal and dysplastic knees were evaluated. The TIA was measured by 2 reviewers. The Student t test was used, and intraobserver reliability measurements were made. The mean TIA in normal and dysplastic knees was internally rotated 11.4° (range, 6°-20°) and 9.4° (range, 4°-15°), respectively. The mean TIA did not differ significantly by sex or age. Trochlear inclination angles in both normal and dysplastic knees tend toward internal rotation. 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee
Bone Diseases - diagnosis
Female
Femur
Humans
knee arthroplasty (replacement)
Knee Joint
Knee Prosthesis
Magnetic Resonance Imaging
Male
maltracking, patellofemoral arthroplasty
Middle Aged
Orthopedics
patellofemoral
Prosthesis Design
trochlear inclination angle
Young Adult
title Trochlear Inclination Angles in Normal and Dysplastic Knees
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