The anteroposterior distance between the posterior edge of the medial tibial condyle and the posterior edge of the fibular head in the lateral view can be a reference in determining the axis perpendicular to the tibial anteroposterior axis

Obtaining an accurate tibial lateral view is important during high tibial osteotomy. This study investigated whether the posterior edge of the medial/lateral tibial condyle (PEMTC/PELTC) and the posterior edge of the fibular head (PEFH) in a lateral view could be a reference for determining the accu...

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Veröffentlicht in:The knee 2023-12, Vol.45, p.18-26
Hauptverfasser: Lee, Hyunho, Yanagisawa, Masahiko, Sumino, Takanobu, Sano, Yutaka, Chang, Yingshih, Kan, Junichiro, Fujimaki, Hirohisa, Ryu, Keinosuke, Nakanishi, Kazuyoshi
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container_issue
container_start_page 18
container_title The knee
container_volume 45
creator Lee, Hyunho
Yanagisawa, Masahiko
Sumino, Takanobu
Sano, Yutaka
Chang, Yingshih
Kan, Junichiro
Fujimaki, Hirohisa
Ryu, Keinosuke
Nakanishi, Kazuyoshi
description Obtaining an accurate tibial lateral view is important during high tibial osteotomy. This study investigated whether the posterior edge of the medial/lateral tibial condyle (PEMTC/PELTC) and the posterior edge of the fibular head (PEFH) in a lateral view could be a reference for determining the accurate tibial lateral view. A total of 75 lower limbs in 38 subjects were evaluated in this study. In order to target healthy knees, subjects undergoing primary total hip arthroplasty were selected. The MF/LF, comprising the anteroposterior distance between PEMTC/PELTC and PEFH, was measured on the lateral view of the tibial bone model based on the tibial anteroposterior (AP) axis (true lateral view: TLV). In addition, measurements were calculated in the model with a 10° external/internal rotation. Using these measurements, linear regression analysis was performed to predict the tibial rotation with MF/LF. The mean MF/LF was 0.9/4.6 mm (P 
doi_str_mv 10.1016/j.knee.2023.08.012
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This study investigated whether the posterior edge of the medial/lateral tibial condyle (PEMTC/PELTC) and the posterior edge of the fibular head (PEFH) in a lateral view could be a reference for determining the accurate tibial lateral view. A total of 75 lower limbs in 38 subjects were evaluated in this study. In order to target healthy knees, subjects undergoing primary total hip arthroplasty were selected. The MF/LF, comprising the anteroposterior distance between PEMTC/PELTC and PEFH, was measured on the lateral view of the tibial bone model based on the tibial anteroposterior (AP) axis (true lateral view: TLV). In addition, measurements were calculated in the model with a 10° external/internal rotation. Using these measurements, linear regression analysis was performed to predict the tibial rotation with MF/LF. The mean MF/LF was 0.9/4.6 mm (P &lt; 0.001). MF and LF increased with incremental tibial rotation. Regression formulas were derived from these results as follows: Tibial rotation = (1) −1.01 + 1.06 × MF (R2 = 0.87, P &lt; 0.001), (2) −8.70 + 1.86 × LF (R2 = 0.51, P &lt; 0.001). The mean tibial rotation angle when MF was 0 mm was −0.9°. Based on formula (1) and actual measurements, the mean tibial rotation angle when MF is 0 mm is an internal rotation of about 1°. Therefore, a lateral view, in which PEMTC and PEFH are seen colinearly, can be the approximate TLV. The MF can be a suitable intraoperative reference in determining TLV.</description><identifier>ISSN: 0968-0160</identifier><identifier>EISSN: 1873-5800</identifier><identifier>DOI: 10.1016/j.knee.2023.08.012</identifier><identifier>PMID: 37734169</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Fibular head ; Lateral view ; Rotation ; Tibia ; Tibial condyle</subject><ispartof>The knee, 2023-12, Vol.45, p.18-26</ispartof><rights>2023 Elsevier B.V.</rights><rights>Copyright © 2023 Elsevier B.V. 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This study investigated whether the posterior edge of the medial/lateral tibial condyle (PEMTC/PELTC) and the posterior edge of the fibular head (PEFH) in a lateral view could be a reference for determining the accurate tibial lateral view. A total of 75 lower limbs in 38 subjects were evaluated in this study. In order to target healthy knees, subjects undergoing primary total hip arthroplasty were selected. The MF/LF, comprising the anteroposterior distance between PEMTC/PELTC and PEFH, was measured on the lateral view of the tibial bone model based on the tibial anteroposterior (AP) axis (true lateral view: TLV). In addition, measurements were calculated in the model with a 10° external/internal rotation. Using these measurements, linear regression analysis was performed to predict the tibial rotation with MF/LF. The mean MF/LF was 0.9/4.6 mm (P &lt; 0.001). MF and LF increased with incremental tibial rotation. Regression formulas were derived from these results as follows: Tibial rotation = (1) −1.01 + 1.06 × MF (R2 = 0.87, P &lt; 0.001), (2) −8.70 + 1.86 × LF (R2 = 0.51, P &lt; 0.001). The mean tibial rotation angle when MF was 0 mm was −0.9°. Based on formula (1) and actual measurements, the mean tibial rotation angle when MF is 0 mm is an internal rotation of about 1°. Therefore, a lateral view, in which PEMTC and PEFH are seen colinearly, can be the approximate TLV. 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Regression formulas were derived from these results as follows: Tibial rotation = (1) −1.01 + 1.06 × MF (R2 = 0.87, P &lt; 0.001), (2) −8.70 + 1.86 × LF (R2 = 0.51, P &lt; 0.001). The mean tibial rotation angle when MF was 0 mm was −0.9°. Based on formula (1) and actual measurements, the mean tibial rotation angle when MF is 0 mm is an internal rotation of about 1°. Therefore, a lateral view, in which PEMTC and PEFH are seen colinearly, can be the approximate TLV. The MF can be a suitable intraoperative reference in determining TLV.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>37734169</pmid><doi>10.1016/j.knee.2023.08.012</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8285-7782</orcidid></addata></record>
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subjects Fibular head
Lateral view
Rotation
Tibia
Tibial condyle
title The anteroposterior distance between the posterior edge of the medial tibial condyle and the posterior edge of the fibular head in the lateral view can be a reference in determining the axis perpendicular to the tibial anteroposterior axis
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