Exploring consistent ratios in morphometry of the proximal tibia: insights for knee arthroplasty
Introduction The current study, which delves into proximal tibia morphometric parameters in a Greek sample, not only analyzes whether specific linear distance ratios are consistent but also paves the way for a potential novel metric system for knee arthroplasty imaging studies using constant ratios....
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| Veröffentlicht in: | Surgical and radiologic anatomy (English ed.) 2024-09, Vol.46 (9), p.1393-1399 |
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| creator | Koutserimpas, Christos Kotzias, Dimitrios Veizi, Enejd Tsakotos, George Triantafyllou, George Piagkou, Maria |
| description | Introduction
The current study, which delves into proximal tibia morphometric parameters in a Greek sample, not only analyzes whether specific linear distance ratios are consistent but also paves the way for a potential novel metric system for knee arthroplasty imaging studies using constant ratios. These findings could have significant implications for future enlarged research and clinical practice.
Methods
A total of 38 dried tibiae were evaluated by two independent investigators. The following distances were measured with a digital Vernier sliding caliper: (1) the mediolateral distance of the proximal surface (A), (2) the anteroposterior distance of the proximal surface (B), (3) The longitudinal length of the bone (C), (4) the line connecting the anterior margin of the proximal surface with the highest peak of the tibia tuberosity (D), (5) the depth of the proximal margin of the medial articular facet (AF) (medial plateau) (E) and (6) the depth of the proximal margin of the lateral AF (lateral plateau) (F).
Results
The A, B, C, D, E, and F mean distances were 71.3 mm, 47.4 mm, 340.2 mm, 37.1 mm, 42 mm, and 35.9 mm. Reliability analysis for each observer on all measurements revealed an interclass correlation (ICC) score of 0.975 (observer 1) and 0.971 (observer 2). The ratio A/B was 1.5, A/C was a constant 0.2, and D/C was 0.1. The ratio E/F was 1.2. The six measurements (A-F) showed excellent inter-observer reliability (all ICC values > 0.990).
Conclusions
The study established constant ratios of the studied linear distances around the proximal tibia. Considering these ratios, asymmetrical tibial components in knee arthroplasty seem to replicate the native anatomy more closely. Furthermore, the distance from the anterior margin of the proximal surface to the tibial tuberosity peak, constituting one-tenth of the longitudinal length of the tibia, shows promise as a metric system for imaging studies, especially in assessing lesions around tibial components. |
| doi_str_mv | 10.1007/s00276-024-03421-x |
| format | Article |
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The current study, which delves into proximal tibia morphometric parameters in a Greek sample, not only analyzes whether specific linear distance ratios are consistent but also paves the way for a potential novel metric system for knee arthroplasty imaging studies using constant ratios. These findings could have significant implications for future enlarged research and clinical practice.
Methods
A total of 38 dried tibiae were evaluated by two independent investigators. The following distances were measured with a digital Vernier sliding caliper: (1) the mediolateral distance of the proximal surface (A), (2) the anteroposterior distance of the proximal surface (B), (3) The longitudinal length of the bone (C), (4) the line connecting the anterior margin of the proximal surface with the highest peak of the tibia tuberosity (D), (5) the depth of the proximal margin of the medial articular facet (AF) (medial plateau) (E) and (6) the depth of the proximal margin of the lateral AF (lateral plateau) (F).
Results
The A, B, C, D, E, and F mean distances were 71.3 mm, 47.4 mm, 340.2 mm, 37.1 mm, 42 mm, and 35.9 mm. Reliability analysis for each observer on all measurements revealed an interclass correlation (ICC) score of 0.975 (observer 1) and 0.971 (observer 2). The ratio A/B was 1.5, A/C was a constant 0.2, and D/C was 0.1. The ratio E/F was 1.2. The six measurements (A-F) showed excellent inter-observer reliability (all ICC values > 0.990).
Conclusions
The study established constant ratios of the studied linear distances around the proximal tibia. Considering these ratios, asymmetrical tibial components in knee arthroplasty seem to replicate the native anatomy more closely. Furthermore, the distance from the anterior margin of the proximal surface to the tibial tuberosity peak, constituting one-tenth of the longitudinal length of the tibia, shows promise as a metric system for imaging studies, especially in assessing lesions around tibial components.</description><identifier>ISSN: 1279-8517</identifier><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-024-03421-x</identifier><identifier>PMID: 38951185</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Anatomy ; Arthroplasty (knee) ; Imaging ; Joint replacement surgery ; Medicine ; Medicine & Public Health ; Metric system ; Morphometry ; Original Article ; Orthopedics ; Radiology ; Ratios ; Surgery ; Tibia</subject><ispartof>Surgical and radiologic anatomy (English ed.), 2024-09, Vol.46 (9), p.1393-1399</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-8e9c7cea6ea6fa4a49edc100c575df9b1110cab1b0c141cd858c2bad52ebe0243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00276-024-03421-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00276-024-03421-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38951185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koutserimpas, Christos</creatorcontrib><creatorcontrib>Kotzias, Dimitrios</creatorcontrib><creatorcontrib>Veizi, Enejd</creatorcontrib><creatorcontrib>Tsakotos, George</creatorcontrib><creatorcontrib>Triantafyllou, George</creatorcontrib><creatorcontrib>Piagkou, Maria</creatorcontrib><title>Exploring consistent ratios in morphometry of the proximal tibia: insights for knee arthroplasty</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><addtitle>Surg Radiol Anat</addtitle><description>Introduction
The current study, which delves into proximal tibia morphometric parameters in a Greek sample, not only analyzes whether specific linear distance ratios are consistent but also paves the way for a potential novel metric system for knee arthroplasty imaging studies using constant ratios. These findings could have significant implications for future enlarged research and clinical practice.
Methods
A total of 38 dried tibiae were evaluated by two independent investigators. The following distances were measured with a digital Vernier sliding caliper: (1) the mediolateral distance of the proximal surface (A), (2) the anteroposterior distance of the proximal surface (B), (3) The longitudinal length of the bone (C), (4) the line connecting the anterior margin of the proximal surface with the highest peak of the tibia tuberosity (D), (5) the depth of the proximal margin of the medial articular facet (AF) (medial plateau) (E) and (6) the depth of the proximal margin of the lateral AF (lateral plateau) (F).
Results
The A, B, C, D, E, and F mean distances were 71.3 mm, 47.4 mm, 340.2 mm, 37.1 mm, 42 mm, and 35.9 mm. Reliability analysis for each observer on all measurements revealed an interclass correlation (ICC) score of 0.975 (observer 1) and 0.971 (observer 2). The ratio A/B was 1.5, A/C was a constant 0.2, and D/C was 0.1. The ratio E/F was 1.2. The six measurements (A-F) showed excellent inter-observer reliability (all ICC values > 0.990).
Conclusions
The study established constant ratios of the studied linear distances around the proximal tibia. Considering these ratios, asymmetrical tibial components in knee arthroplasty seem to replicate the native anatomy more closely. Furthermore, the distance from the anterior margin of the proximal surface to the tibial tuberosity peak, constituting one-tenth of the longitudinal length of the tibia, shows promise as a metric system for imaging studies, especially in assessing lesions around tibial components.</description><subject>Anatomy</subject><subject>Arthroplasty (knee)</subject><subject>Imaging</subject><subject>Joint replacement surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metric system</subject><subject>Morphometry</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Radiology</subject><subject>Ratios</subject><subject>Surgery</subject><subject>Tibia</subject><issn>1279-8517</issn><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kD1PwzAQhi0EoqXwBxiQJRaWgO3EicOGEF8SEgvMxnEurUsSB9uV2n-PS8uHGJAs-Ybn3rt7EDqm5JwSUlx4QliRJ4RlCUkzRpPlDhpTVpSJ4LTY_VWP0IH3c0IIp1Tso1EqynXFx-j1Zjm01pl-irXtvfEB-oCdCsZ6bHrcWTfMbAfBrbBtcJgBHpxdmk61OJjKqMtIeTOdBY8b6_BbD4CVCzNnh1b5sDpEe41qPRxt_wl6ub15vr5PHp_uHq6vHhPNeB4SAaUuNKg8vkZlKiuh1vFKzQteN2VFKSVaVbQimmZU14ILzSpVcwYVRAPpBJ1tcuN67wvwQXbGa2hb1YNdeJmSIitYnpcioqd_0LlduD5uF6mSZYLlgkeKbSjtrPcOGjm4eLZbSUrk2r_c-Jdxuvz0L5ex6WQbvag6qL9bvoRHIN0AflhLB_cz-5_YDwDnkzc</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Koutserimpas, Christos</creator><creator>Kotzias, Dimitrios</creator><creator>Veizi, Enejd</creator><creator>Tsakotos, George</creator><creator>Triantafyllou, George</creator><creator>Piagkou, Maria</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20240901</creationdate><title>Exploring consistent ratios in morphometry of the proximal tibia: insights for knee arthroplasty</title><author>Koutserimpas, Christos ; Kotzias, Dimitrios ; Veizi, Enejd ; Tsakotos, George ; Triantafyllou, George ; Piagkou, Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-8e9c7cea6ea6fa4a49edc100c575df9b1110cab1b0c141cd858c2bad52ebe0243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anatomy</topic><topic>Arthroplasty (knee)</topic><topic>Imaging</topic><topic>Joint replacement surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metric system</topic><topic>Morphometry</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Radiology</topic><topic>Ratios</topic><topic>Surgery</topic><topic>Tibia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koutserimpas, Christos</creatorcontrib><creatorcontrib>Kotzias, Dimitrios</creatorcontrib><creatorcontrib>Veizi, Enejd</creatorcontrib><creatorcontrib>Tsakotos, George</creatorcontrib><creatorcontrib>Triantafyllou, George</creatorcontrib><creatorcontrib>Piagkou, Maria</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koutserimpas, Christos</au><au>Kotzias, Dimitrios</au><au>Veizi, Enejd</au><au>Tsakotos, George</au><au>Triantafyllou, George</au><au>Piagkou, Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring consistent ratios in morphometry of the proximal tibia: insights for knee arthroplasty</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><addtitle>Surg Radiol Anat</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>46</volume><issue>9</issue><spage>1393</spage><epage>1399</epage><pages>1393-1399</pages><issn>1279-8517</issn><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Introduction
The current study, which delves into proximal tibia morphometric parameters in a Greek sample, not only analyzes whether specific linear distance ratios are consistent but also paves the way for a potential novel metric system for knee arthroplasty imaging studies using constant ratios. These findings could have significant implications for future enlarged research and clinical practice.
Methods
A total of 38 dried tibiae were evaluated by two independent investigators. The following distances were measured with a digital Vernier sliding caliper: (1) the mediolateral distance of the proximal surface (A), (2) the anteroposterior distance of the proximal surface (B), (3) The longitudinal length of the bone (C), (4) the line connecting the anterior margin of the proximal surface with the highest peak of the tibia tuberosity (D), (5) the depth of the proximal margin of the medial articular facet (AF) (medial plateau) (E) and (6) the depth of the proximal margin of the lateral AF (lateral plateau) (F).
Results
The A, B, C, D, E, and F mean distances were 71.3 mm, 47.4 mm, 340.2 mm, 37.1 mm, 42 mm, and 35.9 mm. Reliability analysis for each observer on all measurements revealed an interclass correlation (ICC) score of 0.975 (observer 1) and 0.971 (observer 2). The ratio A/B was 1.5, A/C was a constant 0.2, and D/C was 0.1. The ratio E/F was 1.2. The six measurements (A-F) showed excellent inter-observer reliability (all ICC values > 0.990).
Conclusions
The study established constant ratios of the studied linear distances around the proximal tibia. Considering these ratios, asymmetrical tibial components in knee arthroplasty seem to replicate the native anatomy more closely. Furthermore, the distance from the anterior margin of the proximal surface to the tibial tuberosity peak, constituting one-tenth of the longitudinal length of the tibia, shows promise as a metric system for imaging studies, especially in assessing lesions around tibial components.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>38951185</pmid><doi>10.1007/s00276-024-03421-x</doi><tpages>7</tpages></addata></record> |
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| subjects | Anatomy Arthroplasty (knee) Imaging Joint replacement surgery Medicine Medicine & Public Health Metric system Morphometry Original Article Orthopedics Radiology Ratios Surgery Tibia |
| title | Exploring consistent ratios in morphometry of the proximal tibia: insights for knee arthroplasty |
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