Radiological study of the knee joint line position measured from the fibular head and proximal tibial landmarks
Restoring the joint line level is one of the surgical challenges during revision of total knee arthroplasty. The position of the tibial surface is commonly estimated by its distance to the apex of fibular head, but no study evaluating this distance accurately has been published yet. The purpose of t...
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| Veröffentlicht in: | Surgical and radiologic anatomy (English ed.) 2007-05, Vol.29 (4), p.285-289 |
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| creator | HAVET, Eric GABRION, Antoine LEIBER-WACKENHEIM, Frederic VERNOIS, Joël OLORY, Bruno MERTL, Patrice |
| description | Restoring the joint line level is one of the surgical challenges during revision of total knee arthroplasty. The position of the tibial surface is commonly estimated by its distance to the apex of fibular head, but no study evaluating this distance accurately has been published yet. The purpose of this work was to study the distance between the knee joint line and the apex of the fibular head and the proximal tibia, particularly the tibial tuberosity. Variability with clinical data and relations with other local measurements have been evaluated on knee radiographs (an antero-posterior view, a medio-lateral view and an anteroposterior full length view) of 100 subjects (125 knees). Results showed no correlation between the joint line-fibular head apex distance and any clinical data of the patients, or any other performed measurements. Relations between tibial measurements and the sexe or the height of the subjects were noted. Besides, the review of the 25 bilateral cases did not show statistically significant side difference but the descriptive analysis showed too large discrepancies for the joint line-fibular head apex distance to be used as a landmark. We conclude that the fibular head apex cannot be used as a morphologic landmark to determine the knee joint line position. Its interest in clinical and surgical practice must be discussed. |
| doi_str_mv | 10.1007/s00276-007-0207-3 |
| format | Article |
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The position of the tibial surface is commonly estimated by its distance to the apex of fibular head, but no study evaluating this distance accurately has been published yet. The purpose of this work was to study the distance between the knee joint line and the apex of the fibular head and the proximal tibia, particularly the tibial tuberosity. Variability with clinical data and relations with other local measurements have been evaluated on knee radiographs (an antero-posterior view, a medio-lateral view and an anteroposterior full length view) of 100 subjects (125 knees). Results showed no correlation between the joint line-fibular head apex distance and any clinical data of the patients, or any other performed measurements. Relations between tibial measurements and the sexe or the height of the subjects were noted. Besides, the review of the 25 bilateral cases did not show statistically significant side difference but the descriptive analysis showed too large discrepancies for the joint line-fibular head apex distance to be used as a landmark. We conclude that the fibular head apex cannot be used as a morphologic landmark to determine the knee joint line position. Its interest in clinical and surgical practice must be discussed.</description><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-007-0207-3</identifier><identifier>PMID: 17440678</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Anatomy & physiology ; Arthroplasty (knee) ; Arthroplasty, Replacement, Knee ; Biological and medical sciences ; Biomechanical Phenomena ; Body Height - physiology ; Body Weight - physiology ; Bone surgery ; Bones ; Female ; Fibula - diagnostic imaging ; Fibula - physiology ; Fibula - surgery ; General aspects ; Humans ; Joints ; Knee ; Knee Joint - diagnostic imaging ; Knee Joint - physiology ; Knee Joint - surgery ; Male ; Medical sciences ; Middle Aged ; Radiography ; Radiology ; Sex Factors ; Statistical analysis ; Tibia ; Tibia - diagnostic imaging ; Tibia - physiology ; Tibia - surgery</subject><ispartof>Surgical and radiologic anatomy (English ed.), 2007-05, Vol.29 (4), p.285-289</ispartof><rights>2007 INIST-CNRS</rights><rights>Springer-Verlag 2007</rights><rights>Springer-Verlag 2007.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-785430d1d0d221965eeee80978a6513ec0e4cd8609f7207fc7609a3949879c333</citedby><cites>FETCH-LOGICAL-c384t-785430d1d0d221965eeee80978a6513ec0e4cd8609f7207fc7609a3949879c333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18826550$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17440678$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HAVET, Eric</creatorcontrib><creatorcontrib>GABRION, Antoine</creatorcontrib><creatorcontrib>LEIBER-WACKENHEIM, Frederic</creatorcontrib><creatorcontrib>VERNOIS, Joël</creatorcontrib><creatorcontrib>OLORY, Bruno</creatorcontrib><creatorcontrib>MERTL, Patrice</creatorcontrib><title>Radiological study of the knee joint line position measured from the fibular head and proximal tibial landmarks</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><description>Restoring the joint line level is one of the surgical challenges during revision of total knee arthroplasty. The position of the tibial surface is commonly estimated by its distance to the apex of fibular head, but no study evaluating this distance accurately has been published yet. The purpose of this work was to study the distance between the knee joint line and the apex of the fibular head and the proximal tibia, particularly the tibial tuberosity. Variability with clinical data and relations with other local measurements have been evaluated on knee radiographs (an antero-posterior view, a medio-lateral view and an anteroposterior full length view) of 100 subjects (125 knees). Results showed no correlation between the joint line-fibular head apex distance and any clinical data of the patients, or any other performed measurements. Relations between tibial measurements and the sexe or the height of the subjects were noted. Besides, the review of the 25 bilateral cases did not show statistically significant side difference but the descriptive analysis showed too large discrepancies for the joint line-fibular head apex distance to be used as a landmark. We conclude that the fibular head apex cannot be used as a morphologic landmark to determine the knee joint line position. Its interest in clinical and surgical practice must be discussed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anatomy & physiology</subject><subject>Arthroplasty (knee)</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Biological and medical sciences</subject><subject>Biomechanical Phenomena</subject><subject>Body Height - physiology</subject><subject>Body Weight - physiology</subject><subject>Bone surgery</subject><subject>Bones</subject><subject>Female</subject><subject>Fibula - diagnostic imaging</subject><subject>Fibula - physiology</subject><subject>Fibula - surgery</subject><subject>General aspects</subject><subject>Humans</subject><subject>Joints</subject><subject>Knee</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - physiology</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>Radiology</subject><subject>Sex Factors</subject><subject>Statistical analysis</subject><subject>Tibia</subject><subject>Tibia - diagnostic imaging</subject><subject>Tibia - physiology</subject><subject>Tibia - surgery</subject><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kV9LHDEUxUNp0dX6AXyR0GLfxt5MJn_mUaRaQSiIfQ7ZJNPN7sxkm8yAfnvvdheEgnnIvYRfDufeQ8g5gysGoL4XgFrJCtsKarz4B7JgtWorLZj6SBbQcqgYcH1MTkpZA4BgTB-RY6aaBqTSC5IerY-pT3-isz0t0-xfaOrotAp0M4ZA1ymOE-3jGOg2lTjFNNIh2DLn4GmX0_AP7eJy7m2mq2A9taOn25ye44CKU1xGLD0-DjZvymfyqbN9CWeHekp-3_54uvlZPfy6u7-5fqgc181UKS0aDp558HXNWikCHg2t0lYKxoOD0DivJbSdwsk7p7C1vG1arVrHOT8l3_a66OTvHMpkhlhc6NFISHMxCoTEbUgEv_4HrtOcR_RmaiklY_We-vIuBVoqACYQYnvI5VRKDp3ZZlxCfjEMzC4wsw_M7NpdYGbn8-IgPC-H4N9-HBJC4PIA2IIRddmOLpY3TutaCgH8FcdenEE</recordid><startdate>200705</startdate><enddate>200705</enddate><creator>HAVET, Eric</creator><creator>GABRION, Antoine</creator><creator>LEIBER-WACKENHEIM, Frederic</creator><creator>VERNOIS, Joël</creator><creator>OLORY, Bruno</creator><creator>MERTL, Patrice</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200705</creationdate><title>Radiological study of the knee joint line position measured from the fibular head and proximal tibial landmarks</title><author>HAVET, Eric ; GABRION, Antoine ; LEIBER-WACKENHEIM, Frederic ; VERNOIS, Joël ; OLORY, Bruno ; MERTL, Patrice</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-785430d1d0d221965eeee80978a6513ec0e4cd8609f7207fc7609a3949879c333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anatomy & physiology</topic><topic>Arthroplasty (knee)</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Biological and medical sciences</topic><topic>Biomechanical Phenomena</topic><topic>Body Height - physiology</topic><topic>Body Weight - physiology</topic><topic>Bone surgery</topic><topic>Bones</topic><topic>Female</topic><topic>Fibula - diagnostic imaging</topic><topic>Fibula - physiology</topic><topic>Fibula - surgery</topic><topic>General aspects</topic><topic>Humans</topic><topic>Joints</topic><topic>Knee</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - physiology</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiography</topic><topic>Radiology</topic><topic>Sex Factors</topic><topic>Statistical analysis</topic><topic>Tibia</topic><topic>Tibia - diagnostic imaging</topic><topic>Tibia - physiology</topic><topic>Tibia - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HAVET, Eric</creatorcontrib><creatorcontrib>GABRION, Antoine</creatorcontrib><creatorcontrib>LEIBER-WACKENHEIM, Frederic</creatorcontrib><creatorcontrib>VERNOIS, Joël</creatorcontrib><creatorcontrib>OLORY, Bruno</creatorcontrib><creatorcontrib>MERTL, Patrice</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</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>HAVET, Eric</au><au>GABRION, Antoine</au><au>LEIBER-WACKENHEIM, Frederic</au><au>VERNOIS, Joël</au><au>OLORY, Bruno</au><au>MERTL, Patrice</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiological study of the knee joint line position measured from the fibular head and proximal tibial landmarks</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><addtitle>Surg Radiol Anat</addtitle><date>2007-05</date><risdate>2007</risdate><volume>29</volume><issue>4</issue><spage>285</spage><epage>289</epage><pages>285-289</pages><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Restoring the joint line level is one of the surgical challenges during revision of total knee arthroplasty. The position of the tibial surface is commonly estimated by its distance to the apex of fibular head, but no study evaluating this distance accurately has been published yet. The purpose of this work was to study the distance between the knee joint line and the apex of the fibular head and the proximal tibia, particularly the tibial tuberosity. Variability with clinical data and relations with other local measurements have been evaluated on knee radiographs (an antero-posterior view, a medio-lateral view and an anteroposterior full length view) of 100 subjects (125 knees). Results showed no correlation between the joint line-fibular head apex distance and any clinical data of the patients, or any other performed measurements. Relations between tibial measurements and the sexe or the height of the subjects were noted. Besides, the review of the 25 bilateral cases did not show statistically significant side difference but the descriptive analysis showed too large discrepancies for the joint line-fibular head apex distance to be used as a landmark. We conclude that the fibular head apex cannot be used as a morphologic landmark to determine the knee joint line position. Its interest in clinical and surgical practice must be discussed.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>17440678</pmid><doi>10.1007/s00276-007-0207-3</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Anatomy & physiology Arthroplasty (knee) Arthroplasty, Replacement, Knee Biological and medical sciences Biomechanical Phenomena Body Height - physiology Body Weight - physiology Bone surgery Bones Female Fibula - diagnostic imaging Fibula - physiology Fibula - surgery General aspects Humans Joints Knee Knee Joint - diagnostic imaging Knee Joint - physiology Knee Joint - surgery Male Medical sciences Middle Aged Radiography Radiology Sex Factors Statistical analysis Tibia Tibia - diagnostic imaging Tibia - physiology Tibia - surgery |
| title | Radiological study of the knee joint line position measured from the fibular head and proximal tibial landmarks |
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