Evidence map›Paper›PMID 32458090›Full record

ArticleJournal of experimental orthopaedics2020

Meniscus sizing using three-dimensional models of the ipsilateral tibia plateau based on CT scans - an experimental study of a new sizing approach.

Silvan Beeler, Lazaros Vlachopoulos, Lukas Jud, Reto Sutter, Tobias Götschi, Philipp Fürnstahl, Sandro F Fucentese

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Article in Journal of experimental orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Silvan BeelerDepartment of Orthopaedic Surgery, University of Zurich, Balgrist University Hospital, Forchstrasse 340, 8008, Zurich, Switzerland. silvan.beeler@balgrist.ch.ORCID http://orcid.org/0000-0002-0928-7795
Lazaros VlachopoulosDepartment of Orthopaedic Surgery, University of Zurich, Balgrist University Hospital, Forchstrasse 340, 8008, Zurich, Switzerland.
Lukas JudDepartment of Orthopaedic Surgery, University of Zurich, Balgrist University Hospital, Forchstrasse 340, 8008, Zurich, Switzerland.
Reto SutterDepartment of Orthopaedic Surgery, University of Zurich, Balgrist University Hospital, Forchstrasse 340, 8008, Zurich, Switzerland.
Tobias GötschiDepartment of Orthopaedic Surgery, University of Zurich, Balgrist University Hospital, Forchstrasse 340, 8008, Zurich, Switzerland.
Philipp FürnstahlDepartment of Orthopaedic Surgery, University of Zurich, Balgrist University Hospital, Forchstrasse 340, 8008, Zurich, Switzerland.
Sandro F FucenteseDepartment of Orthopaedic Surgery, University of Zurich, Balgrist University Hospital, Forchstrasse 340, 8008, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSelection of a meniscus allograft with a similar three-dimensional (3D) size is essential for good clinical results in meniscus allograft surgery. Direct meniscus sizing by MRI scan is not possible in total meniscectomy and indirect sizing by conventional radiography is often inaccurate. The purpose of this study was to develop a new indirect sizing method, based on the 3D shape of the ipsilateral tibia plateau, which is independent of the meniscus condition.

methodsMRI and CT scans of fifty healthy knee joints were used to create 3D surface models of both menisci (MRI) and tibia plateau (CT). 3D bone models of the proximal 10 mm of the entire and half tibia plateau (with / without intercondylar area) were created in a standardized fashion. For each meniscus, the best fitting "allograft" couple out of all other 49 menisci were assessed by the surface distance of the 3D meniscus (best available allograft), of the 3D tibia plateau (3D-CT) and by the radiographic method of Pollard (2D-RX).

results3D-CT sizing was significantly better by using only the half tibia plateau without the intercondylar area (p < 0.001). But neither sizing by 3D-CT, nor by 2D-RX could select the best available allograft. Compared to 2D-RX, 3D-CT sizing was significantly better for the medial, but not for the lateral meniscus.

conclusionsAutomatized, indirect meniscus sizing using the 3D bone models of the tibia plateau is feasible and more precise than the previously described 2D-RX method.. However, further technical improvement is needed to select always the best available allograft.

Indexed as

Inter-observer variationKneeMagnetic resonanceMeniscus lateralMeniscus medialMeniscus sizingMRI scansThree-dimensionally segmentation

Identifiers

PMID32458090
PMCPMC7251042

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