ArticleScientific reports2020
A robust method for automatic identification of femoral landmarks, axes, planes and bone coordinate systems using surface models.
Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- High variability exists in 3D leg alignment analysis, but underlying principles that might lead to agreement on a universal framework could be identified: A systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Pooled it
- Influence of the screw-home mechanism on TT-TG distance: a 3D kinematic simulation study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- The Neutral Hinge for Medial Closing Wedge Distal Femur Osteotomy. A 3-dimensional Surgical Simulation Study.Orthopaedic journal of sports medicine · 2025Article
- Marker-Less Navigation System for Anterior Cruciate Ligament Reconstruction with 3D Femoral Analysis and Arthroscopic Guidance.Bioengineering (Basel, Switzerland) · 2025Article
- Fully automated workflow for designing patient-specific orthopaedic implants: Application to total knee arthroplasty.PloS one · 2025Article
- Axial rotation of the hinge axis can cause changes in coronal tibial alignment in anterior tibial closing wedge osteotomy in a 3D simulation model.Journal of experimental orthopaedics · 2025Article
- A dual dimensional optimization strategy for automatic osteotomy preoperative planning in congenital radioulnar synostosis.Scientific reports · 2024Article
- A method framework of semi-automatic knee bone segmentation and reconstruction from computed tomography (CT) images.Quantitative imaging in medicine and surgery · 2024Article
- Exploring Fracture Patterns: Assessing Representation Methods for Bone Fracture Simulation.Journal of personalized medicine · 2024Article
- Database of segmentations and surface models of bones of the entire lower body created from cadaver CT scans.Scientific data · 2023Article
- The Patient-Specific Combined Target Zone for Morpho-Functional Planning of Total Hip Arthroplasty.Journal of personalized medicine · 2021Article
- A robust method for automatic identification of femoral landmarks, axes, planes and bone coordinate systems using surface models.Scientific reports · 2020Article
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Authors and funding
5 authors.
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Abstract
The identification of femoral landmarks is a common procedure in multiple academic fields. Femoral bone coordinate systems are used particularly in orthopedics and biomechanics, and are defined by landmarks, axes and planes. A fully automatic detection overcomes the drawbacks of a labor-intensive manual identification. In this paper, a new automatic atlas- and a priori knowledge-based approach that processes femoral surface models, called the A&A method, was evaluated. The A&A method is divided in two stages. Firstly, a single atlas-based registration maps landmarks and areas from a template surface to the subject. In the second stage, landmarks, axes and planes that are used to construct several femoral bone coordinate systems are refined using a priori knowledge. Three common femoral coordinate systems are defined by the landmarks detected. The A&A method proved to be very robust against a variation of the spatial alignment of the surface models. The results of the A&A method and a manual identification were compared. No significant rotational differences existed for the bone coordinate system recommended by the International Society of Biomechanics. Minor significant differences of maximally 0.5° were observed for the two other coordinate systems. This might be clinically irrelevant, depending on the context of use and should, therefore, be evaluated by the potential user regarding the specific application. The entire source code of the A&A method and the data used in the study is open source and can be accessed via https://github.com/RWTHmediTEC/FemoralCoordinateSystem .
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