ArticleArchives of orthopaedic and trauma surgery2022
A novel radiological classification system of the distal femur.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Reverse Dorr Classification of Lateral Knee Radiographs: A Qualitative Assessment of Bone Quality in Total Knee Arthroplasty.Arthroplasty today · 2026Article
- A novel radiological classification of the distal humerus: morphometric analysis across two European populations.JSES reviews, reports, and techniques · 2026Article
- A novel classification system for anterior femoral notching in total knee arthroplasty.Arthroplasty (London, England) · 2026Article
- Is there an association between distal femoral morphology and periprosthetic femoral fracture risk after Posterior-Stabilized Total Knee Arthroplasty?International orthopaedics · 2026Article
- Is there a correlation between distal femur anatomy and bone mineral density measurements?Archives of orthopaedic and trauma surgery · 2025Article
- Unbalanced metaphyseal fixation is associated with an increased aseptic loosening of revision total knee arthroplasty at mean 4-year follow-up.Archives of orthopaedic and trauma surgery · 2024Article
- A novel radiological index uses the inner canal diameter and the Citak classification index to predict risk factor for aseptic loosening following hinged total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Assessing the impact of distal femoral morphology using Citak's ratio: an independent risk factor for aseptic loosening in rotating hinge knee prosthesis.Archives of orthopaedic and trauma surgery · 2024Article
- Outcomes of rotating versus pure hinge knee arthroplasty in the setting of one-stage exchange for periprosthetic joint infection.International orthopaedics · 2024Article
- Aseptic midterm survival rates between different cemented tibial stem designs in hinged total knee arthroplasty: a 6-year evaluation from the German Arthroplasty Registry.Archives of orthopaedic and trauma surgery · 2024Article
- Is the Citak classification of distal femur morphology age and gender dependent?Archives of orthopaedic and trauma surgery · 2023Article
- Ten key steps: How to successfully publish?Joint diseases and related surgery · 2023Article
- The anatomical shape of the proximal femur correlates with the distal femur anatomy.Archives of orthopaedic and trauma surgery · 2023Article
- Does stem profile have an impact on the failure patterns in revision total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2023Article
- Enhancing the radiological classification system from the distal femur to the proximal tibia.Joint diseases and related surgery · 2022Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
introductionIn our previous studies, we were able to identify anatomical differences as a predictor for aseptic loosening following primary and revision surgery with the use of rotating hinge prosthesis. This study was performed to answer following question: can a novel radiological classification system of the distal femur be identified? MATERIALS AND
methodsA total of 200 patients who received standardized anteroposterior (AP) and lateral views of the knee joint were included in this study. On AP radiographs, we measured the distance between inner diameter of the femur at 20 cm proximally from the knee and at a point 2 cm proximally from the adductor tubercle. The ratio of the inner diameter of the femoral canal at 20 cm proximal of knee joint to the inner diameter of medullary canal at 2 cm proximal of adductor tubercle was used as a novel index ratio. Two observers blindly and independently reviewed the anteroposterior radiographs twice.
resultsThree groups of anatomical classification can be constructed for each sex according to the 25th and 75th percentiles. A higher distribution of Type C was found in female patients. The median intra-observer reliability for rater 1 was 0.995 (IQR 0.994-0.997). We had also a high inter-observer reliability with ICC of 0.997 (95% CI 0.996-0.998).
conclusionsThe novel classification presents three different types of the knee joint for male and female patients. Type C has a wider inner diaphyseal diameter compared to Type A with a narrow inner diaphyseal diameter.
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