Evidence map›Paper›PMID 39022274›Full record

ArticleQuantitative imaging in medicine and surgery2024

Quantitative analysis of sagittal curvatures of the tibial plafond by computed tomography.

Yuanjun Teng, Hu Luo, Yifan Cai, Sixian Li, Jian Yu, Kangrui Zhang, Fan Lu, Wenming Chen, Xu Wang, Xin Ma

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Article in Quantitative imaging in medicine and surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

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10 authors.

Yuanjun TengAcademy for Engineering and Technology, Fudan University, Shanghai, China.
Hu LuoAcademy for Engineering and Technology, Fudan University, Shanghai, China.
Yifan CaiDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.
Sixian LiMedical College, Yangzhou University, Yangzhou, China.
Jian YuDepartment of Orthopedic Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Kangrui ZhangDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.
Fan LuDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, China.
Wenming ChenAcademy for Engineering and Technology, Fudan University, Shanghai, China.
Xu WangDepartment of Orthopedic Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Xin MaAcademy for Engineering and Technology, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although the talar morphology has been well understood, studies on the corresponding tibial plafond are still lacking. Based on computed tomography (CT) data, this quantitative study divided the tibial plafond into anterior and posterior regions on five sagittal sections. The objectives of this study were (I) to determine whether the sagittal curvatures of the tibial plafond can be quantitatively and accurately described using the double-diameter method; (II) to compare the difference between the anterior and posterior diameters on five sagittal sections. Methods: In this study, CT data were collected from 100 adult ankles, and the three-dimensional (3D) ankle joint model was reconstructed using CT images. An anatomical coordinate system of the 3D ankle joint model was created to establish the standard coronal and sagittal planes. The measurement outcomes of sagittal curvatures included: the anterior and posterior diameters, the distal tibial arc length (TiAL) and the distal tibial mortise depth (TMD) on five sagittal sections (the most medial, medial 1/4, middle, lateral 1/4 and the most lateral section). Subgroup analysis was performed to compare the differences between males and females. Results: Analysis of the sagittal curvatures showed that the anterior diameter of tibial plafond was significantly smaller than the posterior diameter on five sagittal sections with a mean difference ranging from 3.9 to 6.8 mm (P<0.001). For the anterior diameters, the anteromedial curve had the smallest diameter (35.3±5.3 mm), and the anterolateral curve had the largest diameter (38.0±5.8 mm). For the posterior diameter, the posteromedial curve had the smallest diameter (39.2±6.4 mm), and the posterolateral 1/4 curve had the largest diameter (43.5±6.9 mm). One-way analysis of variance (ANOVA) revealed significant differences in the anterior and posterior diameters among five groups (P<0.012). Subgroup analysis showed that gender partly affected the results of sagittal curvature measurements. Conclusions: The sagittal curvatures of the tibial plafond can be described quantitatively and accurately using anterior and posterior diameters. Our study showed that there were significant differences between the anterior and posterior diameters, and gender was an important factor influencing the sagittal curvatures of the tibial plafond.

Indexed as

ankle jointcomputed tomography (CT)quantitative analysissagittal curvatureTibial plafond

Identifiers

PMID39022274
PMCPMC11250304

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