Background: The aim of this study was to describe the difference between the medial distal tibial angle (MDTA) when measured on whole lower limb radiographs and mortise radiographs of the ankle.
Materials And Methods: A total of 48 legs were included of 24 healthy volunteers. Standard radiographs were obtained of the whole lower leg. Mortise radiographs were obtained of the ankle. The MDTA was measured on the digitized radiographs by three orthopaedic residents, one orthopaedic surgeon and one biomechanical movement scientist. For each leg, the angles measured from the two images were compared. The inter-observer reliability of each method was calculated.
Results: The MDTA as measured on whole lower leg images (94.6 ± 2.6 degrees) was significantly different compared with the angle measured on mortise ankle images (92.1 ± 2.2 degrees) (p < 0.01). The mean measurement difference between observers was less than 1 degree. Reliability of the measurements was good with a high association (κ = 0.85) between observers for the angles measured on the whole lower leg images and also a high association (κ = 0.83) between the observers for the mortise ankle image measurements.
Conclusion: The MDTA is not the same on whole lower leg images and mortise views of the ankle. There was an excellent interobserver reliability for the angles measured.
Clinical Relevance: Foot and ankle surgeons should take this into account when planning coronal deformity correction of the distal tibia. We believe whole lower leg images should be used to assess the medial distal tibial angle.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3113/FAI.2011.0288 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Proteomic serum profiles before and after lipoprotein apheresis in patients with peripheral artery disease with ulceration.
Ther Apher Dial
December 2024
Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Introduction: The efficacy of lipoprotein apheresis (LA) in peripheral arterial disease (PAD) has been primarily attributed to its anti-atherosclerotic effects through the adsorption of lipoproteins. However, the other potential effects of LA remain unknown. We evaluated changes in serum profiles before and after LA using a comprehensive analysis to explore the underlying mechanism.
View Article and Find Full Text PDFThe distribution and severity of lower-limb hypertonicity and spasticity differentially impacts walking speed in people with neurological injuries.
Disabil Rehabil
December 2024
Department of Physiotherapy, Epworth HealthCare, Melbourne, Australia.
Purpose: To investigate the relationship between the distribution and severity of hypertonicity and spasticity on walking speed in people with neurological injuries.
Material/methods: This cross-sectional observation cohort study used the Modified Ashworth Scale (MAS) and Modified Tardieu Scale (MTS) to assess hypertonicity and spasticity of the gastrocnemius, soleus, hamstrings and quadriceps. Participants were classified as having a distal (gastrocnemius and/or soleus), proximal (hamstrings and/or quadriceps) or mixed distribution of hypertonicity or spasticity.
Medial patellofemoral ligament reconstruction normalizes patellar kinematics but fails to predict cartilage contact area: A prospective 3D MRI study.
J Exp Orthop
January 2025
Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital Albert Ludwigs University Freiburg Freiburg Germany.
Introduction: The medial patellofemoral ligament (MPFL) is the main patellar stabilizer in low knee flexion degrees (0-30°). Isolated MPFL reconstruction (MPFLr) is therefore considered the gold standard of surgical procedures for low flexion patellofemoral instabilities (PFIs). Despite excellent clinical results, little is known about the effect of MPFLr on kinematic parameters (KPs) of the patellofemoral joint in vivo.
View Article and Find Full Text PDFPreoperative difference between 2D and 3D planning correlates with difference between planned and achieved surgical correction in patient-specific instrumented total knee arthroplasty.
J Exp Orthop
January 2025
Department of Orthopedics, Balgrist University Hospital University of Zurich Zurich Switzerland.
Purpose: The goals of this study were (1) to assess whether the preoperative difference between modalities and extent of deformity are associated with a higher difference between planned and achieved surgical correction and (2) if they yield a higher probability of intraoperative adjustments.
Methods: Retrospective single-centre analysis of patients undergoing patient-specific instrumented (PSI) total knee arthroplasty (TKA). Preoperative radiographic parameters were analysed on weightbearing (WB) long-leg radiographs (LLR) and nonweightbearing (NWB) computed tomography (CT).
Simultaneous pancreas-kidney (SPK) transplantation is a recognized treatment for patients with insulin-dependent diabetes and advanced chronic kidney disease or end-stage renal disease (ESRD), offering significant survival benefits. However, it is associated with a higher risk of venous thrombosis, which can jeopardize the survival of the pancreaticoduodenal graft. This case report describes a patient with type 2 diabetes, hypertension, and ESRD who developed acute, occlusive deep vein thrombosis (DVT) involving the right common femoral, profunda femoral, and greater saphenous veins on postoperative day 1 (POD1) following a deceased donor SPK transplant, despite systemic prophylactic anticoagulation.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!