Distal femur morphology and the suitability of standard guides for knee arthroplasty in the Turkish population

dc.authorid0000-0002-0275-8101
dc.authorid0000-0001-8896-2973
dc.authorid0000-0001-5778-692X
dc.authorid0000-0002-8552-0384
dc.contributor.authorİncesoy, Mustafa Alper
dc.contributor.authorGüngören, Nurdan
dc.contributor.authorAliyev, Orkhan
dc.contributor.authorElmalı, Nurzat
dc.contributor.authorTuncay, İbrahim
dc.contributor.authorYıldız, Fatih
dc.date.accessioned2024-05-24T07:31:52Z
dc.date.available2024-05-24T07:31:52Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjective: The aim of this study was to evaluate the posterior condylar angle (PCA) and condylar twist angle (CTA) of the distal femur in the Turkish population and its concordance with the current standard prosthesis guides used in total knee arthroplasty (TKA). Methods: Two hundred and forty knees of 120 Turkish subjects (60 male and 60 female) were included in this study. PCA, CTA, femoral mediolateral lengths (fML), medial femoral anteroposterior lengths (fMAP), lateral femoral anteroposterior lengths (fLAP), distances between the trochlear groove and fMAP (DBTG–fMAP), distances between the trochlear groove and fLAP (DBTG–fLAP), medial posterior condylar cartilage thickness (MPCCT) and lateral posterior condylar cartilage thicknesses (LPCCT) were measured on magnetic resonance imaging (MRI). Results: The median CTA was 7° (range: 0°-13.0°) and the median PCA was 4° (range 0°-11.0°) (P <.0001). The median fML was 79.5 mm (range: 65.7-98.9). The median length of the fMAP was 58.2 mm (range: 46.8-69.0) and the median length of fLAP was 58.2 mm (range: 48.4-73.0). The DBTG–fMAP was 15.2 mm (range: 5.2-23.2), and DBTG–fLAP length was 21.9mm (range: 16.4-29.4). The median MPCCT and LPCCT were 2.4 mm (range: 1.6-3.6) and 2.3 mm (range: 1.2-2.8), respectively. The intraclass correlation coefficient for quantifying interobserver and intraobserver reliability showed excellent agreement regarding the PCA and CTA. Conclusion: This study has shown us that PCA and CTA may be higher in the Turkish population. Although it is not known whether these results have any clinical utility, it may be useful for surgeons to keep this in mind to prevent femoral component malposition. Level of Evidence: Level IV, Diagnostic Study.
dc.identifier.citationİncesoy, M. A., Güngören, N., Aliyev, O., Elmalı, N., Tuncay, İ. ve Yıldız, F. (2024). Distal femur morphology and the suitability of standard guides for knee arthroplasty in the Turkish population. Acta Orthopaedica et Traumatologica Turcica, 58(1). http://dx.doi.org/10.5152/j.aott.2024.21066
dc.identifier.doi10.5152/j.aott.2024.21066
dc.identifier.issn1017-995X
dc.identifier.issn2589-1294
dc.identifier.issue1
dc.identifier.pmid38525509
dc.identifier.scopus2-s2.0-85186449058
dc.identifier.scopusqualityQ2
dc.identifier.urihttp://dx.doi.org/10.5152/j.aott.2024.21066
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12497
dc.identifier.volume58
dc.identifier.wos001186455700004en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorİncesoy, Mustafa Alper
dc.institutionauthorElmalı, Nurzat
dc.institutionauthorTuncay, İbrahim
dc.institutionauthorYıldız, Fatih
dc.language.isoen
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subject3° Posterior Condylar Angle
dc.subjectCondylar Twist Angle
dc.subjectRotation
dc.subjectTotal Knee Arthroplasty
dc.titleDistal femur morphology and the suitability of standard guides for knee arthroplasty in the Turkish population
dc.typeArticle

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