Assessment of the vulnerability of the proximal tibiofibular joint to injury during osteotomies

Basit Öğe Kaydı
dc.authorscopusid56012788100
dc.authorscopusid6602951871
dc.authorscopusid8230110300
dc.authorscopusid57200578690
dc.authorscopusid7003819728
dc.contributor.authorEsenkaya I.
dc.contributor.authorElmali N.
dc.contributor.authorKaygusuz M.A.
dc.contributor.authorMisirlio?lu M.
dc.contributor.authorAtasever A.
dc.date.accessioned2024-08-04T20:00:38Z
dc.date.available2024-08-04T20:00:38Z
dc.date.issued2006
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVES: We evaluated the dimensions and anatomic localization of the proximal tibiofibular joint (PTFJ) in human cadaver and amputated knees. In addition, we assessed the relation between the osteotomy line and the PTFJ and its vulnerability to injury on radiographs of patients after proximal tibial medial open wedge osteotomy (PT-MOWO). METHODS: In the first phase, dimensions of the tibial part of the PTFJ lying between the lateral tibial condyle and the fibular head were measured by digital calipers in six human cadaver and six fresh amputed tibiae (4 females, 8 males; mean age 57 years) to evaluate the relation between the tibial surface of the PTFJ and the posterior part of the lateral tibial plateau. In the second phase, anteroposterior, lateral, and medial oblique radiographs were assessed with respect to the relation of the osteotomies with the PTFJ following PT-MOWO in 46 knees of 44 consecutive patients (38 females, 6 males; mean age 51 years). RESULTS: On cadaver and fresh amputation materials, the mean long and short axis dimensions of the ellipsoidal articular surface of the PTFJ in the posterolateral aspect of the tibial plateau measured 18.8 mm (range 13 mm to 20 mm) and 14.9 mm (13 mm-17 mm), respectively. The upper articular border lied at a mean of 6.3 mm (2 mm to 11 mm) distal to the posterior border of the articular surface of the lateral tibial plateau. Medial oblique radiographs showed that the osteotomy line extended to the PTFJ in cases in which it was proximally located, particularly in three cases (6.5%) where lateral cortex continuity was interrupted. CONCLUSION: The osteotomy line may encroach upon the PTFJ unless preoperative oblique radiographs are evaluated and a parallel course to the tibial slope of the lateral tibial plateau is followed. In addition, insufficient evaluation of PT-MOWO candidates may result in damage to the lateral cortex, which increases the risk for injury to the PTFJ.en_US
dc.identifier.endpage402en_US
dc.identifier.issn1017-995X
dc.identifier.issue5en_US
dc.identifier.pmid17220650en_US
dc.identifier.scopus2-s2.0-34447522111en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage396en_US
dc.identifier.urihttps://hdl.handle.net/11616/90877
dc.identifier.volume40en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.relation.ispartofActa orthopaedica et traumatologica turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectarticleen_US
dc.subjectcadaveren_US
dc.subjectevaluationen_US
dc.subjectfemaleen_US
dc.subjectfibulaen_US
dc.subjecthistologyen_US
dc.subjecthumanen_US
dc.subjectinjuryen_US
dc.subjectkneeen_US
dc.subjectmaleen_US
dc.subjectmethodologyen_US
dc.subjectmiddle ageden_US
dc.subjectosteotomyen_US
dc.subjectradiographyen_US
dc.subjecttibiaen_US
dc.subjectCadaveren_US
dc.subjectFemaleen_US
dc.subjectFibulaen_US
dc.subjectHumansen_US
dc.subjectKnee Jointen_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectOsteotomyen_US
dc.subjectTibiaen_US
dc.titleAssessment of the vulnerability of the proximal tibiofibular joint to injury during osteotomiesen_US
dc.title.alternativeOsteotomilerde proksimal tibiofibular eklemin yaralanma riskinin de?erlendirilmesi.en_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

Scopus İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu