Tibiofemoral rotation is related to differences in the lateral femoral condyle configuration in both normal subjects and women with hip dysplasia: a three-dimensional analysis.
BMC Musculoskelet Disord
; 20(1): 353, 2019 Jul 31.
Article
en En
| MEDLINE
| ID: mdl-31366348
ABSTRACT
BACKGROUND:
We assessed the morphological differences in the knee joint related to knee rotation angle in patients with hip dysplasia. These results may explain the anatomy of the knee in patients with hip dysplasia and aid in planning knee surgery.METHODS:
We enrolled 73 women (146 legs, 35.6 ± 9.0 years) with bilateral hip dysplasia and 45 healthy women (90 legs, 49.0 ± 18.9 years) without lumbago, knee symptoms, or osteoarthritic findings of the knee or spine on plain radiographs. We examined the parameters affecting knee rotation angle, such as the condylar twist angle and femoral condyle measurements with a three-dimensional bone model using the correlation coefficients of each parameter.RESULTS:
The condylar twist angle and the length of the posterior part of the lateral femoral condyle were statistically positively correlated with knee rotation angle in both the normal (condylar twist angle r = 0.286, p = 0.007, posterolateral r = 0.429, p < 0.001) and developmental dysplasia of the hip groups (condylar twist angle r = 0.230, p = 0.033, posterolateral r = 0.272, p = 0.005). Knee rotation angle had no statistical correlation with femoral neck anteversion in the developmental dysplasia of the hip group (r = 0.094, p = 0.264), but had a statistical correlation with femoral neck anteversion in the normal group (r = 0.243, p = 0.039).CONCLUSIONS:
Knee joint morphology is affected by hip dysplasia. We found that the length of the posterior part of the lateral femoral condyle was significantly positively correlated with knee rotation angle in both the normal and developmental dysplasia of the hip groups, and this finding indicates that a greater posterolateral dimension was associated with a greater knee rotation angle. These morphological knee joint differences in patients with hip dysplasia may help determine the alignment of prostheses in total knee arthroplasty.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Tibia
/
Fémur
/
Luxación Congénita de la Cadera
/
Articulación de la Rodilla
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Idioma:
En
Año:
2019
Tipo del documento:
Article