COMPARISON OF FEMORAL CONDYLAR TWIST ANGLE IN THREE DIMENSIONAL RECONSTRUCTION DIGITAL MODELS OF KNEE JOINT BASED ON TWO DIMENSIONAL IMAGES OF MRI AND CT_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

1. Department of Sports Medicine, the First Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650032, P. R. China;
2. Department of Orthopedic Surgery, No.2 People's Hospital of Luohe City;

Corresponding?author：

Keywords：

MRI; CT; Three dimensional reconstruction digital model of knee joint; Femoral condylar twist angle

DOI：

10.7507/1002-1892.20150036

Video：

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Objective To study the difference of femoral condylar twist angle (CTA) measurement in three dimensional (3-D) reconstruction digital models of human knee joint based on the two dimensional (2-D) images of MRI and CT so as to provide a reference for selecting the best method of CTA measurement in preoperative design for the femoral prosthesis rotational position. Methods The CTA of 10 human cadaveric knee joint was measured in 3-D digital models based on MRI (group A), in 3-D digital models based on CT (group B), in the cadaveric knee joint with cartilage (group C), and in the cadaveric knee joint without cartilage (group D), respectively. The statistical analysis of the differences was made among the measurements of the CTA. Results The CTA values measured in 3-D digital models were (6.43±0.53)° in group A and (3.31±1.07)° in group B, showing significant difference (t=10.235, P=0.000). The CTA values measured in the cadaveric knee joint were (5.21±1.28)° in group C and (3.33±1.12)° in group D, showing significant difference (t=5.770, P=0.000). There was significant difference in the CTA values between group B and group C (t=5.779, P=0.000), but no significant difference was found between group A and group C (t=3.219, P=0.110). Conclusion The CTA values measured in the 3-D digital models based on MRI are closer to the actual values measured in the knee joint with cartilage, and benefit for preoperative plan.

Citation： HUANGZan, LIYanlin, HUMeng, LIJian, YOUZhimin, WANGGuoliang, HEChuan. COMPARISON OF FEMORAL CONDYLAR TWIST ANGLE IN THREE DIMENSIONAL RECONSTRUCTION DIGITAL MODELS OF KNEE JOINT BASED ON TWO DIMENSIONAL IMAGES OF MRI AND CT. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(2): 167-170. doi: 10.7507/1002-1892.20150036 Copy

1.	Dutton AQ, Yeo SJ, Yang KY, et al. Computer-assisted minimally invasive total knee arthroplasty compared with standard total knee arthroplasty. A prospective, randomized study. J Bone Joint Surg (Am), 2008, 90(1):2-9.
2.	Novak EJ, Silverstein MD, Bozic KJ. The cost-effectiveness of computer-assisted navigation in total knee arthroplasty. J Bone Joint Surg (Am), 2007, 89(11):2389-2397.
3.	Tashiro Y, Uemura M, Matsuda S, et al. Articular cartilage of the posterior condyle can affect rotational alignment in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2012, 20(8):1463-1469.
4.	Dennis DA, Komistek RD, Kim RH, et al. Gap balancing versus measured resection technique for total knee arthroplasty. Clin Orthop Relat Res, 2010, 468(1):102-107.
5.	謝詩娟, 白波, 熊鶯, 等. 股骨髁旋轉力線在三維重建圖像中的測量. 廣州醫學院學報, 2008, 36(4):24-26.
6.	陳欣, 熊岳山. 基于二維輪廓序列的膝關節三維重建. 計算機應用, 2007, 27(3):683-685.
7.	潘哲爾, 黃加張, 顧湘杰, 等. 磁共振影像膝關節三維有限元模型的建立. 中國骨與關節損傷雜志, 2006, 21(4):268-270.
8.	Suter T, Zanetti M, Schmid M, et al. Reproducibility of measurement of femoral component rotation after total knee arthroplasty using computer tomography. J Arthroplasty, 2006, 21(5):744-748.
9.	Siston RA, Cromine MJ, Gold GE, et al. Averaging different alignment axes improves femoral rotational alignment in computer-navigated total knee arthroplasty. J Bone Joint Surg (Am), 2008, 90(10):2098-2104.
10.	王平, 趙志江, 付衛杰, 等. 人工全膝關節置換術中股骨假體旋轉的研究進展. 中國修復重建外科雜志, 2011, 25(9):1140-1144.
11.	戚盈杰, 胡月正, 吳劍彬, 等. 全膝關節置換術股骨及脛骨假體旋轉定位研究進展. 國際骨科學雜志, 2011, 32(4):221-224.
12.	胡猛, 李彥林, 仝路. 股骨遠端旋轉力線定位標志研究進展. 中國修復重建外科雜志, 2013, 27(1):54-57.
13.	Walde TA, Bussert J, Sehmisch S, et al. Optimized functional femoral rotation in navigated total knee arthroplasty considering ligament tension. Knee, 2010, 17(6):381-386.
14.	Czurda T, Fennema P, Baumgartner M, et al. The association between component malalignment and post-operative pain following navigation-assisted total knee arthroplasty:results of a cohort/nested case-control study. Knee Surg Sports Traumatol Arthrosc, 2010, 18(7):863-869.
15.	Classen T, Wegner A, Müller RD, et al. Femoral component rotation and Laurin angle after total knee arthroplasty. Acta Orthop Belg, 2010, 76(1):69-73.
16.	Abadie P, Galaud B, Michaut M, et al. Distal femur rotational alignment and patellar subluxation:a CT scan in vivo assessment. Orthop Traumatol Surg Res, 2009, 95(4):267-271.
17.	許鵬, 李彥林, 陳文棟, 等. MRI影像下股骨髁間窩三維數字化解剖學數據與實體解剖測量值的差異. 中國組織工程研究與臨床康復, 2011, 15(43):8006-8009.
18.	陳文棟, 李彥林, 許鵬, 等. 正常人與尸體膝關節MRI二維圖像重建前交叉韌帶三維模型的比較研究. 中國修復重建外科雜志, 2011, 25(11):1314-1318.
19.	羅小平. 不同年齡段正常膝關節軟骨厚度的MRI測量研究. 實用臨床醫學, 2007, 8(7):98-100.
20.	龍騰河, 呂國順, 崔惠勤. 磁共振圖像測量膝關節置換股骨假體旋轉對線. 中國組織工程研究與臨床康復, 2011, 15(52):9839-9842.

1. Dutton AQ, Yeo SJ, Yang KY, et al. Computer-assisted minimally invasive total knee arthroplasty compared with standard total knee arthroplasty. A prospective, randomized study. J Bone Joint Surg (Am), 2008, 90(1):2-9.
2. Novak EJ, Silverstein MD, Bozic KJ. The cost-effectiveness of computer-assisted navigation in total knee arthroplasty. J Bone Joint Surg (Am), 2007, 89(11):2389-2397.
3. Tashiro Y, Uemura M, Matsuda S, et al. Articular cartilage of the posterior condyle can affect rotational alignment in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2012, 20(8):1463-1469.
4. Dennis DA, Komistek RD, Kim RH, et al. Gap balancing versus measured resection technique for total knee arthroplasty. Clin Orthop Relat Res, 2010, 468(1):102-107.
5. 謝詩娟, 白波, 熊鶯, 等. 股骨髁旋轉力線在三維重建圖像中的測量. 廣州醫學院學報, 2008, 36(4):24-26.
6. 陳欣, 熊岳山. 基于二維輪廓序列的膝關節三維重建. 計算機應用, 2007, 27(3):683-685.
7. 潘哲爾, 黃加張, 顧湘杰, 等. 磁共振影像膝關節三維有限元模型的建立. 中國骨與關節損傷雜志, 2006, 21(4):268-270.
8. Suter T, Zanetti M, Schmid M, et al. Reproducibility of measurement of femoral component rotation after total knee arthroplasty using computer tomography. J Arthroplasty, 2006, 21(5):744-748.
9. Siston RA, Cromine MJ, Gold GE, et al. Averaging different alignment axes improves femoral rotational alignment in computer-navigated total knee arthroplasty. J Bone Joint Surg (Am), 2008, 90(10):2098-2104.
10. 王平, 趙志江, 付衛杰, 等. 人工全膝關節置換術中股骨假體旋轉的研究進展. 中國修復重建外科雜志, 2011, 25(9):1140-1144.
11. 戚盈杰, 胡月正, 吳劍彬, 等. 全膝關節置換術股骨及脛骨假體旋轉定位研究進展. 國際骨科學雜志, 2011, 32(4):221-224.
12. 胡猛, 李彥林, 仝路. 股骨遠端旋轉力線定位標志研究進展. 中國修復重建外科雜志, 2013, 27(1):54-57.
13. Walde TA, Bussert J, Sehmisch S, et al. Optimized functional femoral rotation in navigated total knee arthroplasty considering ligament tension. Knee, 2010, 17(6):381-386.
14. Czurda T, Fennema P, Baumgartner M, et al. The association between component malalignment and post-operative pain following navigation-assisted total knee arthroplasty:results of a cohort/nested case-control study. Knee Surg Sports Traumatol Arthrosc, 2010, 18(7):863-869.
15. Classen T, Wegner A, Müller RD, et al. Femoral component rotation and Laurin angle after total knee arthroplasty. Acta Orthop Belg, 2010, 76(1):69-73.
16. Abadie P, Galaud B, Michaut M, et al. Distal femur rotational alignment and patellar subluxation:a CT scan in vivo assessment. Orthop Traumatol Surg Res, 2009, 95(4):267-271.
17. 許鵬, 李彥林, 陳文棟, 等. MRI影像下股骨髁間窩三維數字化解剖學數據與實體解剖測量值的差異. 中國組織工程研究與臨床康復, 2011, 15(43):8006-8009.
18. 陳文棟, 李彥林, 許鵬, 等. 正常人與尸體膝關節MRI二維圖像重建前交叉韌帶三維模型的比較研究. 中國修復重建外科雜志, 2011, 25(11):1314-1318.
19. 羅小平. 不同年齡段正常膝關節軟骨厚度的MRI測量研究. 實用臨床醫學, 2007, 8(7):98-100.
20. 龍騰河, 呂國順, 崔惠勤. 磁共振圖像測量膝關節置換股骨假體旋轉對線. 中國組織工程研究與臨床康復, 2011, 15(52):9839-9842.

Chinese Journal of Reparative and Reconstructive Surgery

COMPARISON OF FEMORAL CONDYLAR TWIST ANGLE IN THREE DIMENSIONAL RECONSTRUCTION DIGITAL MODELS OF KNEE JOINT BASED ON TWO DIMENSIONAL IMAGES OF MRI AND CT

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