Procena veličine zadnjeg tibijalnog nagiba na MRI u Srpskoj populaciji

  • Nataša Janjušević Univerzitet odbrane, Medicinski fakultet, Vojnomedicinska akademija, Beograd, Srbija
  • Maja Vulović University of Kragujevac, Faculty of Medical Sciences, Department of Anatomy and Forensic Medicine, Kragujevac, Serbia
  • Aleksandar Radunović Military Medical Academy, Clinic for Orthopedic Surgery, Belgrade, Serbia
  • Milan Jovanović Military Medical Academy, Clinic for General Surgery, Belgrade, Serbia
  • Jasenka Vasić-Vilić Military Medical Academy, Institute of Radiology, Belgrade, Serbia
  • Ivana Živanović-Mačužić University of Kragujevac, Faculty of Medical Sciences, Department of Anatomy and Forensic Medicine, Kragujevac, Serbia
  • Aleksandra Simović University of Kragujevac, Faculty of Medical Sciences, Department of Pediatrics Medicine, Kragujevac, Serbia
  • Boško Milev Military Medical Academy, Clinic for General Surgery, Belgrade, Serbia
  • Dejan Jeremić University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/VSP160301203J
Ključne reči: koleni zglob;, artroplastika;, magnetna rezonanca, snimanje;, zglob, nestabilnost.

Sažetak


Background/Aim. Preservation of an adequate posterior tibial slope (PTS) during total knee arthroplasty is crucial for the biomechanical stability and function of the knee joint. Studies that investigated anatomical features of the tibial plateau found significant gender and inter-population differences in all components of the PTS. However, we are unaware of any study that estimates value of the posterior tibial slope in Serbian population. The aim of this study was to establish reference values of PTS in Serbian population and to explore if there is any difference in the tibial plateau inclination between genders. Methods. We retrospectively reviewed 161 MRIs of the knee of adult patients examined in Medical Military Academy in Belgrade, Serbia in a period from November 2011 to September 2014 year. Measurements of PTS components (medial tibial slope (MTS), lateral tibial slope (LTS), and coronal tibial slope (CTS)) were performed through several steps, according to the suggestions in the recent literature. Obtained values for each tibial slope were compared between gender subgroups using appropriate statistical tests. Results. A study sample included 116 (72%) male and 45 (28%) female patients. Mean values of each component of the posterior tibial slope for all patients were as follows: MTS 4.12° ± 2.86, LTS 4.19° ± 2.75 and CTS 3.74° ± 2.32. Considering gender subgroups, the mean value of the medial tibial slope was significantly higher in females than in males. The mean value of the coronal tibial slope was greater in males without statistically significant difference. Conclusion. We established reference values of the PTS in Serbian population and demonstrated differences in certain components of the tibial plateau inclination between genders. Clinicians should be aware about the exact angle of the PTS in order to achieve the best surgical outcome during arthroplasty.

Biografija autora

Nataša Janjušević, Univerzitet odbrane, Medicinski fakultet, Vojnomedicinska akademija, Beograd, Srbija

doktor medicine, saradnik u nastavi na predmetu Anatomija

Reference

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Objavljeno
2020/10/22
Broj časopisa
Vol. 75 Br. 2 (2018)
Rubrika
Originalni članak