Alternativna metoda za direktno merenje tibijalnog nagiba

  • Lazar Stijak Department of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Gordana Santrač - Stijak Health Center “Novi Beograd”, Belgrade, Serbia
  • Goran Spasojević Department of Anatomy, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
  • Vidosava Radonjić Department of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Miloš Mališ Department of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • Darko Milovanović Clinic for Orthopaedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade, Serbia
  • Branislav Filipović Department of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
DOI: https://doi.org/10.2298/2525
Ključne reči: tibia||, ||tibija, anthropometry||, ||antropometrija, photography||, ||fotografija, anterior cruciate ligament||, ||ligament, prednji ukršteni,

Sažetak


Uvod/Cilj. Tibijalni nagib predstavlja jedan od najčešće navođenih anatomskih parametara koji mogu uticati na rupturu prednje ukrštene veze zgloba kolena. Cilj ove studije bio je određivanje mogućnosti merenja tibijalnog nagiba direktno na tibijama i nepreparisanim kadaverskim kolenima. Metode. Merenja su vršena na dve grupe uzoraka: osteološkoj i kadaverskoj. Osteološka grupa se sastojala od 102 golenjače, a merenje je vršeno indirektno, uz pomoć fotografija golenjača u sagitalnoj ravni i direktno, uz pomoć sistema poluga paralelnih pravaca. Kadaverska grupa se sastojala od 50 kadaveričnih kolena a merenje je vršeno direktno uz pomoć sistema poluga paralelnih pravaca. Testirane su razlike i povezanost između indirektnog i direktnog merenja, kao i razlike i povezanost tibijalnog nagiba na unutrašnjem i spoljašnjem kondilu golenjače. Rezultati: Utvrđena je statistički značajna razlika od 1° između indirektnog i direktnog načina merenja tibijalnog nagiba na unutrašnjem kondilu (p < 0.01) koja nema praktičan klinički značaj. Direktno merenje tibijalnog nagiba na spoljašnjem kondilu golenjače nije pokazalo statistički značajnu razliku između osteološke i kadaverske grupe (0,05). Međutim, za nagib na unutrašnjem kondilu, kao i u slučaju indirektnog merenja utvrđena je statistički značajna razlika (p < 0.01). Zaključak. Uz pomoć sistema poluga paralelnih pravaca izvodljivo je validno merenje tibijalnog nagiba direktno, bez preparisanja mekih tkiva. Rezultati indirektnog merenja tibijalnog nagiba uz pomoć fotografija ne razlikuju se značajno od rezultata dobijenih direktnim merenjem.

Biografije autora

Lazar Stijak, Department of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Anatomija, docent
Goran Spasojević, Department of Anatomy, Faculty of Medicine, University of Banja Luka, Banja Luka, Bosnia and Herzegovina
Anatomy
Vidosava Radonjić, Department of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Anatomy
Miloš Mališ, Department of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Anatomy
Darko Milovanović, Clinic for Orthopaedic Surgery and Traumatology, Clinical Center of Serbia, Belgrade, Serbia
Surgery
Branislav Filipović, Department of Anatomy, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Anatomy

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Objavljeno
2015/04/23
Broj časopisa
Vol. 71 Br. 4 (2014)
Rubrika
Originalni članak