Abstract:
:Background and purpose - To date there is a lack of studies defining the anatomical position of the proximal fibula. This is especially relevant when planning surgical interventions affecting the knee joint such as permanent or temporary epiphysiodesis to correct leg length discrepancies or angular deformities in growing patients. The goal of this study is to establish a standardized measurement technique and radiological reference values for the position of the proximal fibula in children.Patients and methods - 500 measurements were performed in calibrated long standing anteroposterior radiographs of 256 skeletally immature patients (8-16 years; 233 female, 267 male legs). As a radiographic reference in the frontal plane, the distance between the center of the proximal tibial growth plate and a line tangential to the tip of the fibular head and horizontal to the imaging plane was measured (dPTFH).Results - The average value of dPTFH in the studied population (median age 12 years) was -2.7 mm (SD 3, CI -3.0 to -2.5) and normally distributed (p = 0.1). There were no clinically significant sex or age-dependent differences. The inter-rater reliability analysis showed excellent ICC values (ICC = 0.88; CI 0.77-0.93).Interpretation - This study provides a new radiographic reference value to assess the position of the proximal fibula in relation to the proximal tibia in children and adolescents. This reference can aid preoperative decision-making as to whether additional fibular epiphysiodesis is necessary when performing tibial epiphysiodesis to correct moderate leg-length discrepancies.
journal_name
Acta Orthopjournal_title
Acta orthopaedicaauthors
Frommer A,Niemann M,Gosheger G,Toporowski G,Laufer A,Eveslage M,Bröking JN,Rödl R,Vogt Bdoi
10.1080/17453674.2020.1769378subject
Has Abstractpub_date
2020-10-01 00:00:00pages
611-616issue
5eissn
1745-3674issn
1745-3682journal_volume
91pub_type
杂志文章abstract:BACKGROUND:Degree of satisfaction with a knee arthroplasty is said to be correlated to reduced pain and better function. During a validation of the Swedish Knee Arthroplasty Register in 1997, previously operated patients were asked how satisfied they were with their knee. A subgroup of "satisfied" patients was identifi...
journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453670510045372
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journal_title:Acta orthopaedica
pub_type: 杂志文章,随机对照试验
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abstract::Background and purpose - Total ankle replacement (TAR) is gaining popularity for treatment of end-stage ankle arthritis. Large patient-centered outcome studies are, however, few. Here, we report data from the Swedish Ankle Registry. Patients and methods - We examined outcomes after primary TAR in patients from the Swe...
journal_title:Acta orthopaedica
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journal_title:Acta orthopaedica
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.3109/17453670903025378
更新日期:2009-06-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453674.2019.1709712
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.3109/17453674.2012.665328
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.3109/17453674.2013.797313
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453670710014202
更新日期:2007-08-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453670710014734
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pub_type: 杂志文章,随机对照试验
doi:10.1080/17453674.2019.1709956
更新日期:2020-04-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章,多中心研究
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更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:It is well known that anterior cruciate ligament (ACL) injuries are commoner in female athletes. Accordingly, we hypothesized that serum estrogen may play some role in this sex difference. We evaluated the relationship between serum estrogen levels and the mechanical properties of the ACL in rabbits. ANIMAL...
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pub_type: 杂志文章
doi:10.1080/17453670610013312
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journal_title:Acta orthopaedica
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2018-08-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453674.2018.1460776
更新日期:2018-06-01 00:00:00
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更新日期:2007-06-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453670610046442
更新日期:2006-06-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453674.2018.1563855
更新日期:2019-04-01 00:00:00
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pub_type: 杂志文章
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journal_title:Acta orthopaedica
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-11-11 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
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更新日期:2008-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1080/17453670810016902
更新日期:2008-12-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453674.2019.1646201
更新日期:2019-12-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章,随机对照试验
doi:10.3109/17453674.2015.1041846
更新日期:2015-01-01 00:00:00
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pub_type: 杂志文章
doi:10.3109/17453674.2010.548032
更新日期:2011-02-01 00:00:00
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journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453670510041529
更新日期:2005-08-01 00:00:00
abstract::Background and purpose - The treatment of patients between 55 and 70 years with displaced intracapsular femoral neck fracture remains controversial. We compared internal fixation (IF), bipolar hemiarthroplasty (HA) and total hip arthroplasty (THA) in terms of mortality, reoperations and patient-reported outcome by usi...
journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453674.2017.1376514
更新日期:2018-02-01 00:00:00
abstract::Background and purpose - Virtual reality simulation of hip fracture surgery is available for orthopedic residents nationwide in Denmark. Summative assessment of learning applying the learning curve cumulative summation test (LC-CUSUM) has not been utilized in orthopedic simulation training. The strength of the LC-CUSU...
journal_title:Acta orthopaedica
pub_type: 杂志文章
doi:10.1080/17453674.2020.1777511
更新日期:2020-12-01 00:00:00