Gandhi Swati, Singla Rajan Kumar, Kullar Jagdev Singh, Suri Rajesh Kumar, Mehta Vandana
Senior Resident, Department of Anatomy, Vardhman Mahavir Medical College , New Delhi, India .
Additional Professor, Department of Anatomy, Government Medical College , Amritsar, Punjab, India .
J Clin Diagn Res. 2014 Aug;8(8):AC10-3. doi: 10.7860/JCDR/2014/8973.4736. Epub 2014 Aug 20.
The present study aims to assess different morphometric parameters of condylar and intercondylar surface of tibia and to compile the results, analyze and formulate a baseline data for future studies with relevance to Indian population and also to compare the current data with accessible literature for pertinent surgical utilities. Morphometric parameters of upper end of tibia can be used to guide treatment and monitor outcome of total knee replacement surgeries. Information regarding morphometry of upper end of the tibia is vital as it provides reliable method of assessing knee deformity.
The study group comprised of 50 male and 50 female adult human tibiae. Morphometric measurements of medial condyle, lateral condyle and intercondylar area of tibiae were meticulously recorded with digital Vernier calipers with a least count of 0.01 mm. Student's t-test was used with significant level of p-value < 0.05 and 95% confidence interval.
All measurements were found to be statistically significant when compared between the two sexes on both sides (p-value<0.05). Anteroposterior measurements were found to be greater than transverse measurements for both medial and lateral condyles. Furthermore, both anteroposterior and transverse measurements were greater in medial condyle than in lateral condyle on both sides and sexes.
The present study is an endeavor to provide a base line data pertaining to morphometric details of upper end of tibia with reference to unicompartmental and total knee arthroplasty in Indian population. The results of the study assume special importance in view of the technical advancements in reconstructive surgical procedures in orthopedic practice.
本研究旨在评估胫骨髁和髁间表面的不同形态测量参数,汇总结果,进行分析并制定与印度人群相关的未来研究的基线数据,同时将当前数据与现有文献进行比较,以用于相关的外科应用。胫骨上端的形态测量参数可用于指导全膝关节置换手术的治疗并监测其结果。有关胫骨上端形态测量的信息至关重要,因为它提供了评估膝关节畸形的可靠方法。
研究组由50例成年男性和50例成年女性的胫骨组成。使用最小刻度为0.01毫米的数字游标卡尺,对胫骨的内侧髁、外侧髁和髁间区域进行精确的形态测量记录。采用学生t检验,显著性水平为p值<0.05,置信区间为95%。
两侧两性之间的所有测量结果在统计学上均具有显著性差异(p值<0.05)。内侧髁和外侧髁的前后径测量值均大于横径测量值。此外,两侧和两性的内侧髁的前后径和横径测量值均大于外侧髁相应测量值。
本研究致力于提供与印度人群单髁和全膝关节置换相关的胫骨上端形态测量细节的基线数据。鉴于骨科实践中重建手术技术的进步,该研究结果具有特殊重要性。