S V Janani, Ramachandran Kalpana
Anatomy, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus. 2024 Sep 12;16(9):e69289. doi: 10.7759/cureus.69289. eCollection 2024 Sep.
Introduction The most vital joint for locomotion is the knee joint, which is a condylar, modified hinge joint. Osteoarthritis is a degenerative disease commonly affecting the knee joint, which can be successfully treated by joint replacement surgeries wherein the condyles of the affected knee joints are replaced based on the measurement of the condyles for which the accurate morphometric values of the tibia and femur play an important role thereby decreasing the complications post-surgery and improving the mobility and quality of life of patients. Aim The present study aims to evaluate the morphometric data of femoral condyles and compare the morphometric data of the left and right femurs using the direct method. Materials and methods One hundred femoral condyles of unidentified sex were used for the measurement in the study. Medial condylar anteroposterior distance (MCAPD), lateral condylar anteroposterior distance (LCAP), bicondylar width (BCW), medial condylar transverse distance (MCTD), lateral condylar transverse distance (LCTD), and intercondylar notch width (ICNW) were measured by Vernier Calliper and the values between the left and right femurs were compared. Results The mean MCAPD is 56.88 mm, the mean LCAP is 57.72 mm, the mean BCW is 72.22 mm, the mean MCTD is 22.88 mm, the mean LCTD is 22.99 mm, and the mean ICNW is 21.58 mm, respectively. Conclusion The morphometric data obtained by direct measurement using Vernier Callipers is more accurate than indirect measurements which in turn aid biomedical engineers in designing more accurate and apt prostheses for knee replacement surgeries which in turn decrease the post-surgical complications and result in better outcomes due to surgery.
引言 对于运动来说,最重要的关节是膝关节,它是一个髁状的、改良的铰链关节。骨关节炎是一种常见的影响膝关节的退行性疾病,可通过关节置换手术成功治疗,在该手术中,根据髁的测量结果替换受影响膝关节的髁,其中胫骨和股骨准确的形态测量值起着重要作用,从而减少术后并发症,提高患者的活动能力和生活质量。目的 本研究旨在评估股骨髁的形态测量数据,并使用直接法比较左右股骨的形态测量数据。材料和方法 本研究使用了100个未识别性别的股骨髁进行测量。通过游标卡尺测量内侧髁前后距离(MCAPD)、外侧髁前后距离(LCAP)、双髁宽度(BCW)、内侧髁横向距离(MCTD)、外侧髁横向距离(LCTD)和髁间切迹宽度(ICNW),并比较左右股骨之间的值。结果 平均MCAPD为56.88mm,平均LCAP为57.72mm,平均BCW为72.22mm,平均MCTD为22.88mm,平均LCTD为22.99mm,平均ICNW为21.58mm。结论 通过游标卡尺直接测量获得的形态测量数据比间接测量更准确,这反过来有助于生物医学工程师为膝关节置换手术设计更精确、合适的假体,从而减少术后并发症,并因手术而获得更好的结果。