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Three-dimensional morphological analysis and clinical application of ankle joint in Chinese population based on CT reconstruction

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Abstract

Purpose

To study the anatomical features of the ankle joint in Chinese northeast healthy adults and provide accurate data for the design of the total ankle arthroplasty (TAA) prosthesis.

Methods

Computer tomography (CT) images from 156 healthy subjects, 86 males and 70 females, were collected and reconstructed through Mimics software. The 3D morphology of the distal tibia/fibula section and the whole talar was analyzed by measuring 28 parameters including maximal tibial thickness (MTiTh), anterior–posterior inclination angle, trochlea tali width (TaW), distal tibial width (TiW) and trochlea tali arc chode length (TaAL) and calculating MTiTh/TiW, TaAL/TaW. Gender difference and accuracy of CT images were evaluated. The measurements were compared with previously reported data from Caucasian subjects and Asian subjects. Statistical analysis was conducted by independent-samples t test through SPSS software.

Results

(1) Twenty two out of the 28 parameters were found significantly different between males and females. Most of the parameters in males were found larger than that in females (p < 0.05). (2) The difference was found larger in comparison with the Caucasian subject groups than that with Asian subject groups. (3) All the selected 11 parameters measured by CT images were found to be smaller than those by X-ray images (p < 0.05).

Conclusion

The morphological parameters were found different between the Caucasian and Chinese northeast populations. Precise data of the ankle joint morphology were provided for the design and clinical application of TAA in the Chinese population.

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Funding

National Natural Science Foundation of China [grant number 81802174]; Department of finance in Jilin province [grant number 2019SCZT046]; Undergraduate teaching reform research project of Jilin University [grant number 4Z2000610852]; Key training plan for outstanding young teachers of Jilin University [grant number 419080520253]; Bethune plan of Jilin University [grant number 470110000692].

Author information

Authors and Affiliations

  1. Department of Radiology, China-Japan Union Hospital, Jilin University, Changchun, 130033, China

    Chu Hongyu, Cheng Kailiang & Yang Yanyan

  2. Department of Orthopedics, Second Hospital, Jilin University, Changchun, 130041, China

    Xue Haowen, Zuo Xiepeng, Wu Kehui, Han Qing & Wang Jincheng

  3. Department of Human Anatomy, College of Basic Medicine, Jilin University, Changchun, 130021, China

    Li Youqiong

Authors
  1. Chu Hongyu
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  2. Xue Haowen
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  3. Zuo Xiepeng
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  4. Wu Kehui
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  5. Cheng Kailiang
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  6. Yang Yanyan
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  7. Han Qing
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  8. Li Youqiong
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  9. Wang Jincheng
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Contributions

CH: project development, data analysis, manuscript writing. XH: data analysis, manuscript writing. ZX: data collection. WK: data collection. CK: resources. YY: resources, software. HQ: funding acquisition, manuscript writing. LY: project development, supervision. WJ: resources, supervision.

Corresponding authors

Correspondence to Yang Yanyan or Han Qing.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This retrospective study was approved by the Ethics Committee of the Second Hospital of Jilin University (No. 202 in 2018), and the methods were carried out in accordance with the approved guidelines.

Informed consent

This study was retrospective, and it did not alter the management of the patients. Thus, no specific consent was required by any of the authors.

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Hongyu, C., Haowen, X., Xiepeng, Z. et al. Three-dimensional morphological analysis and clinical application of ankle joint in Chinese population based on CT reconstruction. Surg Radiol Anat 42, 1175–1182 (2020). https://doi.org/10.1007/s00276-020-02482-y

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