Three-dimensional morphological analysis and application research of ankle joint in Chinese normal adults based on CT

doi:10.13418/j.issn.1001-165x.2021.05.008

PDF(3039 KB)

Chinese Journal of Clinical Anatomy ›› 2021, Vol. 39 ›› Issue (5) : 539-545. DOI: 10.13418/j.issn.1001-165x.2021.05.008

Three-dimensional morphological analysis and application research of ankle joint in Chinese normal adults based on CT

Xue Haowen¹, Chu Hongyu², Zuo Xiepeng¹, Wu Kehui¹, Han Qing¹, Cheng Kailiang³, Yang Yanyan³, Zhu Qingsan⁴

Author information +

History +

Abstract

Objective　To provide a fundamental basis and morphological database for the design of total ankle arthroplasty (TAA) prosthesis by measuring the ankle joint morphology and analyzing the results in the Chinese population.　Methods　The computer tomography (CT) images of 191 ankle points (106 in males and 85 in females) were three-dimensional(3D) reconstructed and 32 morphologic parameters were measured such as anterior-posterior inclination angle (APA) and maximal tibial thickness (MTiTh）on the 3D reconstruction model, and the ratios of 3 parameters such as the ratios of the arc length and width of the tibial mortise (MTiTh/TiW) and the trochlea tali (TaAL/TaW) were calculated.　Results　(1) In terms of gender, there were significant differences in 23 parameters among the 32 parameters tested (P<0.05). The other 20 parameters in males were found larger than that in females except for following 2 parameters: APA and anterior-posterior gap (APG). (2) Compared with the results of our previous study based on X-ray, there were 8 parameter different between X-rays and CT reconstruction images except for the following 3 parameters: APG, APA and tibial arc length (TiAL). The results based on X-ray were larger than that in CT reconstruction images. (3) Due to the differences of race and region, the 3D morphological parameters of the ankle joint in normal Chinese adults were different from those of French, Italian, Korean, and Taiwan population. The morphology of the talus differed from that of Egyptian, Greek and north China.　Conclusions　There was significant differences in the morphological parameters of ankle joints between Chinese adults and Western adults.

Key words

Ankle joint;　Three-dimensional morphological feature;　CT data;　Arthroplasty / Prosthesis design

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Xue Haowen, Chu Hongyu, Zuo Xiepeng, Wu Kehui, Han Qing, Cheng Kailiang, Yang Yanyan, Zhu Qingsan. Three-dimensional morphological analysis and application research of ankle joint in Chinese normal adults based on CT[J]. Chinese Journal of Clinical Anatomy. 2021, 39(5): 539-545 https://doi.org/10.13418/j.issn.1001-165x.2021.05.008

References

[1] Cohen MM, Kazak M. Tibiocalcaneal arthrodesis with a porous tantalum spacer and locked intramedullary nail for post-traumatic global avascular necrosis of the talus [J]. J Foot Ankle Surg， 2015, 54(6): 1172-1177. DOI: 10.1053/j.jfas.2015.01.009.
[2] Tai K, Vannabouathong C, Mulla SM, et al. A survey for end-stage ankle arthritis treatment: ankle arthrodesis versus ankle arthroplasty [J]. J Foot Ankle Surg，2020, 59(2): 330-336. DOI: 10.1053/j.jfas. 2019. 09.007.
[3] Sokolowski M, Krähenbühl N, Wang C, et al. Secondary subtalar joint osteoarthritis following total ankle replacement [J]. Foot Ankle Int. , 2019, 40(10): 1122-1128. DOI: 10.1177/1071100719859216.
[4] Shnol H, LaPorta GA. 3D printed total talar replacement: a promising treatment option for advanced arthritis, avascular osteonecrosis, and osteomyelitis of the Ankle [J]. Clin Podiatr Med Surg, 2018, 35(4): 403-422. DOI: 10.1016/j.cpm.2018.06.002.
[5] Norvell DC, Ledoux WR, Shofer JB, et al. Effectiveness and safety of ankle arthrodesis versus arthroplasty: a prospective multicenter Study [J]. J Bone Joint Surg Am ., 2019, 101(16): 1485-1494. DOI: 10.2106/JBJS.18.01257.
[6] Kim HJ, Suh DH, Yang JH, et al. Total ankle arthroplasty versus ankle arthrodesis for the treatment of end-stage ankle arthritis: a meta-analysis of comparative studies [J]. Int Orthop ., 2017, 41(1): 101-109. DOI: 10.1007/s00264-016-3303-3.
[7] 赵学良, 路星辰, 陈贤明, 等. 创伤性踝关节炎:人工踝关节置换术与踝关节融合术的早期疗效对比[J]. 第三军医大学学报, 2015, 37(23): 2391-2396. DOI：10.16016/j.1000-5404.201504002.
[8] Claassen L, Luedtke P, Yao D, et al. Ankle morphometry based on computerized tomography [J]. Foot Ankle Surg . 2019, 25(5): 674-678. DOI: 10.1016/j.fas.2018.08.002.
[9] Stagni R, Leardini A, Ensini A, et al. Ankle morphometry evaluated using a new semi-automated technique based on X-ray pictures [J]. Clin Biomech (Bristol, Avon), 2005, 20(3): 307-311. DOI: 10.1016/j.clinbiomech.2004.11.009.
[10]Han Q, Liu Y, Chang F, et al. Measurement of talar morphology in northeast Chinese population based on three-dimensional computed tomography [J]. Medicine (Baltimore), 2019, 98(37): e17142. DOI: 10.1097/MD.0000000000017142.
[11]Zhang Q, Shi LL, Ravella KC, et al. Distinct proximal humeral geometry in Chinese population and clinical relevance [J]. J Bone Joint Surg Am ., 2016, 98(24): 2071-2081. DOI: 10.2106/JBJS.15.01232.
[12]韩莹莹, 肖成双, 杨麒巍, 等. CT三维重建下髋臼形态的测量及其意义[J]. 吉林大学学报(医学版), 2011, 37(06): 1136-1140. DOI: 10.13481/j.1671-587x.2011.06.026.
[13]Kurokawa H, Taniguchi A, Morita S, et al. Total ankle arthroplasty incorporating a total talar prosthesis: a comparative study against the standard total ankle arthroplasty [J]. Bone Joint J ., 2019, 101-b(4): 443-436. DOI: 10.1302/0301-620X.101B4.BJJ-2018-0812.R2.
[14]Pellegrini MJ, Schiff AP, Adams SB, JR., et al. Conversion of tibiotalar arthrodesis to total ankle arthroplasty [J]. J Bone Joint Surg Am, 2015, 97(24): 2004-2013. DOI: 10.2106/JBJS.ST.15.00068.
[15]Fessy MH, Carret JP, Béjui J. Morphometry of the talocrural joint [J]. Surg Radiol Anat, 1997, 19(5): 299-302. DOI: 10.1007/BF01637597.
[16]Li SY, Myerson MS. Management of talar component subsidence [J]. Foot Ankle Clin, 2017, 22(2): 361-389. DOI: 10.1016/j.fcl.2017.01.006.
[17]Hvid I, Rasmussen O, Jensen NC, et al. Trabecular bone strength profiles at the ankle joint [J]. Clin Orthop Relat Res, 1985, (199): 306-312. DOI：10.1097/00003086-198510000-00044.
[18]徐洪璋, 余斌. STAR人工踝关节置换术后数字模型的建立和运动仿真[J]. 中国临床解剖学杂志, 2011, 29(03): 330-334. DOI：10.13418/j.issn.1001-165x.2011.03.028.
[19]Kuo CC, Lu HL, Leardini A, et al. Three-dimensional computer graphics-based ankle morphometry with computerized tomography for total ankle replacement design and positioning [J]. Clin Anat, 2014, 27(4): 659-668. DOI: 10.1002/ca.22296.
[20]Hayes A, Tochigi Y, Saltzman CL. Ankle morphometry on 3D-CT images [J]. Iowa Orthop J, 2006, 26: 1-4.
[21]Abd-elaleem SA, Abd-elhameed M, Ewis AA. Talus measurements as a diagnostic tool for sexual dimorphism in Egyptian population [J]. J Forensic Leg Med, 2012, 19(2): 70-76. DOI: 10.1016/j.jflm. 2011.12. 003.
[22]Kwon DG, Sung KH, Chung CY, et al. Preliminary findings of morphometric analysis of ankle joint in Korean population [J]. J Foot Ankle Surg, 2014, 53(1): 3-7. DOI: 10.1053/j.jfas.2013.09.008.
[23]Eun SS, Lee WC, Lee SH, et al. Compatibility of the HINTEGRA prostheses with Korean ankles as evaluated on the basis of cadaveric measurements [J]. Clin Anat, 2012, 25(8): 1087-1092. DOI: 10.1002/ca.22043.
[24]Stagni R, Leardini A, Catani F, et al. A new semi-automated measurement technique based on X-ray pictures for ankle morphometry [J]. J Biomech, 2004, 37(7): 1113-1118. DOI: 10.1016/j.jbiomech. 2003.11.017.
[25]Peckmann TR, Orr K, Meek S, et al. Sex determination from the talus in a contemporary Greek population using discriminant function analysis [J]. J Forensic Leg Med, 2015, 33: 14-19. DOI: 10.1016/j.jflm.2015.03.011.
[26]He JQ, Ma XL, Zhang X, et al. Three-dimensional computer-assisted modeling of talus morphology in Chinese patients [J]. Orthop Surg, 2016, 8(3): 383-392. DOI: 10.1111/os.12258.