scholarly journals Talar Dome Investigation and Talocrural Joint Axis Analysis Based on Three-Dimensional (3D) Models: Implications for Prosthetic Design

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Da-Hang Zhao ◽  
Di-Chao Huang ◽  
Gong-Hao Zhang ◽  
Yun-Ping Fan ◽  
Jian Yu ◽  
...  
Keyword(s):  
Inclination Angle ◽  
Three Dimensional ◽  
Ct Scanning ◽  
Implant Design ◽  
Lateral Ligament ◽  
Neutral Position ◽  
Talar Dome ◽  
Talocrural Joint ◽  
Joint Axis ◽  
The Mean

Ankle joint kinematics is mainly stabilized by the morphology of the talar dome and the articular surface of tibiofibular mortise as well as the medial and lateral ligament complexes. Because of this the bicondylar geometry of talus dome is believed to be crucial for ankle implant design. However, little data exist describing the precise anatomy of the talar dome and the talocrural joint axis. The aim of this study is to document the anatomy of the talar dome and the axis of the talocrural joint using three-dimensional (3D) computed tomographic (CT) modeling. Seventy-one participants enrolled for CT scanning and 3D talar model reconstruction. All the ankles were held in a neutral position during the CT scanning. Six points on the lateral and medial crest of the talar dome were defined. The coordinate of the six points; radii of lateral-anterior (R-LA), lateral-posterior (R-LP), medial-anterior (R-MA), and medial-posterior (R-MP) sections; and inclination angle of the talar dome were measured, and the inclination and deviation angles of the talocrural joint axis were determined. The mean values of R-LA, R-LP, R-MA, and R-MP were 19.23 ± 2.47 mm, 18.76 ± 2.90 mm, 17.02 ± 3.49 mm, and 22.75 ± 3.04 mm. The mean inclination angle of the talar dome was 9.86 ± 3.30 degrees. Gender variation was found in this parameter. The mean inclination and deviation angles were 8.60 ± 0.07 and 0.76 ± 0.69 degrees for the dorsiflexion axis and −7.34 ± 0.07 and 0.09 ± 0.18 degrees for the plantarflexion axis. Bilateral asymmetries between the medial and lateral crest of the talar dome were found, which resulted in different dorsiflexion and plantarflexion axes of the talocrural joint. Currently, no ankle implants replicate this talar anatomy, and these findings should be considered in future implant designs.

scholarly journals Ankle morphometry based on computerized tomography

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0003
Author(s):  
Christian Plaass ◽  
Leif Claassen ◽  
Christina Stukenborg-Colsman ◽  
Daiwei Yao ◽  
Kiriakos Daniilidis ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Three Dimensional ◽  
Ct Scans ◽  
Arc Length ◽  
Success Rates ◽  
Talar Dome ◽  
Talocrural Joint ◽  
Joint Axis ◽  
Ankle Replacement ◽  
Length Width

Category: Ankle Introduction/Purpose: Understanding the morphometry of the ankle joint is crucial to improve total ankle replacement (TAR). Despite improvements of the implant material TAR did not reach comparable success rates to total hip or knee arthroplasty. Recent studies queried whether current designs match with the articular geometry. The present study was performed to evaluate the ankle morphometry and thereby gain information about the joint axis. Methods: We analyzed 96 high-resolution CT-scans of complete caucasian cadaver legs. Using the software Mimics and 3-Matic (Materialize) 22 anatomic parameters of the talocrural joint were assessed, including the length, width and surface area of the tibial and talar bearing areas. Additionally the radii of the bearing areas, the medial distal tibial angle and the height of the talar dome were determined. Therefore we analyzed defined sagittal, axial and frontal planes. Results: The radius of the central trochlea tali was 44.6 ± 4.1 mm (mean ± SD). The central trochlea tali arc length was 40.8 ± 3.0 mm and its width was 27.4 ± 2.5 mm. Additionally we determined 47.0 ± 4.4 mm for the tibial sagittal radius, 27.6 ± 3.0 mm for the tibial arc length and 27.4 ± 2.5 mm for the central tibial width. Conclusion: The present study describes the three-dimensional morphometry of the caucasian ankle joint. Our results might be considered for the development of total ankle replacements.

Kinematics of the Ankle/Foot Complex: Plantarflexion and Dorsiflexion

Foot & Ankle ◽  
1989 ◽  
Vol 9 (4) ◽  
pp. 194-200 ◽  
Author(s):  
Arne Lundberg ◽  
Ian Goldie ◽  
Bo Kalin ◽  
Göran Selvik
Keyword(s):  
Plantar Flexion ◽  
Three Dimensional ◽  
Substantial Contribution ◽  
Neutral Position ◽  
Transverse Axis ◽  
Talocrural Joint ◽  
Foot Kinematics ◽  
Talocalcaneal Joint ◽  
Axis Rotation

In an in vivo investigation of eight healthy volunteers, three dimensional ankle/foot kinematics were analyzed by roentgen stereophotogrammetry in 10° steps of motion from 30° of plantar flexion to 30° of dorsiflexion of the foot. The study included all of the joints between the tibia and the first metatarsal, as well as the talocalcaneal joint, and was performed under full body load. Although the talocrural joint was found to account for most of the rotation around the transverse axis occurring from 30° of plantar flexion to 30° of dorsiflexion, there was a substantial contribution from the joints of the arch. This was seen particularly in the input arc from 30° of plantar flexion to the neutral position, where the dorsiflexion motion of these joints amounted to 10% to 41% of the total transverse axis rotation.

Three-dimensional analysis of the talocrural joint axis: Relation to the talar articular surface

2017 ◽  
Vol 23 ◽  
pp. 120-121
Author(s):  
L. Claassen ◽  
P. Luedtke ◽  
D. Yao ◽  
S. Ettinger ◽  
K. Daniilidis ◽  
...  
Keyword(s):  
Dimensional Analysis ◽  
Articular Surface ◽  
Three Dimensional ◽  
Talocrural Joint ◽  
Joint Axis

Three-dimensional measurement of growth of ossification of the posterior longitudinal ligament

2012 ◽  
Vol 16 (3) ◽  
pp. 289-295 ◽  
Author(s):  
Takahito Fujimori ◽  
Motoki Iwasaki ◽  
Yukitaka Nagamoto ◽  
Takahiro Ishii ◽  
Hironobu Sakaura ◽  
...  
Keyword(s):  
Multidetector Ct ◽  
Intraclass Correlation ◽  
Three Dimensional ◽  
Ct Scanning ◽  
Posterior Longitudinal Ligament ◽  
Progression Rate ◽  
Volume Data ◽  
Volume Increase ◽  
True Value ◽  
The Mean

Object Ossification of the posterior longitudinal ligament (OPLL) is a progressive disease that causes cervical myelopathy. Because 2D evaluation of ossification growth with plain lateral radiographs has limitations, the authors developed a unique technique to measure ossification progression and volume increase by using multidetector CT scanning. Methods The authors used serial thin-slice volume data obtained by multidetector CT scanning in 5 patients. The mean patient age was 63 years, and the mean follow-up duration was 3.1 years. First, a 3D model of OPLL was semiautomatically segmented at a specific threshold. Then, a preoperative model of OPLL was superimposed on a postoperative model using voxel-based registration of the vertebral bodies. Progression and volume increase were measured using a digital viewer that was developed by the authors. Progression was visualized using a color-coded contour on the surface of the OPLL model. Results All patients had progression of 0.5 mm or greater. The mean values concerning OPLL growth were as follows: maximum progression length, 4.7 mm; progression rate, 1.5 mm/year; volume increase, 1622 mm3; volume expansion rate, 37%; and volume increase rate, 484 mm3/year. The accuracy of superimposition by voxel-based registration, defined as closeness to the true value, was less than 0.31 mm. For intraobserver reproducibility of the volume measurement, the mean intraclass correlation coefficient, root mean square error, and coefficient of variation were 0.987, 16.0 mm3, and 1.7%, respectively. Conclusions Ossification of the posterior longitudinal ligament progresses even after surgery. Three-dimensional evaluation with the aid of CT scans is a useful and reliable method for assessing that growth.

scholarly journals Digital anatomical study of screw placement for quadrilateral plate through the middle window of ilioinguinal approach

2019 ◽  
Author(s):  
Bei Zhao ◽  
Weidong Mu
Keyword(s):  
Inclination Angle ◽  
Three Dimensional ◽  
Anatomical Study ◽  
Chinese Patients ◽  
Screw Placement ◽  
Insertion Point ◽  
Ilioinguinal Approach ◽  
Quadrilateral Plate ◽  
Dimensional Reconstruction ◽  
The Mean

Abstract Background Screw placement directly for quadrilateral plate fractures of the acetabulum is very difficult. This study was performed to simulate the surgical procedure and try to obtain effective and safe screw angles through the middle window of ilioinguinal approach in Chinese patients. Methods We randomly collected the pelvic computed tomography (CT) scans of 50 adults. DICOM-formatted CT-scan images were imported into Mimics software. The three-dimensional reconstruction (3D) digital model of the semi-pelvic was established. In the coronal and sagittal planes, a 3.5 mm cylinder was used to simulate the pathway of the screw from the designated insertion point. The angles of insertion and intersex differences were explored by statistical analyses. Results The screws could be inserted via four angles: medial inclination, lateral inclination, anterior inclination and posterior inclination. The mean minimum medial inclination angle (MIMIA) of insertion point A was 4.96°±1.11° in males and 8.66°±3.40° in females, and the intersex difference was significant. The mean minimum medial inclination angle (MIMIA) of insertion point C was -5.31°±3.69° in males and 1.75°±8.95° in females, and the intersex difference was significant. There were no differences in all the angles between males and females in insertion point B. Conclusions Preoperative measurement and calculation by digital tools before the screw placement for quadrilateral plate fractures of the acetabulum are feasible. Double cortical screws could be placed safely through the middle window of ilioinguinal approach to increase the stability of acetabulum.

scholarly journals Three-dimensional Alignment of the Upper Extremity in the Standing Neutral Position in Healthy Subjects

2022 ◽  
Author(s):  
Yuki Yoshida ◽  
Noboru Matsumura ◽  
Yoshitake Yamada ◽  
Satoshi Hiraga ◽  
Kazunori Ishii ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Internal Rotation ◽  
Glenohumeral Joint ◽  
Three Dimensional ◽  
Upper Extremities ◽  
Neutral Position ◽  
Functional Evaluation ◽  
Ct Scanner ◽  
Angular Rotation ◽  
The Mean

Abstract Background: Though alignment of the spine and lower extremities in the standing neutral position has been evaluated, a few studies evaluating the alignment of the upper extremities have also been made. This study assessed the normal alignment of the upper extremities in the standing neutral position and clarified the three-dimensional angular rotations of the upper extremity joints.Methods: Computed tomography (CT) images of 158 upper extremities from 79 healthy volunteers were prospectively acquired in the standing neutral position using an upright CT scanner. Three-dimensional coordinate systems of the thorax, scapula, humerus, and forearm were designated, and three-dimensional angular rotations of the scapulothoracic, glenohumeral, and elbow joints were calculated.Results: The mean angle of the scapulothoracic joint was 8.5° ± 5.9° of upward rotation, 28.7° ± 5.9° of internal rotation, and 7.9° ± 5.2° of anterior inclination. The mean angle of the glenohumeral joint was 4.4° ± 5.9° of abduction, 9.4° ± 12.3° of internal rotation, and 0.3° ± 4.4° of extension. The mean angle of the elbow joint was 9.6° ± 3.7° of valgus, 88.8° ± 14.3° of pronation, and 15.4° ± 4.2° of flexion. Correlations in angular rotation values were found, and interactions for keeping the upper extremities in a neutral position were observed.Conclusions: This study clarified the three-dimensional angular rotation of upper extremity joints in the standing neutral position using an upright CT scanner. Our results may provide important insights for the functional evaluation of upper extremity alignment.

scholarly journals Three-dimensional Analysis of the Talocrural Joint Axis

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0003
Author(s):  
Christian Plaass ◽  
Leif Claassen ◽  
Christina Stukenborg-Colsman ◽  
Daiwei Yao ◽  
Kiriakos Daniilidis ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Articular Surface ◽  
Three Dimensional ◽  
Frontal Plane ◽  
High Standard ◽  
Patient Specific ◽  
Rotational Axis ◽  
Talocrural Joint ◽  
Joint Axis

Category: Ankle Introduction/Purpose: The total ankle replacement (TAR) is increasingly used in cases of severe ankle arthritis. Although the knowledge about joint kinematics is crucial for designing and positioning of TAR there is no consensus about the talocrural joint axis. The aim of the present study was the determination of the kinematic rotational axis of the talocrural joint as an orientation for prosthesis positioning. Methods: We analyzed 96 CT-scans of full cadaver caucasien legs. With the software Mimic, 3-Matic (both Materialize) and GOM inspect we generated three-dimensional reconstruction models of the talus and a best fitting cone orientated to the talar articular surface. The kinematic rotational axis was defined to be the axis of this cone. Results: The determination of the kinematic rotational axis showed a high inter- and intrarater reliability. The kinematic rotational axis of the talocrural joint is orientated from lateral-distal to medial-proximal (84.9° ± 8.5 compared to mechanical tibial axis in frontal plane), from dorsal-proximal to anterior-distal (93.1° ± 42.3 compared to mechanical tibial axis in sagittal plane) and from dorsal-lateral to anterior-medial (169.0° ± 6.7 compared to mechanical tibial axis in axial plane). A high standard deviation especially in the sagittal plane was noteworthy. Conclusion: With the present study we present a new reproducable single-axis model of the talocrural joint. Our data showed relevant interindividual variations. The consideration of these variations might support the development of patient-specific TAR implantation techniques.

scholarly journals Digital anatomical study and clinical application of screw placement for quadrilateral plate fractures in the danger zone

2020 ◽  
Author(s):  
Bei Zhao ◽  
Zhongye Sun ◽  
Wei Zhang ◽  
Zhongbao Xu ◽  
Xiaofei Yang ◽  
...  
Keyword(s):  
Inclination Angle ◽  
Three Dimensional ◽  
Anatomical Study ◽  
Chinese Patients ◽  
Screw Placement ◽  
Insertion Point ◽  
Danger Zone ◽  
Ilioinguinal Approach ◽  
Quadrilateral Plate ◽  
The Mean

Abstract Background Direct screw placement for quadrilateral plate fractures in the danger zone of the acetabulum is very difficult. This study was performed to simulate the surgical procedure and try to obtain effective and safe screw angles through the middle window of the ilioinguinal approach in Chinese patients. Methods We randomly collected the pelvic computed tomography (CT) scans of 50 adults. DICOM-formatted CT-scan images were imported into Mimics software. The three-dimensional reconstruction (3D) digital model of the semi-pelvi s was established. A 3.5 mm cylinder was used to simulate the pathway of the screw from the designated insertion point . The angles of insertion and intersex differences were explored by statistical analyses. Results The screws could be inserted via three angles: medial inclination , anterior inclination and posterior inclination. The mean minimum medial inclination angle (MIMIA) of insertion point A was 4.96°±1.11° in males and 8.66°±3.40° in females, and the intersex difference was significant. The mean minimum medial inclination angle (MIMIA) of insertion point B was -5.31°±3.69° in males and 1.75°±8.95° in females, and the intersex difference was significant. There were no differences between any of the angles for males and females at insertion point O. Conclusions Preoperative measurement and calculation by digital tools before screw placement for quadrilateral plate fractures of the acetabulum are feasible. Double cortical screws could be placed safely in the danger zone through the middle window of the ilioinguinal approach to increase the stability of the acetabulum.

Three-dimensional analysis of the talocrural joint axis: Relation to the talar articular surface

2016 ◽  
Vol 22 (2) ◽  
pp. 48
Author(s):  
L. Claassen ◽  
P. Ludtke ◽  
S. Ettinger ◽  
Magdalena Müller-Gerbl ◽  
Andrej Nowakowski ◽  
...  
Keyword(s):  
Dimensional Analysis ◽  
Articular Surface ◽  
Three Dimensional ◽  
Talocrural Joint ◽  
Joint Axis

scholarly journals Effect of Three-Dimensional Printed Personalized Moisture Chamber Spectacles on the Periocular Humidity

2016 ◽  
Vol 2016 ◽  
pp. 1-7
Author(s):  
Chan Hee Moon ◽  
Jae Yong Kim ◽  
Myoung Joon Kim ◽  
Hungwon Tchah ◽  
Byeong Gak Lim ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Three Dimensional ◽  
Ct Scanning ◽  
Normal Subjects ◽  
3D Printer ◽  
Low Humidity ◽  
3D Printed ◽  
The Mean ◽  
The Difference ◽  
Humidity Environment

Purpose.To assess the effect of three-dimensional (3D) printed personalized moisture chamber spectacles (PMCS) on the periocular humidity.Methods.Facial computed tomography (CT) scanning was conducted on 10 normal subjects. PMCS was designed based on volume rendered CT images and produced using a 3D printer. Periocular humidity of PMCS and commercially available uniformed moisture chamber spectacles (UMCS) were measured for 30 minutes via microhydrometer.Results.The mean ambient humidity was15.76±1.18%. The mean periocular humidity was52.14±3.00% in PMCS and37.67±8.97% in UMCS. The difference was significant (P<0.001). Additionally, PMCS always demonstrated lower humidity than dew points.Conclusion.PMCS made by 3D printer provides appropriate fitness for the semiclosed humid chamber. PMCS showed higher performance than UMCS. The wearing of PMCS would be an effective method to provide high enough periocular humidity in low humidity environment.

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