İnsan Diz Ekleminin Morfometrisi: Manyetik Rezonans Görüntüleme Kullanımı

Öz

Arka plan: Patella, tibia proksimal kısmı ve femur distal kısmının morfolojik ölçümleri hakkında bilgi eksikliği bulunmaktadır. Bu çalışma, Türk hastaların dizlerini ölçmeyi ve farklı popülasyonlarla karşılaştırmayı amaçlamaktadır. Yöntemler: Çalışmaya 56'sı kadın, 56'sı erkek olmak üzere toplam 112 hasta dahil edilmiştir. Ölçülen on yedi parametre arasında femurun distal kısmında altı, tibianın proksimal kısmında dört, patellada üç ve ön ve arka çapraz bağlarda iki parametre bulunmaktadır. Ölçümler, Selçuk Üniversitesi Tıp Fakültesi Radyoloji Anabilim Dalı'nda bir MRI cihazı kullanılarak gerçekleştirilmiştir. Sonuçlar: Cinsiyete göre toplanan veriler analiz edildiğinde, ön ve arka çapraz bağlar, patella, tibianın proksimal kısmı ve femurun distal kısmı arasında anlamlı farklılıklar (P<0,05) saptanmıştır. Erkeklerin genel olarak daha yüksek değerlere sahip olduğu bulunmuştur. Ancak, sağ, sol ve yaşa göre yapılan karşılaştırmalarda anlamlı bir fark saptanmamıştır (P> 0,05). Sonuç: Bu araştırmanın bulguları, üreticilerin total diz artroplastisinde kullanılacak bileşenlerin boyutlarını ve en boy oranlarını daha doğru bir şekilde belirlemelerini sağlayacaktır.

Anahtar Kelimeler

• anatomi
• çapraz bağ
• diz
• MRI

Morphometry of the Human Knee Joint: Using Magnetic Resonance Imaging

Öz

Background: There is a lack of information regarding the morphological measurements of the patella, proximal portion of the tibia, and distal portion of the femur. This study aims to measure the knees of Turkish patients and compare them with different populations. Methods: The study included 112 patients, 56 of whom were female and 56 of whom were male. Six parameters in the distal portion of the femur, four in the proximal portion of the tibia, three in the patella, and two in the anterior and posterior cruciate ligaments were among the seventeen parameters that were measured. Measurements were performed using an MRI device in the Department of Radiology at Selcuk University, Faculty of Medicine. Results: The anterior and posterior cruciate ligaments, the patella, the proximal portion of the tibia, and the distal portion of the femur all showed significant differences (P<0.05) when the data collected by gender were analyzed. Males were found to have higher values overall. However, no significant difference was identified in the comparisons by right, left and age (P> 0.05). Conclusion: The findings of this investigation will enable manufacturers to more accurately determine the dimensions and aspect ratios of components to be used in total knee arthroplasty.

Anahtar Kelimeler

• anatomy
• cruciate ligament
• knee
• MRI

Kaynakça

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