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The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies
Background The tibiofibular line (TFL) technique was initially proposed to assess syndesmosis reduction. Clinical utility was limited by low observer reliability when applied to all fibulas. This study aimed to refine this technique by describing TFL’s applicability to various fibula morphologies. M...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106111/ https://www.ncbi.nlm.nih.gov/pubmed/37073189 http://dx.doi.org/10.7759/cureus.36300 |
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author | Pollizzi, Anthony A Monir, Joseph G Lagrew, Mollie Reb, Christopher |
author_facet | Pollizzi, Anthony A Monir, Joseph G Lagrew, Mollie Reb, Christopher |
author_sort | Pollizzi, Anthony A |
collection | PubMed |
description | Background The tibiofibular line (TFL) technique was initially proposed to assess syndesmosis reduction. Clinical utility was limited by low observer reliability when applied to all fibulas. This study aimed to refine this technique by describing TFL’s applicability to various fibula morphologies. Methods Three observers reviewed 52 ankle CT scans. Observer consistencies for TFL measurement, anterolateral fibula contact length, and fibula morphology were assessed using intraclass correlation (ICC) and Fleiss’ Kappa. Results TFL measurement and fibula contact length intra-observer and inter-observer consistencies were excellent (minimum ICC, 0.87). Fibula shape categorization intra-observer consistency was substantial to almost perfect (Fleiss’ Kappa, 0.73 to 0.97). Six to 10 mm of fibula contact length corresponded to excellent TFL distance consistency (ICC, 0.80 to 0.98). Conclusion The TFL technique appears best for patients with 6 mm to 10 mm of straight anterolateral fibula. Sixty-one percent (61%) of fibulas featured this morphology, indicating most patients may be amenable to this technique. |
format | Online Article Text |
id | pubmed-10106111 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-101061112023-04-17 The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies Pollizzi, Anthony A Monir, Joseph G Lagrew, Mollie Reb, Christopher Cureus Orthopedics Background The tibiofibular line (TFL) technique was initially proposed to assess syndesmosis reduction. Clinical utility was limited by low observer reliability when applied to all fibulas. This study aimed to refine this technique by describing TFL’s applicability to various fibula morphologies. Methods Three observers reviewed 52 ankle CT scans. Observer consistencies for TFL measurement, anterolateral fibula contact length, and fibula morphology were assessed using intraclass correlation (ICC) and Fleiss’ Kappa. Results TFL measurement and fibula contact length intra-observer and inter-observer consistencies were excellent (minimum ICC, 0.87). Fibula shape categorization intra-observer consistency was substantial to almost perfect (Fleiss’ Kappa, 0.73 to 0.97). Six to 10 mm of fibula contact length corresponded to excellent TFL distance consistency (ICC, 0.80 to 0.98). Conclusion The TFL technique appears best for patients with 6 mm to 10 mm of straight anterolateral fibula. Sixty-one percent (61%) of fibulas featured this morphology, indicating most patients may be amenable to this technique. Cureus 2023-03-17 /pmc/articles/PMC10106111/ /pubmed/37073189 http://dx.doi.org/10.7759/cureus.36300 Text en Copyright © 2023, Pollizzi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Pollizzi, Anthony A Monir, Joseph G Lagrew, Mollie Reb, Christopher The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies |
title | The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies |
title_full | The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies |
title_fullStr | The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies |
title_full_unstemmed | The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies |
title_short | The Tibiofibular Line: A Reliable Method of Syndesmosis Assessment in Certain Fibula Morphologies |
title_sort | tibiofibular line: a reliable method of syndesmosis assessment in certain fibula morphologies |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106111/ https://www.ncbi.nlm.nih.gov/pubmed/37073189 http://dx.doi.org/10.7759/cureus.36300 |
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