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Anatomical bone structure differences in patients with hemophilic arthropathy of the knee

OBJECTIVES: The anatomical differences of the bony structure of the knee joint in patients with hemophilia were evaluated, and the results were compared with the knees of patients with primary gonarthrosis and no arthrosis. MATERIAL AND METHODS: This study reviewed 41 knees in 21 patients (with an A...

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Autores principales: Ekinci, Mehmet, Akgül, Turgut, Arzu, Ufuk, Bayram, Serkan, Yağcı, Taha Furkan, Kılıçoğlu, Önder
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479580/
https://www.ncbi.nlm.nih.gov/pubmed/36128354
http://dx.doi.org/10.25259/JCIS_59_2022
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author Ekinci, Mehmet
Akgül, Turgut
Arzu, Ufuk
Bayram, Serkan
Yağcı, Taha Furkan
Kılıçoğlu, Önder
author_facet Ekinci, Mehmet
Akgül, Turgut
Arzu, Ufuk
Bayram, Serkan
Yağcı, Taha Furkan
Kılıçoğlu, Önder
author_sort Ekinci, Mehmet
collection PubMed
description OBJECTIVES: The anatomical differences of the bony structure of the knee joint in patients with hemophilia were evaluated, and the results were compared with the knees of patients with primary gonarthrosis and no arthrosis. MATERIAL AND METHODS: This study reviewed 41 knees in 21 patients (with an Arnold-Hilgartner classification of Stages 4 and 5 hemophilic arthropathy) who underwent total knee arthroplasty in single center. Two control groups including 21 asymptomatic patients (42 knees) and 21 primary knee osteoarthritis patients (42 knees) were formed to compare the measurements with hemophiliacs. Femoral mediolateral width, femoral anteroposterior width, femur and tibia diaphysis width, adductor tubercle-joint line distance, tibial plateau width, and medial and lateral tibia plateau width were measured separately. RESULTS: Femoral mediolateral width was significantly narrow comparing with healthy individuals and primary knee osteoarthritis group. Tibial plateau was similar to asymptomatic group but significantly narrow compared with primary knee osteoarthritis group. With the correlation, the tibial plateau measurements and medial and lateral plateau were significantly narrow at hemophilic arthropathy group (P < 0.05). The slope was less in hemophilic patients as compared with asymptomatic individuals (P: 0.001). Hemophilic patients had larger femoral aspect ratios than asymptomatic group but there were no observable differences with the primary osteoarthritis group. For the tibial aspect ratios, hemophilic had a smaller ratio than the primary osteoarthritis group but there were no significant differences with the asymptomatic group. CONCLUSION: Hemophilic knee has a mismatch between femoral and tibial side while comparing with the other groups. LEVEL OF EVIDENCE: Level IV, cross-sectional study.
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spelling pubmed-94795802022-09-19 Anatomical bone structure differences in patients with hemophilic arthropathy of the knee Ekinci, Mehmet Akgül, Turgut Arzu, Ufuk Bayram, Serkan Yağcı, Taha Furkan Kılıçoğlu, Önder J Clin Imaging Sci Original Article OBJECTIVES: The anatomical differences of the bony structure of the knee joint in patients with hemophilia were evaluated, and the results were compared with the knees of patients with primary gonarthrosis and no arthrosis. MATERIAL AND METHODS: This study reviewed 41 knees in 21 patients (with an Arnold-Hilgartner classification of Stages 4 and 5 hemophilic arthropathy) who underwent total knee arthroplasty in single center. Two control groups including 21 asymptomatic patients (42 knees) and 21 primary knee osteoarthritis patients (42 knees) were formed to compare the measurements with hemophiliacs. Femoral mediolateral width, femoral anteroposterior width, femur and tibia diaphysis width, adductor tubercle-joint line distance, tibial plateau width, and medial and lateral tibia plateau width were measured separately. RESULTS: Femoral mediolateral width was significantly narrow comparing with healthy individuals and primary knee osteoarthritis group. Tibial plateau was similar to asymptomatic group but significantly narrow compared with primary knee osteoarthritis group. With the correlation, the tibial plateau measurements and medial and lateral plateau were significantly narrow at hemophilic arthropathy group (P < 0.05). The slope was less in hemophilic patients as compared with asymptomatic individuals (P: 0.001). Hemophilic patients had larger femoral aspect ratios than asymptomatic group but there were no observable differences with the primary osteoarthritis group. For the tibial aspect ratios, hemophilic had a smaller ratio than the primary osteoarthritis group but there were no significant differences with the asymptomatic group. CONCLUSION: Hemophilic knee has a mismatch between femoral and tibial side while comparing with the other groups. LEVEL OF EVIDENCE: Level IV, cross-sectional study. Scientific Scholar 2022-08-08 /pmc/articles/PMC9479580/ /pubmed/36128354 http://dx.doi.org/10.25259/JCIS_59_2022 Text en © 2022 Published by Scientific Scholar on behalf of Journal of Clinical Imaging Science https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ekinci, Mehmet
Akgül, Turgut
Arzu, Ufuk
Bayram, Serkan
Yağcı, Taha Furkan
Kılıçoğlu, Önder
Anatomical bone structure differences in patients with hemophilic arthropathy of the knee
title Anatomical bone structure differences in patients with hemophilic arthropathy of the knee
title_full Anatomical bone structure differences in patients with hemophilic arthropathy of the knee
title_fullStr Anatomical bone structure differences in patients with hemophilic arthropathy of the knee
title_full_unstemmed Anatomical bone structure differences in patients with hemophilic arthropathy of the knee
title_short Anatomical bone structure differences in patients with hemophilic arthropathy of the knee
title_sort anatomical bone structure differences in patients with hemophilic arthropathy of the knee
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479580/
https://www.ncbi.nlm.nih.gov/pubmed/36128354
http://dx.doi.org/10.25259/JCIS_59_2022
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