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Popliteal artery to tibial plateau distance at the knee level: a radiological study to assess injury risks in osteoarthritic knees using dual source dual energy CT scan
Ezamin, A.R1, Hasyma, A.H2, Suppiah, S3, Suraini, M.S4, Arifaizad, A5, Paisal, Hussin6, Nasir, M. Nizlan7, Sidique, S.F8, Hariati, J9.
Popliteal artery injury is the most disastrous intraoperative complication during total knee replacement.
This study aims to determine the mean distance between the popliteal artery (PA) and the tibial plateau
in normal and osteoarthritic patients who underwent Dual Energy CT Angiography (CTA) of the lower
limb. Materials and Methods: All CTA lower limb examinations from January 2013 to October 2014 were
retrospectively reviewed. The distance between the PA the tibial plateau distance and the thickness of
popliteus muscle were electronically measured. We used modified Kellgren and Lawrence’s Classification
to grade the osteoarthritis in patients who underwent CT examinations regardless of symptoms. Results:
There were a total of 126 patients who underwent CTA (93 males and 33 females). 54 of them were Malays,
47 Indians, and 24 Chinese. The mean age of patients was 58 years (range 16 to 92). The mean PA-totibial
plateau distance was 9.9 mm for the right lower limb (range 2.5 mm to 17.2 mm) and 10.24 mm for
the left (range 5.5 mm to 15.4 mm). There were no significant correlations between PA-to-tibial plateau
distance with osteoarthritis grade, age, gender, and racial origin (P > 0.05); however, there was a positive
correlation between PA-to-tibial plateau distances with popliteus muscle thickness (P = 0.000). Conclusion:
Osteoarthritic condition in the knee does not reduce
the popliteal artery to the tibial plateau distance.
Hence, a higher osteoarthritic grade does not impose
additional risks with regards to popliteal artery to
tibial plateau distance, with relatively similar arterial
injury risks compared to normal knees.
Affiliation:
- Universiti Putra Malaysia, Malaysia
- Universiti Putra Malaysia, Malaysia
- Universiti Putra Malaysia, Malaysia
- Universiti Putra Malaysia, Malaysia
- Universiti Putra Malaysia, Malaysia
- Universiti Putra Malaysia, Malaysia
- Universiti Putra Malaysia, Malaysia
- Universiti Putra Malaysia, Malaysia
- Hospital Putrajaya, Malaysia
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MyJurnal (2021) |
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3 |
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0.000 |
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0 |
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Scopus 2020 |
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CiteScore (1.1) |
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Q3 (Agricultural and Biological Sciences (all)) Q3 (Environmental Science (all)) Q3¬¬- (Computer Science (all)) Q3 (Chemical Engineering (all)) |
Additional Information |
SJR (0.174) |
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