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

医学 无症状的 骨关节炎 关节病 胫骨 膝关节 股骨 外科 口腔正畸科 病理 替代医学
作者
Mehmet Ekinci,Turgut Akgül,Ufuk Arzu,Serkan Bayram,Taha Furkan Yağcı,Önder Kılıçoğlu
出处
期刊:Journal of clinical imaging science [Scientific Scholar]
卷期号:12: 46-46 被引量:2
标识
DOI:10.25259/jcis_59_2022
摘要

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.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.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.Hemophilic knee has a mismatch between femoral and tibial side while comparing with the other groups.Level IV, cross-sectional study.
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