Avaliação dos parâmetros angulares radiográficos no plano coronal dos membros inferiores em indivíduos sem osteoartrite de joelho em um hospital de referência do Sistema Único de Saúde

Diego Perez da Motta; Larissa da Silva; Leandro Lemgruber Kropf; Fernando dos Santos Cerqueira; Bruno Domenico Leonetti; Flavio dos Santos Cerqueira

doi:10.1055/s-0044-1792118

Revista Brasileira de Ortopedia, Inhaltsverzeichnis

CC BY 4.0 · Rev Bras Ortop (Sao Paulo) 2024; 59(06): e839-e846
DOI: 10.1055/s-0044-1792118

Artigo Original

Asami

Assessment of the Radiographic Angular Parameters in the Coronal Plane of the Lower Limbs in Subjects without Knee Osteoarthritis in a Reference Hospital of the Brazilian Unified Health System

Artikel in mehreren Sprachen: português | English

Diego Perez da Motta

¹Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil

,

Larissa da Silva

²Programa de Residência Médica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil

,

Leandro Lemgruber Kropf

¹Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil

,

Fernando dos Santos Cerqueira

¹Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil

,

Bruno Domenico Leonetti

¹Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil

,

Flavio dos Santos Cerqueira

¹Centro de Atenção Especializada do Tratamento da Dismetria e Deformidades do Aparelho Locomotor, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil

› Institutsangaben

Abstract

Objective The present study aims to demonstrate the radiological angular parameters of a sample of patients treated at our institution and to compare the radiological abnormalities with other classifications or parameters from the literature.

Methods We evaluated a sample of patients submitted to panoramic radiographic examinations of the lower limbs. The inclusion criteria were: (1) Patients without knee osteoarthritis as assessed by an orthopedist. (2) Bilateral radiographic evaluation in the panoramic examination of the lower limbs. (3) Panoramic radiographic examination of the lower limbs before any surgical procedure. (4) Patients over 18 years old.

Results We analyzed a total of 1,242 lower limbs. The axis was neutral in 875 lower limbs (70.4%). The main etiology was non-traumatic, with a varus deviation of the tibial segment in 253 cases and the deformity apex in the proximal third of the tibial segment. A valgus deviation of the mechanical axis was more common in non-traumatic etiologies (82.3%). Per the Coronal Plane Alignment of the Knee (CPAK) classification, type I was the most frequent (44.8%), followed by type III (37.1%).

Conclusion We identified changes in the angular parameters in patients from a reference hospital from the Brazilian Unified Health System which were different from population samples from other countries.

Keywords

genu valgum - genu varum - joint deformities, acquired - limb deformities, congenital - osteoarthritis

Volltext

Referenzen

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