Assessing the bilateral geometrical differences of the tibia : are they the same?

Radzi, S., Uesugi, M., Baird, A., Mishra, S., Schuetz, M., & Schmutz, B. (2014) Assessing the bilateral geometrical differences of the tibia : are they the same? Medical Engineering and Physics, 36(12), pp. 1618-1625.

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Contralateral bones are often used in many medical applications but it is assumed that their bilateral differences are insignificant. Previous studies used a limited number of distance measurements in quantifying the corresponding differences; therefore, little is known about their bilateral 3D surface asymmetries. The aim of the study is to develop a comprehensive method to quantify geometrical asymmetries between the left and right tibia in order to provide first results on whether the contralateral tibia can be used as an equivalent reference.

In this study, 3D bone models were reconstructed from CT scans of seven tibiae pairs, and 34 variables consisting of 2D and 3D measurements were measured from various anatomical regions. All 2D measurements, and lateral plateau and distal subchondral bone surface measurements showed insignificant differences (p > 0.05), but the rest of the surfaces showed significant differences (p < 0.05).

Our results suggest that the contralateral tibia can be used as a reference especially in surgical applications such as articular reconstructions since the bilateral differences in the subchondral bone surfaces were less than 0.3 mm. The method can also be potentially transferable to other relevant studies that require the accurate quantification of bone bilateral asymmetries.

Impact and interest:

3 citations in Scopus
3 citations in Web of Science®
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ID Code: 76161
Item Type: Journal Article
Refereed: Yes
Keywords: Bilateral, Contralateral, Tibia, Lower Limb, 3D, Long bones, Asymmetry, Symmetry
DOI: 10.1016/j.medengphy.2014.09.007
ISSN: 1873-4030
Subjects: Australian and New Zealand Standard Research Classification > ENGINEERING (090000) > BIOMEDICAL ENGINEERING (090300)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Orthopaedics (110314)
Divisions: Current > Institutes > Institute of Health and Biomedical Innovation
Current > QUT Faculties and Divisions > Science & Engineering Faculty
Copyright Owner: Copyright 2014 Elsevier
Copyright Statement: This is the author’s version of a work that was accepted for publication in Medical Engineering and Physics. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Medical Engineering and Physics, [VOL 36, ISSUE 12, (2014)] DOI: 10.1016/j.medengphy.2014.09.007
Deposited On: 15 Sep 2014 23:53
Last Modified: 03 Jul 2017 23:27

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