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Enhancing the Radiological Classification System from the Distal Femur to the Proximal Tibia by Vincenzo De Matteo; Felipe Forero; Sophia-Marlene Busch; Philip Linke; Peter Wilhelm; Kristof Rademacher; Thorsten Gehrke; Mustafa Citak is a Medicine article available to read on EtoBox.

What is Enhancing the Radiological Classification System from the Distal Femur to the Proximal Tibia about?

## Objectives This study aims to identify anatomical variants of the proximal tibia shaft and to develop a novel classification system for proximal tibia. ## Patients and methods Between October 2019 and April 2020, a total of 200 patients with standard knee anteroposterior radiographs were included in this study. We measured the inner diameter of the tibia 16 cm distally from the tibial plateau and 3 cm distally from the tibial spine. The ratio between these two measurements was applied as the novel index ratio. ## Results A total number of 197 patients (100 males and 97 females) with a median age of 68 years (range, 21 to 89 years) were included in the final analysis. According to the 25^th^ and 75^th^ percentiles, three groups were clustered for each sex. A higher distribution of the type B pattern was found in female and male patients. However, type A with a narrow inner diaphyseal diameter was less common in female patients. The median intraobserver reliability for rater 1 was 0.998. The inter-observer reliability was high (intraclass correlation coefficient: 0.998). There was a moderate correlation between the anteroposterior (AP) diameter and height (r=0.568) and a low corre

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Author
Vincenzo De Matteo; Felipe Forero; Sophia-Marlene Busch; Philip Linke; Peter Wilhelm; Kristof Rademacher; Thorsten Gehrke; Mustafa Citak
Publisher
Bayçınar Medical Publishing
Published
2022
Language
EN
Field
Medicine (Health Sciences)

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