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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

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 th...

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Main Authors: Abd Rahim, Ezamin, Abu Hassan, Hasyma, Suppiah, Subapriya, Mohamad Saini, Suraini, Abdullah, Arifaizad, Hussin, Paisal, Mohd Nasir, Mohd Nizlan, Ahmad Sidique, Shaufique Fahmi, J., Hariati
Format: Article
Language:English
Published: Universiti Putra Malaysia Press 2017
Online Access:http://psasir.upm.edu.my/id/eprint/51624/1/31%20JST%20Vol%2025%20%281%29%20Jan%20%202017_0076-2016_pg371-378.pdf
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spelling oai:psasir.upm.edu.my:51624 http://psasir.upm.edu.my/id/eprint/51624/ 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 Abd Rahim, Ezamin Abu Hassan, Hasyma Suppiah, Subapriya Mohamad Saini, Suraini Abdullah, Arifaizad Hussin, Paisal Mohd Nasir, Mohd Nizlan Ahmad Sidique, Shaufique Fahmi J., Hariati 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-to-tibial 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. Universiti Putra Malaysia Press 2017 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/51624/1/31%20JST%20Vol%2025%20%281%29%20Jan%20%202017_0076-2016_pg371-378.pdf Abd Rahim, Ezamin and Abu Hassan, Hasyma and Suppiah, Subapriya and Mohamad Saini, Suraini and Abdullah, Arifaizad and Hussin, Paisal and Mohd Nasir, Mohd Nizlan and Ahmad Sidique, Shaufique Fahmi and J., Hariati (2017) 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. Pertanika Journal of Science & Technology, 25 (1). pp. 371-378. ISSN 0128-7680; ESSN: 2231-8526 http://www.pertanika.upm.edu.my/Pertanika%20PAPERS/JST%20Vol.%2025%20(1)%20Jan.%202017/31%20JST%20Vol%2025%20(1)%20Jan%20%202017_0076-2016_pg371-378.pdf
institution UPM IR
collection UPM IR
language English
description 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-to-tibial 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.
format Article
author Abd Rahim, Ezamin
Abu Hassan, Hasyma
Suppiah, Subapriya
Mohamad Saini, Suraini
Abdullah, Arifaizad
Hussin, Paisal
Mohd Nasir, Mohd Nizlan
Ahmad Sidique, Shaufique Fahmi
J., Hariati
spellingShingle Abd Rahim, Ezamin
Abu Hassan, Hasyma
Suppiah, Subapriya
Mohamad Saini, Suraini
Abdullah, Arifaizad
Hussin, Paisal
Mohd Nasir, Mohd Nizlan
Ahmad Sidique, Shaufique Fahmi
J., Hariati
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
author_facet Abd Rahim, Ezamin
Abu Hassan, Hasyma
Suppiah, Subapriya
Mohamad Saini, Suraini
Abdullah, Arifaizad
Hussin, Paisal
Mohd Nasir, Mohd Nizlan
Ahmad Sidique, Shaufique Fahmi
J., Hariati
author_sort Abd Rahim, Ezamin
title 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
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
publisher Universiti Putra Malaysia Press
publishDate 2017
url http://psasir.upm.edu.my/id/eprint/51624/1/31%20JST%20Vol%2025%20%281%29%20Jan%20%202017_0076-2016_pg371-378.pdf
_version_ 1698902681106513920
score 12.918464

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