Loading…
Morphological analysis of the distal femur as a surgical reference in biplane distal femoral osteotomy
Distal femoral osteotomy (DFO) is performed alone or with high tibial osteotomy (HTO) for patients with osteoarthritis and distal femur deformities. DFO is technically demanding, particularly when creating an anterior flange. Herein, we examined the morphological characteristics of the distal femur...
Saved in:
| Published in: | Scientific reports 2024-05, Vol.14 (1), p.12130-12130, Article 12130 |
|---|---|
| Main Authors: | , , , , , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | |
|---|---|
| cites | cdi_FETCH-LOGICAL-c466t-d7806d2e8806ef746b75db96d659dd89604421997e965ab759e0f9cf3c1384f23 |
| container_end_page | 12130 |
| container_issue | 1 |
| container_start_page | 12130 |
| container_title | Scientific reports |
| container_volume | 14 |
| creator | Sano, Shohei Matsushita, Takehiko Nagata, Naosuke Tokura, Takeo Nukuto, Koji Nakanishi, Yuta Nishida, Kyohei Nagai, Kanto Kanzaki, Noriyuki Hoshino, Yuichi Matsumoto, Tomoyuki Kuroda, Ryosuke |
| description | Distal femoral osteotomy (DFO) is performed alone or with high tibial osteotomy (HTO) for patients with osteoarthritis and distal femur deformities. DFO is technically demanding, particularly when creating an anterior flange. Herein, we examined the morphological characteristics of the distal femur based on the cortical shape as a surgical reference for biplanar DFO. Computed tomography images of 50 valgus and 50 varus knees of patients who underwent biplanar DFO or total knee arthroplasty were analyzed. Axial slices at the initial level of the transverse osteotomy in the DFO and slices 10 mm proximal and 10 mm distal to that level were selected. The medial and lateral cortical angles and heights (MCLA, LCLA, MCH, and LCH) were measured on axial slices. Statistical comparisons were performed between the medial and lateral cortices and valgus and varus knees. MCLA and MCH were significantly smaller and lower, respectively, than LCLA and LCH (
P
|
| doi_str_mv | 10.1038/s41598-024-62988-y |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_97228922ac414041b0f2c9307d1ff6a1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_97228922ac414041b0f2c9307d1ff6a1</doaj_id><sourcerecordid>3060641045</sourcerecordid><originalsourceid>FETCH-LOGICAL-c466t-d7806d2e8806ef746b75db96d659dd89604421997e965ab759e0f9cf3c1384f23</originalsourceid><addsrcrecordid>eNp9kk1v1DAQhiMEolXpH-CAInHhkmKPHcc-IVTxUamIC5wtxx-7XmXjxU6Q8u-Zbkq75YAvY80883rGM1X1mpIrSph8XzhtlWwI8EaAkrJZnlXnQHjbAAN4fnI_qy5L2RE8LShO1cvqjEmJiZKdV-FbyodtGtImWjPUZjTDUmKpU6inra9dLBO6g9_PuTalNnWZ84pmH3z2o_V1HOs-HgYznvIpo01l8mlK--VV9SKYofjLe3tR_fz86cf11-b2-5eb64-3jeVCTI3rJBEOPJYnfOi46LvW9Uo40SrnpBKEc6BKdV6J1mBQeRKUDcxSJnkAdlHdrLoumZ0-5Lg3edHJRH10pLzRJk_RDl6rDkAqAGM55YTTngSwipHO0RCEoaj1YdU6zP3eO-vHCXt6Ivo0Msat3qTfmlLKCABBhXf3Cjn9mn2Z9D4W64e7r0pz0YwIRDsKLaJv_0F3ac44jSNFBKc4TqRgpWxOpeAEHqqhRN-thV7XQuN09XEt9IJJb077eEj5uwQIsBUoGBo3Pj--_R_ZP0afw1w</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3060641045</pqid></control><display><type>article</type><title>Morphological analysis of the distal femur as a surgical reference in biplane distal femoral osteotomy</title><source>PubMed (Medline)</source><source>Publicly Available Content (ProQuest)</source><source>Free Full-Text Journals in Chemistry</source><source>Springer Nature - nature.com Journals - Fully Open Access</source><creator>Sano, Shohei ; Matsushita, Takehiko ; Nagata, Naosuke ; Tokura, Takeo ; Nukuto, Koji ; Nakanishi, Yuta ; Nishida, Kyohei ; Nagai, Kanto ; Kanzaki, Noriyuki ; Hoshino, Yuichi ; Matsumoto, Tomoyuki ; Kuroda, Ryosuke</creator><creatorcontrib>Sano, Shohei ; Matsushita, Takehiko ; Nagata, Naosuke ; Tokura, Takeo ; Nukuto, Koji ; Nakanishi, Yuta ; Nishida, Kyohei ; Nagai, Kanto ; Kanzaki, Noriyuki ; Hoshino, Yuichi ; Matsumoto, Tomoyuki ; Kuroda, Ryosuke</creatorcontrib><description>Distal femoral osteotomy (DFO) is performed alone or with high tibial osteotomy (HTO) for patients with osteoarthritis and distal femur deformities. DFO is technically demanding, particularly when creating an anterior flange. Herein, we examined the morphological characteristics of the distal femur based on the cortical shape as a surgical reference for biplanar DFO. Computed tomography images of 50 valgus and 50 varus knees of patients who underwent biplanar DFO or total knee arthroplasty were analyzed. Axial slices at the initial level of the transverse osteotomy in the DFO and slices 10 mm proximal and 10 mm distal to that level were selected. The medial and lateral cortical angles and heights (MCLA, LCLA, MCH, and LCH) were measured on axial slices. Statistical comparisons were performed between the medial and lateral cortices and valgus and varus knees. MCLA and MCH were significantly smaller and lower, respectively, than LCLA and LCH (
P
< 0.01). The MCLA and MCH of varus knees were significantly smaller and lower, respectively, than those of valgus knees (
P
< 0.01). Surgeons should carefully observe morphological differences in the distal femur cortex, distinguishing between medial and lateral knees and varus and valgus knees during the creation of the anterior flange in the DFO.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-024-62988-y</identifier><identifier>PMID: 38802483</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/698/1671 ; 692/700/1421/2770 ; Adult ; Aged ; Arthroplasty (knee) ; Arthroplasty, Replacement, Knee - methods ; Computed tomography ; Female ; Femur ; Femur - anatomy & histology ; Femur - diagnostic imaging ; Femur - surgery ; Humanities and Social Sciences ; Humans ; Knee Joint - diagnostic imaging ; Knee Joint - pathology ; Knee Joint - surgery ; Male ; Middle Aged ; Morphology ; multidisciplinary ; Osteoarthritis ; Osteoarthritis, Knee - diagnostic imaging ; Osteoarthritis, Knee - pathology ; Osteoarthritis, Knee - surgery ; Osteotomy ; Osteotomy - methods ; Physical characteristics ; Science ; Science (multidisciplinary) ; Tibia - anatomy & histology ; Tibia - diagnostic imaging ; Tibia - pathology ; Tibia - surgery ; Tomography, X-Ray Computed</subject><ispartof>Scientific reports, 2024-05, Vol.14 (1), p.12130-12130, Article 12130</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c466t-d7806d2e8806ef746b75db96d659dd89604421997e965ab759e0f9cf3c1384f23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/3060641045/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3060641045?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38802483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sano, Shohei</creatorcontrib><creatorcontrib>Matsushita, Takehiko</creatorcontrib><creatorcontrib>Nagata, Naosuke</creatorcontrib><creatorcontrib>Tokura, Takeo</creatorcontrib><creatorcontrib>Nukuto, Koji</creatorcontrib><creatorcontrib>Nakanishi, Yuta</creatorcontrib><creatorcontrib>Nishida, Kyohei</creatorcontrib><creatorcontrib>Nagai, Kanto</creatorcontrib><creatorcontrib>Kanzaki, Noriyuki</creatorcontrib><creatorcontrib>Hoshino, Yuichi</creatorcontrib><creatorcontrib>Matsumoto, Tomoyuki</creatorcontrib><creatorcontrib>Kuroda, Ryosuke</creatorcontrib><title>Morphological analysis of the distal femur as a surgical reference in biplane distal femoral osteotomy</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Distal femoral osteotomy (DFO) is performed alone or with high tibial osteotomy (HTO) for patients with osteoarthritis and distal femur deformities. DFO is technically demanding, particularly when creating an anterior flange. Herein, we examined the morphological characteristics of the distal femur based on the cortical shape as a surgical reference for biplanar DFO. Computed tomography images of 50 valgus and 50 varus knees of patients who underwent biplanar DFO or total knee arthroplasty were analyzed. Axial slices at the initial level of the transverse osteotomy in the DFO and slices 10 mm proximal and 10 mm distal to that level were selected. The medial and lateral cortical angles and heights (MCLA, LCLA, MCH, and LCH) were measured on axial slices. Statistical comparisons were performed between the medial and lateral cortices and valgus and varus knees. MCLA and MCH were significantly smaller and lower, respectively, than LCLA and LCH (
P
< 0.01). The MCLA and MCH of varus knees were significantly smaller and lower, respectively, than those of valgus knees (
P
< 0.01). Surgeons should carefully observe morphological differences in the distal femur cortex, distinguishing between medial and lateral knees and varus and valgus knees during the creation of the anterior flange in the DFO.</description><subject>692/698/1671</subject><subject>692/700/1421/2770</subject><subject>Adult</subject><subject>Aged</subject><subject>Arthroplasty (knee)</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Computed tomography</subject><subject>Female</subject><subject>Femur</subject><subject>Femur - anatomy & histology</subject><subject>Femur - diagnostic imaging</subject><subject>Femur - surgery</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - pathology</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Morphology</subject><subject>multidisciplinary</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - diagnostic imaging</subject><subject>Osteoarthritis, Knee - pathology</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Osteotomy</subject><subject>Osteotomy - methods</subject><subject>Physical characteristics</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Tibia - anatomy & histology</subject><subject>Tibia - diagnostic imaging</subject><subject>Tibia - pathology</subject><subject>Tibia - surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kk1v1DAQhiMEolXpH-CAInHhkmKPHcc-IVTxUamIC5wtxx-7XmXjxU6Q8u-Zbkq75YAvY80883rGM1X1mpIrSph8XzhtlWwI8EaAkrJZnlXnQHjbAAN4fnI_qy5L2RE8LShO1cvqjEmJiZKdV-FbyodtGtImWjPUZjTDUmKpU6inra9dLBO6g9_PuTalNnWZ84pmH3z2o_V1HOs-HgYznvIpo01l8mlK--VV9SKYofjLe3tR_fz86cf11-b2-5eb64-3jeVCTI3rJBEOPJYnfOi46LvW9Uo40SrnpBKEc6BKdV6J1mBQeRKUDcxSJnkAdlHdrLoumZ0-5Lg3edHJRH10pLzRJk_RDl6rDkAqAGM55YTTngSwipHO0RCEoaj1YdU6zP3eO-vHCXt6Ivo0Msat3qTfmlLKCABBhXf3Cjn9mn2Z9D4W64e7r0pz0YwIRDsKLaJv_0F3ac44jSNFBKc4TqRgpWxOpeAEHqqhRN-thV7XQuN09XEt9IJJb077eEj5uwQIsBUoGBo3Pj--_R_ZP0afw1w</recordid><startdate>20240527</startdate><enddate>20240527</enddate><creator>Sano, Shohei</creator><creator>Matsushita, Takehiko</creator><creator>Nagata, Naosuke</creator><creator>Tokura, Takeo</creator><creator>Nukuto, Koji</creator><creator>Nakanishi, Yuta</creator><creator>Nishida, Kyohei</creator><creator>Nagai, Kanto</creator><creator>Kanzaki, Noriyuki</creator><creator>Hoshino, Yuichi</creator><creator>Matsumoto, Tomoyuki</creator><creator>Kuroda, Ryosuke</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><general>Nature Portfolio</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20240527</creationdate><title>Morphological analysis of the distal femur as a surgical reference in biplane distal femoral osteotomy</title><author>Sano, Shohei ; Matsushita, Takehiko ; Nagata, Naosuke ; Tokura, Takeo ; Nukuto, Koji ; Nakanishi, Yuta ; Nishida, Kyohei ; Nagai, Kanto ; Kanzaki, Noriyuki ; Hoshino, Yuichi ; Matsumoto, Tomoyuki ; Kuroda, Ryosuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-d7806d2e8806ef746b75db96d659dd89604421997e965ab759e0f9cf3c1384f23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>692/698/1671</topic><topic>692/700/1421/2770</topic><topic>Adult</topic><topic>Aged</topic><topic>Arthroplasty (knee)</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Computed tomography</topic><topic>Female</topic><topic>Femur</topic><topic>Femur - anatomy & histology</topic><topic>Femur - diagnostic imaging</topic><topic>Femur - surgery</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - pathology</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Morphology</topic><topic>multidisciplinary</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - diagnostic imaging</topic><topic>Osteoarthritis, Knee - pathology</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Osteotomy</topic><topic>Osteotomy - methods</topic><topic>Physical characteristics</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Tibia - anatomy & histology</topic><topic>Tibia - diagnostic imaging</topic><topic>Tibia - pathology</topic><topic>Tibia - surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sano, Shohei</creatorcontrib><creatorcontrib>Matsushita, Takehiko</creatorcontrib><creatorcontrib>Nagata, Naosuke</creatorcontrib><creatorcontrib>Tokura, Takeo</creatorcontrib><creatorcontrib>Nukuto, Koji</creatorcontrib><creatorcontrib>Nakanishi, Yuta</creatorcontrib><creatorcontrib>Nishida, Kyohei</creatorcontrib><creatorcontrib>Nagai, Kanto</creatorcontrib><creatorcontrib>Kanzaki, Noriyuki</creatorcontrib><creatorcontrib>Hoshino, Yuichi</creatorcontrib><creatorcontrib>Matsumoto, Tomoyuki</creatorcontrib><creatorcontrib>Kuroda, Ryosuke</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Science Database</collection><collection>ProQuest Biological Science Journals</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sano, Shohei</au><au>Matsushita, Takehiko</au><au>Nagata, Naosuke</au><au>Tokura, Takeo</au><au>Nukuto, Koji</au><au>Nakanishi, Yuta</au><au>Nishida, Kyohei</au><au>Nagai, Kanto</au><au>Kanzaki, Noriyuki</au><au>Hoshino, Yuichi</au><au>Matsumoto, Tomoyuki</au><au>Kuroda, Ryosuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Morphological analysis of the distal femur as a surgical reference in biplane distal femoral osteotomy</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2024-05-27</date><risdate>2024</risdate><volume>14</volume><issue>1</issue><spage>12130</spage><epage>12130</epage><pages>12130-12130</pages><artnum>12130</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Distal femoral osteotomy (DFO) is performed alone or with high tibial osteotomy (HTO) for patients with osteoarthritis and distal femur deformities. DFO is technically demanding, particularly when creating an anterior flange. Herein, we examined the morphological characteristics of the distal femur based on the cortical shape as a surgical reference for biplanar DFO. Computed tomography images of 50 valgus and 50 varus knees of patients who underwent biplanar DFO or total knee arthroplasty were analyzed. Axial slices at the initial level of the transverse osteotomy in the DFO and slices 10 mm proximal and 10 mm distal to that level were selected. The medial and lateral cortical angles and heights (MCLA, LCLA, MCH, and LCH) were measured on axial slices. Statistical comparisons were performed between the medial and lateral cortices and valgus and varus knees. MCLA and MCH were significantly smaller and lower, respectively, than LCLA and LCH (
P
< 0.01). The MCLA and MCH of varus knees were significantly smaller and lower, respectively, than those of valgus knees (
P
< 0.01). Surgeons should carefully observe morphological differences in the distal femur cortex, distinguishing between medial and lateral knees and varus and valgus knees during the creation of the anterior flange in the DFO.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>38802483</pmid><doi>10.1038/s41598-024-62988-y</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2045-2322 |
| ispartof | Scientific reports, 2024-05, Vol.14 (1), p.12130-12130, Article 12130 |
| issn | 2045-2322 2045-2322 |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_97228922ac414041b0f2c9307d1ff6a1 |
| source | PubMed (Medline); Publicly Available Content (ProQuest); Free Full-Text Journals in Chemistry; Springer Nature - nature.com Journals - Fully Open Access |
| subjects | 692/698/1671 692/700/1421/2770 Adult Aged Arthroplasty (knee) Arthroplasty, Replacement, Knee - methods Computed tomography Female Femur Femur - anatomy & histology Femur - diagnostic imaging Femur - surgery Humanities and Social Sciences Humans Knee Joint - diagnostic imaging Knee Joint - pathology Knee Joint - surgery Male Middle Aged Morphology multidisciplinary Osteoarthritis Osteoarthritis, Knee - diagnostic imaging Osteoarthritis, Knee - pathology Osteoarthritis, Knee - surgery Osteotomy Osteotomy - methods Physical characteristics Science Science (multidisciplinary) Tibia - anatomy & histology Tibia - diagnostic imaging Tibia - pathology Tibia - surgery Tomography, X-Ray Computed |
| title | Morphological analysis of the distal femur as a surgical reference in biplane distal femoral osteotomy |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T14%3A42%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Morphological%20analysis%20of%20the%20distal%20femur%20as%20a%20surgical%20reference%20in%20biplane%20distal%20femoral%20osteotomy&rft.jtitle=Scientific%20reports&rft.au=Sano,%20Shohei&rft.date=2024-05-27&rft.volume=14&rft.issue=1&rft.spage=12130&rft.epage=12130&rft.pages=12130-12130&rft.artnum=12130&rft.issn=2045-2322&rft.eissn=2045-2322&rft_id=info:doi/10.1038/s41598-024-62988-y&rft_dat=%3Cproquest_doaj_%3E3060641045%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c466t-d7806d2e8806ef746b75db96d659dd89604421997e965ab759e0f9cf3c1384f23%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3060641045&rft_id=info:pmid/38802483&rfr_iscdi=true |