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      Different radius of curvature at the talus trochlea from northern Chinese population measured using 3D model

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          Abstract

          Background

          To analyze the curvature characteristics of the talus trochlea in people from northern China in different sex and age groups.

          Methods

          Computed tomography scanning data of talus from 61 specimens were collected and constructed as a three-dimensional model by Materialise’s Interactive Medical Image Control System(MIMICS) software, anteromedial(AM), posteromedial(PM), anterolateral(AL), and posterolateral(PL) edge, anterior edge of medial trochlea, posterior edge of medial trochlea and anterior edge of lateral trochlea were defined according to the anatomical landmarks on trochlear surface. The curvature radii for different areas were measured using the fitting radius and measure module.

          Results

          There were significant differences among the talus curvatures in the six areas (F = 54.905, P = 0.000), and more trends in the analytical results were as follows: PM > PL > MP > AL > MA > AM. The average PL radius from specimens aged > 38 years old was larger than that from specimens aged < = 38 years (t=-2.303, P = 0.038). The talus curvature of the AM for males was significantly larger than that for females (t = 4.25, P = 0.000), and the curvature of the AL for males was larger than that for females (t = 2.629, P = 0.010). For observers aged < = 38 years, the AM curvature of the right talus in the male group was significantly larger than that in the female group ( P < 0.01). In age < = 38years group, the MA curvature of right talus in male was significantly larger than in female group( P < 0.01), fitting radius of talus for male (21.90 ± 1.97 mm) was significantly greater than female of this(19.57 ± 1.26 mm)(t = 6.894, P = 000). The average radius of the talus in the male population was larger than that in the female population.

          Conclusion

          There was no significant relationship between age and talus curvature for males and females. The radius of curvature in the posterior area was significantly larger than that in the anterior area. We recommend that this characteristic of the talus trochlea should be considered when designing the talus component in total ankle replacement (TAR).

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s13018-024-04751-7.

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          Most cited references28

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          Ankle and subtalar kinematics during dorsiflexion-plantarflexion activities.

          Understanding the effect of weightbearing on subtalar and ankle joint kinematics is critical for the diagnosis and treatment of foot disorders. However, dynamic in vivo kinematics of these joints are not well studied. The purpose of this study was to compare in vivo kinematics during nonweightbearing and weightbearing activities in healthy subjects. Seven healthy subjects with a mean age of 32 (range, 23 to 42) years were enrolled. Oblique lateral fluoroscopic images of nonweightbearing and weightbearing dorsiflexion-plantarflexion activities were recorded. Three dimensional subtalar, ankle, and ankle-subtalar joint complex kinematics were determined using 3D-2D model registration techniques with 3D bone models and single-plane fluoroscopy. During the weightbearing activity from 20 degrees dorsiflexion to 15 degrees plantarflexion, the subtalar joint was significantly more everted, dorsiflexed, and abducted, and the calcaneus showed a significantly more posterior position, than during the nonweightbearing activity. The ankle joint was significantly more plantarflexed and adducted during the weightbearing activity than the nonweightbearing activity. The ankle-subtalar joint complex was significantly more everted, and the calcaneus showed significantly greater posterior position than the nonweightbearing activity. These observations provide basic quantitative descriptions of weightbearing and nonweightbearing kinematics for healthy joints. These data can serve as the basis for comparison with pathologic feet for both diagnostic and therapeutic purposes.
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            Ankle morphometry on 3D-CT images.

            Understanding three-dimensional (3D) morphology of the ankle is essential for a better total ankle replacement. Current designs neither mimic the articular geometry at the bearing surface interfaces nor match the native bony bed with the implant's external dimensions. This is likely due to insufficient anthropometric data on sizing and geometry. We performed this study to determine the range of possible sizes of ankle joints based on high-resolution 3D-CT images. Clinical 3D-CT images from twenty-one normal ankles (11 males, 10 females) were subjected to morphometric evaluation. A local coordinate system for measurement was established based on talar anatomic landmarks. Measurements included the width of the superior talar dome surface (measured at the anterior, middle, and posterior portions) and the arc radius of the talar dome. The results yielded an average anterior width of 29.9 +/- 2.6 mm, a middle width of 27.9 +/- 3.0 mm, and a posterior width of 25.2 +/- 3.7 mm. The talar dome radius was 20.7 +/- 2.6 mm. The width linearly decreased from anterior to posterior (p < 0.001). A significant gender difference was found in both the width and the radius (p-values < 0.05), except at the middle width (p = 0.07). The data describe talar topography in a Caucasian U.S. adult cohort, suggesting the capability of the 3D-CT approach for ankle morphometric evaluation and sizing for the fabrication of total ankle replacements.
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              Custom 3D-Printed Total Talar Prostheses Restore Normal Joint Anatomy Throughout the Hindfoot.

              Third generation total talar prostheses (TTPs) are viable options for talar avascular necrosis (AVN) in the absence of neighboring joint pathology. The use of modern three-dimensional (3D) printing allows the production of custom implants that exactly mimic the patient's anatomy. The aim of this study is to determine the accuracy of 3D printing in reproducing a synthetic talus and, in doing so, restoring more normal anatomical relationships. We hypothesize that this mode of replication will restore and maintain normal radiographic alignment of the ankle, subtalar, and forefoot joints in the setting of talar AVN.
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                Author and article information

                Contributors
                m.ling0114@163.com
                Journal
                J Orthop Surg Res
                J Orthop Surg Res
                Journal of Orthopaedic Surgery and Research
                BioMed Central (London )
                1749-799X
                27 April 2024
                27 April 2024
                2024
                : 19
                : 266
                Affiliations
                [1 ]GRID grid.440288.2, ISNI 0000 0004 1758 0451, Department of Orthopedics Surgery, , Shaanxi Provincial People’s Hospital, ; No. 256 Youyi West Road, Xi’an, Shaanxi 710068 China
                [2 ]Department of CT, Shaanxi Provincial People’s Hospital, ( https://ror.org/057ckzt47) Xi’an, Shaanxi 710068 China
                [3 ]Key Laboratory of Bone Joint Disease Basic and Clinical Translation of Shaanxi Province, Xi’an, Shaanxi 710068 China
                Article
                4751
                10.1186/s13018-024-04751-7
                11055296
                38671519
                ec30dcb2-b390-43d5-890e-bcc00885506f
                © The Author(s) 2024

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 5 February 2024
                : 19 April 2024
                Funding
                Funded by: Social Development Science and Technology Project of Shaanxi Province
                Award ID: 2021SF-186
                Categories
                Research Article
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2024

                Surgery
                curvature of talar trochlea,talus necrosis,osteoarthritis,artificial ankle prosthesis,computer-aided design

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