Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (24): 3875-3881.doi: 10.12307/2021.096
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Application and comparison of four commonly used methods for patellar height measurement
Jie Ke1, Deng Peng2, Zeng Yirong2
- 1Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong Province, China; 2Third Department of Orthopedics, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong Province, China
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Received:2020-08-26Revised:2020-09-14Accepted:2020-10-16Online:2021-08-28Published:2021-03-17 -
Contact:Zeng Yirong, MD, Chief physician, Doctoral supervisor, Third Department of Orthopedics, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510000, Guangdong Province, China -
About author:Jie Ke, Master, Foshan Hospital of Traditional Chinese Medicine, Foshan 528000, Guangdong Province, China -
Supported by:the High-Level Hospital Construction Project of the First Affiliated Hospital of Guangzhou University of Chinese Medicine, No. 211010010722 (to ZYR)
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Jie Ke, Deng Peng, Zeng Yirong. Application and comparison of four commonly used methods for patellar height measurement[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(24): 3875-3881.
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Quantitative analysis of subjects Finally, 34 knees (31 patients) were all eligible and included in the study with the mean follow-up of 6 months. Test flow chart was shown in Figure 2. "
Characteristics of subjects Digital radiographs of 34 knees (31 patients) were evaluated in this study, including 12 male patients and 19 female patients. The mean age was 60.8 years (ranging from 42 to 68 years), and the mean body mass index was 23.6 kg/m2 (ranging from 18.6 to 27.4 kg/m2). There was no difference between preoperative and postoperative posterior tibial slope (PTS). Patients’ demographic data and PTS were listed in Table 3."
Compared with the preoperative value, the CD (P = 0.000 0) and BP indices (P = 0.000 0) were significantly decreased after OWHTO. However, there were no significant differences in IS (P = 0.503 6) and MIS indices (P = 0.801 5) before and after OWHTO (Table 4)."
In the quantitative correlations using the Pearson correlation, significant difference between two arbitrary methods was found pre- and post-operatively (P < 0.05; Table 3). We found that BP and CD (r = 0.88), MIS and CD (r = 0.87), MIS and BP (r = 0.82) presented an excellent correlation with each other preoperatively. Moreover, only CD and BP (r = 0.86) found excellent correlation with each other postoperatively (Table 5). The scatter plots were shown in Figures 3 and 4."
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In the qualitative correlations using the Spearman correlation, the results showed that BP and CD presented an excellent correlation (r = 0.85, P < 0.05) with each other before surgery and a strong correlation (r = 0.68, P < 0.05) after surgery (Table 6)."
There was both good interobserver and intraobserver consistency preoperatively and postoperatively except MIS index which only had medium consistency (Tables 7 and 8). Among overall methods, BP showed the highest ICC preoperatively and postoperatively (0.85 and 0.82, respectively); CD and IS showed the second-highest ICC preoperatively (0.77 and 0.82, respectively) and postoperatively (0.81 and 0.79, respectively)."
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The statistics calculated by Bland-Altman plots showed acceptable interobserver agreement with no evidence of systematic biases for four methods (Figures 5 and 6). Furthermore, the maximum moduli of differences were 0.21 and 0.21 for CD, 0.19 and 0.21 for BP, 0.21 and -0.26 for IS, 0.39 and 0.33 for MIS (preoperative index and postoperative index, respectively), which revealed CD and BP may be the most acceptable in clinic. Adverse reactions and biocompatibility Tomofix plate fixation treatment has no obvious adverse reactions, and its biocompatibility is good. "
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