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A new method for tibial torsion measurement by computerized tomography. 2016

Firooz Madadi, and Firoozeh Madadi, and Arash Maleki, and Arya Nick Shamie, and Eleby Rudolph Washington, and Hamed Yazdanshenas
Shahid Beheshti University of Medicine and Science, Tehran 141556153, Iran.

BACKGROUND Computerized tomography (CT) is the gold standard technique for tibial torsion assessment. This study compared two methods of tibial torsion assessment and proposed a new method, which could be of value in cases of abnormal fibular changes. METHODS The CT-scanograms of 60 participants were assessed by using two different techniques, differed in determination of the distal tibial axis. RESULTS The interobserver reliability was 0.861 and 0.863 in the first and second methods, respectively. The intraobserver reliability in both measurement methods was 0.868. CONCLUSIONS We proposed a reliable method, independent of the fibular midpoint, in assessment of tibial torsion by CT.

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