A Comparative Radiological Analysis of Patellar Height Indices from Digital Radiography in the Northern and Eastern Regions from India | Chapter 1 | New Advances in Medicine and Medical Science Vol. 8

 Introduction: Patella climax measurement is used to study patella biomechanics, physiopathology of knee ailments and preparation of Deformity correction resection or Total Knee Arthroplasty. Patellar indices variables disagree due to semantic, fundamental, and functional dissimilarities amongst populace from different domains, making the implementation and worldwide uniformity of indices troublesome, moreover dossier from subcontinent is lacking. We judged Patellar Height Indices in Northern and Eastern Indian Population to study the ethnical and morphological distinctnesses.Aims: To equate patella Alta and Baja occurrence, concordance among patellar indices among Northern and Eastern Indian state and investigate either classical limits of IS percentage applies to Eastern Population.Methods: Prospective multicenter study from June’2014 and December’2022 to study patellar height characterization using IS, MIS, BP,CD and PPA. Results: 1702 body part radiographs in 900 inmates. Incidence of Patella Alta and Baja was 29.4% and 19%. TL, PL and PL1 were 3.34 +/- 0.75 cm, 4.23 +/- 0.45 cm and 2.14 +/- 0.72 cm respectively. Mean IS percentage was 1.46 (SD-0.32). IS higher in women (1.28 vs 1.25, p<0.01). Mean CD index was 1.12 (SD-0.40), Mean BP index was 0.82 (SD-0.38) and Mean PPA was 280 (SD-0.67). Sensitivity for Patella Alta and Baja was BP>CD>PPA>MIS>IS and PPA>BP> CD>IS respectively.Conclusion: Patella Alta and mean IS percentage larger in Eastern India than Northern population and Central India, Chinese, Emirati and Western peoples. IS ratio is less appropriate to eastern populace. We propose IS range: 1.14-1.78 in Eastern India community and approve use of BP, PPA with IS for a inclusive patellar height create a likeness in a picture.

Author(s) Details:

Amit Dwivedi,
PG Department of Orthopedics, Santosh Medical College and Hospital, Ghaziabad, U.P., India.

Nishit Palo,
PG Department of Orthopedics, Santosh Medical College and Hospital, Ghaziabad, U.P., India.

Govind Narayan Choudhary,
PG Department of Orthopedics, Santosh Medical College and Hospital, Ghaziabad, U.P., India.

Tushar Tyagi,
PG Department of Orthopedics, Santosh Medical College and Hospital, Ghaziabad, U.P., India.

Aditya Singh,
PG Department of Orthopedics, Santosh Medical College and Hospital, Ghaziabad, U.P., India.

Aditya Agarwal,
PG Department of Orthopedics, Santosh Medical College and Hospital, Ghaziabad, U.P., India.

Avishkar,
PG Department of Orthopedics, Santosh Medical College and Hospital, Ghaziabad, U.P., India.

Please see the link here: https://stm.bookpi.org/NAMMS-V8/article/view/11069