Published by Nikolaos Papadimitriou on 2022-12-01
1. The build-in comparison feature with the normal reference values according to patient age may help decide what could be considered normal or borderline dysplastic or dysplastic and help also judge which hip is subluxate or at risk and help monitor objectively the treatment in time.
2. In cases the percentage of uncovered femoral head of the hip is beyond the normal range for the relevant age, the hips are categorised as borderline dysplastic or dysplastic ready to subluxate or subluxated, dysplastic luxated or dislocated .
3. The values are expressed in percentage % of the femoral head that is not covered by the acetabulum and the normal values vary according to the age of the patient.
4. The migration percentage (MP) as described by Reimers is the gold standard method for assessing radiographs especially in children with hip dysplasia which quatitively shows how much femoral head has been dislocated from the ossified acetabular roof.
5. The Reimer index is calculated as the ratio (alb) x100% where a is the distance measured the lateral border of the femoral head to the Ombredanne-Perkins line and b is the width of the femoral head parallel to Hilgenreiner's line.
6. Also after measurement you have to compare the data that you measure with the normal reference values according to patient age, and decide what could be considered normal or pathologic.
7. By inputting the age of the patient in the App, the measured values in percentage are compared with values from normal reference database accordingly.
8. The advantage of this index is its independence of pelvic or thigh rotation and provides a good quantitative estimate of the degree of uncoverage of the femoral head.
9. After the age of 5 years old when the cartilages in hip - especially the triradiate cartilage- are fused, the Reimer index in everyday clinical practise is usually described as the Femoral Extrusion Index.
10. All information received from the software output must be clinically reviewed regarding its plausibility before patient treatment! Reimer Index app is indicated for assisting healthcare professionals.
11. -Offers a very convenient way to determine the most accurate possibly way of measuring the percentage of femoral head which is not covered.
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