Pubblicato da Nikolaos Papadimitriou
1. By clicking three point at the x-ray picture on your iPhone screen and inserting the side the App calculates the congruity index (CI) which is the percentage of femoral head covered by the bony acetabulum.
2. The congruity index (CI) is calculated (A/B- ratio converted to a percentage) by diving the (A) distance by the distance (B), where distance (A) is the distance between the teardrop to the lateral acetabular margin and (B) is the distance from the teardrop again to the lateral femoral head edge.
3. In order-from one hand to avert the natural course to the progression of secondary osteoarthritis (OA) and from another hand to avoid- in developing skeleton - to deteriorate more the hip dysplasia the congruity must be objectively and thoroughly evaluated especially at follow up of these procedures in both congruent and incongruent hips.
4. Congruity between the femoral head and acetabulum is determined by the percentage of femoral head covered by the bony acetabulum.
5. Congruity between the femoral head and acetabulum is expressed in percentage.
6. Joint mismatch or in another words joint incongruity between femur head (ball) and acetabulum (socket) of the hip leads to altered mechanics, which can lead to premature degenerative osteoarthritis.
7. The app is not a simple goniometer, is an enhanced product which help to monitor objectively during the course of the treatment how much the congruity and evaluate the remodelling.
8. The app offers a very convenient and accurate way to measure the value of Congruity and help decide what could be considered normal or pathologic.
9. All information received from the software output must be clinically reviewed regarding its plausibility before patient treatment! CongruityIndex App indicated for assisting healthcare professionals.
10. Loss of congruity with the acetabulum is common in patients with DDH.
11. Delaunay S, Dussault RG, Kaplan PA, Alford BA Review Radiographic measurements of dysplastic adult hips Radiographic measurements of dysplastic adult hips.
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