The impact of body-mass index on the frontal knee alignment estimation using three-dimensional reconstruction based on movement analysis.
Legrand TDepartment of Kinesiology, Medicine Faculty, Laval University, Quebec, Quebec, Canada; Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec, Quebec, Canada.
Richard VDepartment of Kinesiology, Medicine Faculty, Laval University, Quebec, Quebec, Canada; Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec, Quebec, Canada.
Bonnefoy-Mazure AWilly Taillard Laboratory of Kinesiology, Geneva University Hospitals, Geneva University, Geneva, Switzerland; Division of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Faculty of Medicine, Geneva, Switzerland.
Armand SWilly Taillard Laboratory of Kinesiology, Geneva University Hospitals, Geneva University, Geneva, Switzerland; Division of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Faculty of Medicine, Geneva, Switzerland.
Miozzari HHDivision of Orthopaedics and Trauma Surgery, Geneva University Hospitals, Faculty of Medicine, Geneva, Switzerland.
Turcot KDepartment of Kinesiology, Medicine Faculty, Laval University, Quebec, Quebec, Canada; Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec, Quebec, Canada. Electronic address: katia.turcot@kin.ulaval.ca.
English
BACKGROUND We evaluated the influence of the body-mass index (BMI) on the estimation of the static frontal knee alignment (FKA) using three-dimensional (3D) reconstruction method based on movement analysis.
METHODS Two-hundred nineteen knees (120 individuals with end-stage osteoarthritis) were analyzed. The validity of the 3D method was evaluated under comparison with a reference method based on weight bearing full-leg length radiography. Extensive statistical analyses (Pearson's correlation, one-way ANOVA, linear regression, boxplot diagram) over four groups of BMI (normal, overweight, obese class I and obese classes II and III) were performed.
RESULTS For BMI below 25 kg/m2, the validity of the 3D method was confirmed. For BMI over 25 kg/m2, there was an increasing error of the 3D method, especially for the obese groups affected with a large varus alignment.
CONCLUSIONS In a biomechanical context of movement analysis, the results of the study suggest that the 3D method may represent a satisfying alternative to the full-leg radiograph method with limitations regarding to BMI over 25 kg/m2.