In Vivo Evaluation of the Position and Orientation of the Geometric Axis of the Tibiotalar Joint

Abstract

Background. Fitting the surface morphology of the talar trochlea is one of the common methods to define the geometric axis of the tibiotalar joint (GATJ). However, the in vivo motion of such axis during gait has not been fully investigated. Methods. The ankle kinematic data of fifteen volunteers were collected by a dual fluoroscopic imaging system with a model-image registration method. The GATJ was defined by sphere-fitting the medial or lateral part of the trochlear surface of the talus. The position and orientation of this axis during gait were measured. To verify this axis, the distances of the feature points of the talus to the GATJ during gait were also measured. Results. There was no statistically significant difference in the distances of feature points of the talus to the GATJ among the seven key poses of the gait cycle. And the position and orientation of the GATJ during gait also showed no statistically significant difference. Conclusion. The GATJ is the axis about which the talus rotated. And it is one fixed axis during gait. The current finding may help the design of the talar component for total ankle replacement based on the surface morphology of the talar trochlea.

A new method for assessing tibial torsion using computerized tomography in a pediatric population

“…This angle is highly dependent on the distal fibula's great positional variability ( 15 , 18 ) and on its ossification stage ( 19 ). Using the TA enables us to overcome this anatomical variability while reproducing the tibiotalar joint's geometric axis as closely as possible ( 20 ). The tibiotalar joint's geometric axis corresponds to a fixed axis about which the talus moves in the sagittal plane and gives a better appreciation of the foot's position during gait.…”