PMID- 34326898
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220425
IS  - 1828-8936 (Print)
IS  - 1828-8928 (Electronic)
IS  - 1828-8928 (Linking)
VI  - 16
IP  - 1
DP  - 2021 Jan-Apr
TI  - Evaluation of Arm Length as a New Upper Limb Anthropometric Method for 
      Preoperative Estimation of Tibial Intramedullary Nail Length.
PG  - 20-26
LID - 10.5005/jp-journals-10080-1520 [doi]
AB  - AIM AND OBJECTIVE: To assess the use of arm length (AL) for the estimation of 
      tibial nail length preoperatively and compare its accuracy to various established 
      upper and lower limb anthropometric parameters. MATERIAL AND METHODS: This 
      prospective study of 54 patients assessed upper limb parameters as a possible 
      alternative for intraoperatively measured tibial nail length. The anthropometric 
      parameters measured independently by two observers were AL, olecranon to fifth 
      metacarpal head (OMD), tibial tuberosity to medial malleolus (TT-MM), tibial 
      tuberosity to medial malleolus minus 20 mm (TT-MM-20 mm) and knee joint line to 
      medial malleolus minus 40 mm (KJL-MM-40) and compared to final nail size used 
      intraoperatively. Two observers were used. Bland-Altman plots were constructed to 
      assess the limits of agreement to intraoperative estimates of optimum nail 
      length. A repeatability assessment was also assessed by both observers. RESULTS: 
      None of the anthropometric parameters showed limits of agreement within +/-10 mm of 
      nail length. AL showed the least average difference and best limits of agreement 
      among all the anthropometric parameters. Among the lower limb parameters, the 
      KJL-MM showed the least average difference but poorer limits of agreement to nail 
      length. The OMD measurement showed a greater average difference than the AL 
      indicating it is a poorer upper limb parameter for predicting nail length. 
      CONCLUSION: AL as measured between the angle of the acromion to the lateral 
      epicondyle can be used as a preoperative upper limb anthropometric estimate of 
      nail length to one nail size of the optimum length. Further studies with a larger 
      sample size may reduce the confidence intervals and help justify its wider use. 
      HOW TO CITE THIS ARTICLE: Sharma A, Sinha S, Gupta S, et al. Evaluation of Arm 
      Length as a New Upper Limb Anthropometric Method for Preoperative Estimation of 
      Tibial Intramedullary Nail Length. Strategies Trauma Limb Reconstr 
      2021;16(1):20-26.
CI  - Copyright (c) 2021; Jaypee Brothers Medical Publishers (P) Ltd.
FAU - Sharma, Amit
AU  - Sharma A
AD  - Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.
FAU - Sinha, Siddhartha
AU  - Sinha S
AD  - Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.
FAU - Gupta, Sumit
AU  - Gupta S
AD  - Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.
FAU - Gupta, Anand
AU  - Gupta A
AD  - Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.
FAU - Narang, Amit
AU  - Narang A
AD  - Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.
FAU - Sharma, Parul
AU  - Sharma P
AD  - Department of Orthopaedics, Jamia Milia Islamia University, New Delhi, India.
FAU - Kanojia, Rajesh K
AU  - Kanojia RK
AD  - Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Strategies Trauma Limb Reconstr
JT  - Strategies in trauma and limb reconstruction
JID - 101299515
PMC - PMC8311751
OTO - NOTNLM
OT  - Anthropometry
OT  - Arm
OT  - Intramedullary nailing
OT  - Prospective study
OT  - Tibia
COIS- Source of support: Nil Conflict of interest: None
EDAT- 2021/07/31 06:00
MHDA- 2021/07/31 06:01
PMCR- 2021/01/01
CRDT- 2021/07/30 06:44
PHST- 2021/07/30 06:44 [entrez]
PHST- 2021/07/31 06:00 [pubmed]
PHST- 2021/07/31 06:01 [medline]
PHST- 2021/01/01 00:00 [pmc-release]
AID - 10.5005/jp-journals-10080-1520 [doi]
PST - ppublish
SO  - Strategies Trauma Limb Reconstr. 2021 Jan-Apr;16(1):20-26. doi: 
      10.5005/jp-journals-10080-1520.