Accuracy of noninvasive, single-plane fluoroscopic analysis for measurement of three-dimensional femorotibial joint poses in dogs.
OBJECTIVE
To compare accuracy of a noninvasive single-plane fluoroscopic technique with radiostereometric analysis (RSA) for determining 3-D femorotibial poses in a canine cadaver with normal stifle joints.


METHODS
Right pelvic limb from a 25-kg adult mixed-breed dog.


METHODS
A CT scan of the limb was obtained before and after metal beads were implanted into the right femur and tibia. Orthogonal fluoroscopic images of the right stifle joint were acquired to simulate a biplanar fluoroscopic acquisition setup. Images were obtained at 5 flexion angles from 110° to 150° to simulate a gait cycle; 5 cycles were completed. Joint poses were calculated from the biplanar images by use of RSA with CT-derived beaded bone models and compared with measurements obtained by use of CT-derived nonbeaded bone models matched to single-plane, lateral-view fluoroscopic images. Single-plane measurements were performed by 2 observers and repeated 3 times by the primary observer.


RESULTS
Mean absolute differences between the single-plane fluoroscopic analysis and RSA measurements were 0.60, 1.28, and 0.64 mm for craniocaudal, proximodistal, and mediolateral translations, respectively, and 0.63°, 1.49°, and 1.58° for flexion-extension, abduction-adduction, and internal-external rotations, respectively. Intra- and interobserver repeatability was strong with maximum mean translational and rotational SDs of 0.52 mm and 1.36°, respectively.


CONCLUSIONS
Results suggested that single-plane fluoroscopic analysis performed by use of CT-derived bone models is a valid, noninvasive technique for accurately measuring 3-D femorotibial poses in dogs.
Comparative Orthopaedics and Biomechanics Laboratory, College of Veterinary Medicine, University of Florida, Gainesville, FL 32608.
Stephen C
SC
Jones
Stanley E
SE
Kim
Scott A
SA
Banks
Bryan P
BP
Conrad
Abdullah Z
AZ
Abbasi
Giovanni
G
Tremolada
Daniel D
DD
Lewis
Antonio
A
Pozzi
D000818:Animals; D001696:Biomechanical Phenomena; D002102:Cadaver; D061827:Dimensional Measurement Accuracy; D004285:Dogs; D005269:Femur / Q000000981:diagnostic imaging; D005471:Fluoroscopy / Q000379:methods / Q000662:veterinary*; D005684:Gait / Q000502:physiology; D021621:Imaging, Three-Dimensional / Q000379:methods / Q000662:veterinary*; D016059:Range of Motion, Articular / Q000502:physiology; D013264:Stifle / Q000000981:diagnostic imaging*; D013977:Tibia / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed / Q000662:veterinary