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Measurement of the consistency of patella-tendon-bearing modification using CAD — University of Strathclyde Skip to main navigation Skip to search Skip to main content University of Strathclyde Home Help & FAQ Home Profiles Research Units Research output Projects Datasets Equipment Student theses Impacts Prizes Activities Search by expertise, name or affiliation Measurement of the consistency of patella-tendon-bearing modification using CAD M O'Byrne, AK McFadyen, D Hannett, A McGarry Biomedical Engineering Research output: Contribution to journal › Article › peer-review 20 Downloads (Pure) Overview Fingerprint Abstract Study design: Pilot studyBackground: Computer aided design (CAD) is now commonly used in prosthetic clinical practice. To create a patellar tendon bearing (PTB) socket, further modification of the transtibial shape is required. Objectives: To investigate the consistency of transtibial shape modification for a PTB socket design using CAD.Methods: 13 transtibial models with marked anatomical landmarks were made, each linked to a fictitious patient history. Three clinicians were asked to complete modification for a PTB socket with suspension sleeve at weekly intervals over the course of three weeks. Measurements were recorded at landmarks and compared for intra and inter reliability.Results: Clinicians showed high intraclass and interclass correlation (ICC) values with narrow confidence intervals for the tibial tubercle, medial and lateral flares and distal end of the tibia. One clinician demonstrated moderate intra rater reliability for modification over the patellar tendon. All other ICC values for the patellar tendon and fibular head modification were low. Inter rater reliability was not calculated for fibular head and patellar tendon as intra ICC values should be above 0.6.Conclusions: All clinicians showed good consistency at tibial tubercle, distal tibia, medial and lateral flares. Patellar tendon (0.345< ICC < 0.641) and fibular head (0.165< ICC < 0.513) showed poorer consistency and require improvement. Original language English Article number 2 Number of pages 9 Journal Canadian Prosthetics & Orthotics Journal Volume 1 Issue number 1 DOIs https://doi.org/10.33137/cpoj.v1i1.30006 Publication status Published - 14 Jul 2018 Keywords prosthetics transtibial computer aided design CAD cast modification shape capture amputation prosthtetist lower limb amputation Access to Document 10.33137/cpoj.v1i1.30006Licence: CC BY 4.0 OBryrne-etal-CPOJ-2018-Measurement-of-the-consistency-of-patella-tendon-bearing-modification-using-cadFinal published version, 294 KBLicence: CC BY 4.0 Cite this APA Author BIBTEX Harvard Standard RIS Vancouver O'Byrne, M., McFadyen, AK., Hannett, D., & McGarry, A. (2018). Measurement of the consistency of patella-tendon-bearing modification using CAD. Canadian Prosthetics & Orthotics Journal, 1(1), [2]. https://doi.org/10.33137/cpoj.v1i1.30006 O'Byrne, M ; McFadyen, AK ; Hannett, D ; McGarry, A. / Measurement of the consistency of patella-tendon-bearing modification using CAD. In: Canadian Prosthetics & Orthotics Journal. 2018 ; Vol. 1, No. 1. @article{eef250d9b70346b98b930eab8c195797, title = "Measurement of the consistency of patella-tendon-bearing modification using CAD", abstract = "Study design: Pilot studyBackground: Computer aided design (CAD) is now commonly used in prosthetic clinical practice. To create a patellar tendon bearing (PTB) socket, further modification of the transtibial shape is required. Objectives: To investigate the consistency of transtibial shape modification for a PTB socket design using CAD.Methods: 13 transtibial models with marked anatomical landmarks were made, each linked to a fictitious patient history. Three clinicians were asked to complete modification for a PTB socket with suspension sleeve at weekly intervals over the course of three weeks. Measurements were recorded at landmarks and compared for intra and inter reliability.Results: Clinicians showed high intraclass and interclass correlation (ICC) values with narrow confidence intervals for the tibial tubercle, medial and lateral flares and distal end of the tibia. One clinician demonstrated moderate intra rater reliability for modification over the patellar tendon. All other ICC values for the patellar tendon and fibular head modification were low. Inter rater reliability was not calculated for fibular head and patellar tendon as intra ICC values should be above 0.6.Conclusions: All clinicians showed good consistency at tibial tubercle, distal tibia, medial and lateral flares. Patellar tendon (0.345< ICC < 0.641) and fibular head (0.165< ICC < 0.513) showed poorer consistency and require improvement.", keywords = "prosthetics, transtibial, computer aided design, CAD, cast modification, shape capture, amputation, prosthtetist, lower limb amputation", author = "M O'Byrne and AK McFadyen and D Hannett and A McGarry", year = "2018", month = jul, day = "14", doi = "10.33137/cpoj.v1i1.30006", language = "English", volume = "1", journal = "Canadian Prosthetics & Orthotics Journal", issn = "2561-987X", number = "1", } O'Byrne, M, McFadyen, AK, Hannett, D & McGarry, A 2018, 'Measurement of the consistency of patella-tendon-bearing modification using CAD', Canadian Prosthetics & Orthotics Journal, vol. 1, no. 1, 2. https://doi.org/10.33137/cpoj.v1i1.30006 Measurement of the consistency of patella-tendon-bearing modification using CAD. / O'Byrne, M; McFadyen, AK; Hannett, D; McGarry, A. In: Canadian Prosthetics & Orthotics Journal, Vol. 1, No. 1, 2, 14.07.2018. Research output: Contribution to journal › Article › peer-review TY - JOUR T1 - Measurement of the consistency of patella-tendon-bearing modification using CAD AU - O'Byrne, M AU - McFadyen, AK AU - Hannett, D AU - McGarry, A PY - 2018/7/14 Y1 - 2018/7/14 N2 - Study design: Pilot studyBackground: Computer aided design (CAD) is now commonly used in prosthetic clinical practice. To create a patellar tendon bearing (PTB) socket, further modification of the transtibial shape is required. Objectives: To investigate the consistency of transtibial shape modification for a PTB socket design using CAD.Methods: 13 transtibial models with marked anatomical landmarks were made, each linked to a fictitious patient history. Three clinicians were asked to complete modification for a PTB socket with suspension sleeve at weekly intervals over the course of three weeks. Measurements were recorded at landmarks and compared for intra and inter reliability.Results: Clinicians showed high intraclass and interclass correlation (ICC) values with narrow confidence intervals for the tibial tubercle, medial and lateral flares and distal end of the tibia. One clinician demonstrated moderate intra rater reliability for modification over the patellar tendon. All other ICC values for the patellar tendon and fibular head modification were low. Inter rater reliability was not calculated for fibular head and patellar tendon as intra ICC values should be above 0.6.Conclusions: All clinicians showed good consistency at tibial tubercle, distal tibia, medial and lateral flares. Patellar tendon (0.345< ICC < 0.641) and fibular head (0.165< ICC < 0.513) showed poorer consistency and require improvement. AB - Study design: Pilot studyBackground: Computer aided design (CAD) is now commonly used in prosthetic clinical practice. To create a patellar tendon bearing (PTB) socket, further modification of the transtibial shape is required. Objectives: To investigate the consistency of transtibial shape modification for a PTB socket design using CAD.Methods: 13 transtibial models with marked anatomical landmarks were made, each linked to a fictitious patient history. Three clinicians were asked to complete modification for a PTB socket with suspension sleeve at weekly intervals over the course of three weeks. Measurements were recorded at landmarks and compared for intra and inter reliability.Results: Clinicians showed high intraclass and interclass correlation (ICC) values with narrow confidence intervals for the tibial tubercle, medial and lateral flares and distal end of the tibia. One clinician demonstrated moderate intra rater reliability for modification over the patellar tendon. All other ICC values for the patellar tendon and fibular head modification were low. Inter rater reliability was not calculated for fibular head and patellar tendon as intra ICC values should be above 0.6.Conclusions: All clinicians showed good consistency at tibial tubercle, distal tibia, medial and lateral flares. Patellar tendon (0.345< ICC < 0.641) and fibular head (0.165< ICC < 0.513) showed poorer consistency and require improvement. KW - prosthetics KW - transtibial KW - computer aided design KW - CAD KW - cast modification KW - shape capture KW - amputation KW - prosthtetist KW - lower limb amputation U2 - 10.33137/cpoj.v1i1.30006 DO - 10.33137/cpoj.v1i1.30006 M3 - Article VL - 1 JO - Canadian Prosthetics & Orthotics Journal JF - Canadian Prosthetics & Orthotics Journal SN - 2561-987X IS - 1 M1 - 2 ER - O'Byrne M, McFadyen AK, Hannett D, McGarry A. Measurement of the consistency of patella-tendon-bearing modification using CAD. Canadian Prosthetics & Orthotics Journal. 2018 Jul 14;1(1). 2. https://doi.org/10.33137/cpoj.v1i1.30006 Powered by Pure, Scopus & Elsevier Fingerprint Engine™ © 2022 Elsevier B.V. We use cookies to help provide and enhance our service and tailor content. By continuing you agree to the use of cookies Log in to Pure About web accessibility Contact us