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eISSN: 2581-9615 || CODEN: WJARAI || Impact Factor 8.2 ||  CrossRef DOI

Research and review articles are invited for publication in March 2026 (Volume 29, Issue 3) Submit manuscript

Clinical assessment of tibiofemoral angle and its relationship with body mass index

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  • Clinical assessment of tibiofemoral angle and its relationship with body mass index

Nnyagu Henry 1, *, Obiegbu Henry Obinna 2, Anyaehie Udo 1 and Ikeabba Henry 2

1 Department of Orthopaedic surgery, National Orthopaedic Hospital, Enugu, Enugu state, Nigeria.
2 Department of Orthopaedic surgery, Nnamdi Azikiwe University teaching hospital, Nnewi, Anambra state, Nigeria.
 
Research Article
World Journal of Advanced Research and Reviews, 2024, 23(01), 2756-2763
Article DOI: 10.30574/wjarr.2024.23.1.2201
DOI url: https://doi.org/10.30574/wjarr.2024.23.1.2201
 
Received on 13 June 2024; revised on 23 July 2024; accepted on 25 July 2024
 
Background: Few studies have investigated BMI as a factor that might influence the physiological development of knee alignment in otherwise healthy normal weight and overweight children and adolescents.
Objective: This study set out to determine the relationship between tibiofemoral angle and body mass index in normal children and adolescents in Enugu metropolis.
Methodology: This cross-sectional study was done in Enugu metropolis with 3147 school children and adolescents aged 3-17years. The tibiofemoral angle was measured clinically using standard goniometer with extendable arms. The weight, height, BMI percentile-for-age, were determined for all the subjects. The association between tibiofemoral angle and body mass index was then analyzed.
Results: Majority of the subjects (97.6%) had valgus TFA. The maximum knee valgus angle was 6.8o±0.80o at 4 years which then declined to a mean of 2⁰ at 17 years. 91.2% of the subjects examined were normal weight(5th-85th percentile), 6.2% underweight(< 5th percentile) and 2.5% overweight( 85th - 95th and > 95th percentile). The tibiofemoral angle was found to have a significant negative correlation with BMI in normal weight and overweight subjects.
Conclusions: We found a significant negative correlation between TFA and BMI in normal healthy weight and overweight children and adolescents. Thus, increasing BMI does not cause a corresponding increase in the magnitude of the knee angle.
 
Tibiofemoral angle; Body mass index; Varus; Valgus
 
https://wjarr.com/sites/default/files/fulltext_pdf/WJARR-2024-2201.pdf

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Nnyagu Henry, Obiegbu Henry Obinna, Anyaehie Udo and Ikeabba Henry. Clinical assessment of tibiofemoral angle and its relationship with body mass index. World Journal of Advanced Research and Reviews, 2024, 23(1), 2756-2763. Article DOI: https://doi.org/10.30574/wjarr.2024.23.1.2201

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