{"id":19346,"date":"2026-07-02T09:02:06","date_gmt":"2026-07-02T07:02:06","guid":{"rendered":"https:\/\/centre-assal.ch\/?post_type=publications&p=19346"},"modified":"2026-07-02T09:20:47","modified_gmt":"2026-07-02T07:20:47","slug":"the-importance-of-axial-rotation-of-the-lower-limb","status":"publish","type":"publications","link":"https:\/\/centre-assal.ch\/en\/publications\/the-importance-of-axial-rotation-of-the-lower-limb\/","title":{"rendered":"The importance of axial rotation of the lower limb"},"content":{"rendered":"

Aims<\/strong>
\nAssessment of lower limb alignment is a cornerstone of orthopaedics. Few studies look
\nat rotational alignment in the axial plane as measured by femoral version (FV) and tibial
\ntorsion (TT), both of which have implications for hip, knee, and ankle pathology. This
\nreview provides an overview of the axial rotation and evaluates CT-b ased measurement
\nmethods for FV and TT to identify the most reliable and reproducible techniques for use in
\nclinical practice.<\/p>\n

Methods<\/strong>
\nA systematic PRISMA- guided review assessed original CT-b ased methods, examining
\ninter- and intraobserver reliability (intraclass correlation coefficient (ICC)), frequency of
\nuse, and validation.<\/p>\n

Results<\/strong>
\nSeven FV and nine TT CT- based techniques were identified. FV had a weighted mean of
\n17.8\u00b0 anteversion (-9 \u00b0 to 60\u00b0). TT had a weighted mean of 30.8\u00b0 (2\u00b0 to 82\u00b0). ICCs ranged from
\ngood to excellent. The Murphy method (FV) and Goutallier method (TT) had the highest
\nreliability and clinical utility.<\/p>\n

Conclusion<\/strong>
\nLower limb axial rotational profile plays an important role in the management of hip, knee,
\nand ankle arthroplasty surgery as well as many other orthopaedic pathologies. The Murphy
\nand Goutallier methods should be adopted as standard for measuring FV and TT. Their high
\nreproducibility and validation make them ideal for consistent clinical and research use.<\/p>","protected":false},"featured_media":0,"template":"","categorie_publications":[89],"class_list":["post-19346","publications","type-publications","status-publish","hentry","categorie_publications-article-scientifique"],"acf":[],"yoast_head":"\nThe importance of axial rotation of the lower limb - Centre Assal<\/title>\n<meta name=\"description\" content=\"Assessment of lower limb alignment is a cornerstone of orthopaedics. Few studies lookat rotational alignment in the axial plane as measured by femoral version (FV) and tibialtorsion (TT), both of which have implications for hip, knee, and ankle pathology. Thisreview provides an overview of the axial rotation and evaluates CT-b ased measurementmethods for FV and TT to identify the most reliable and reproducible techniques for use inclinical practice.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/centre-assal.ch\/en\/publications\/the-importance-of-axial-rotation-of-the-lower-limb\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The importance of axial rotation of the lower limb - Centre Assal\" \/>\n<meta property=\"og:description\" content=\"Assessment of lower limb alignment is a cornerstone of orthopaedics. Few studies lookat rotational alignment in the axial plane as measured by femoral version (FV) and tibialtorsion (TT), both of which have implications for hip, knee, and ankle pathology. 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