Differences of Knee Anthropometry Between Chinese and White Men and Women

Yue, Bing; Varadarajan, Kartik M.; Ai, Songtao; Tang, Tingting; Rubash, Harry E.; Li, Guoan

doi:10.1016/j.arth.2009.11.020

Cited by 197 publications

(228 citation statements)

References 24 publications

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“…The mediolateral and anteroposterior dimensions of the femur were then measured by fitting a rectangular bounding box to the distal femur [10]. A line tangent to posterior aspect of both the condyles, posterior condylar tangent (PCT), was constructed.…”

Section: Measurementsmentioning

confidence: 99%

3D Morphological Study of the Indian Arthritic Knee: Comparison with Other Ethnic Groups and Conformity of Current TKA Implant*

Shah¹,

Ghyar²,

Ravi³

et al. 2013

OJRA

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Background: Studies have shown that there are striking variations in knee morphology between Asian and Western population. However, most of the existing total knee arthroplasty (TKA) implants are designed to suit the anatomy of Western population. Our study investigated anthropometry of Indian arthritic knees and compared them to international ethnic groups. Methods: Computed tomography was used to create 3D knee models and obtain anthropometric data of distal femur and proximal tibia of Indian arthritic knees. Femoral measurements included mediolateral length, medial and lateral anteroposterior length, medial and lateral condylar width and aspect ratio. Tibial measurements included mediolateral length, medial, lateral and central anteroposterior length and aspect ratio. A preoperative virtual implantation using Western TKA implants was carried out to visualize anatomical conformity. Results: Statistical analysis results showed that Indian males had significantly larger femoral and tibial mediolateral and anteroposterior width than Indian females; however, femoral and tibial aspect ratio was similar for both. In case of females, significant difference was observed between medial and lateral condylar widths. When compared to knee anthropometry of other ethnic groups, femoral and tibial aspect ratio of Indian knees was found to be similar to the Asian population and different from the Western population. The virtual implantation showed overhang of the femoral component in both lateral and medial regions. Conclusion: Morphological mismatch between Western and Indian knees established the fact that Western implants have drawbacks when implanted in Indian patients. The study also provided a basis for designing gender-specific TKA implants for the Indian population.

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Section: Measurementsmentioning

confidence: 99%

3D Morphological Study of the Indian Arthritic Knee: Comparison with Other Ethnic Groups and Conformity of Current TKA Implant*

Shah¹,

Ghyar²,

Ravi³

et al. 2013

OJRA

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“…This sample size was larger than the table value of [21,30] and in keeping with previous studies that have investigated morphometry [15,20,24,29,36].…”

Section: Resultsmentioning

confidence: 85%

Anthropometric measurements of tibial plateau and correlation with the current tibial implants

Erkoçak

Küçükdurmaz

Sayar

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…In the coronal plane, it was angled equally with respect to the medial and lateral edges of the tibial shaft [11].…”

Section: Tibial Morphologymentioning

confidence: 99%

“…The fML and fAP dimensions of the femur were then measured. In addition, the femoral aspect ratio (fML/fAP) was also calculated [11].…”

Section: Femoral Morphologymentioning

confidence: 99%

Computer tomography 3D reconstruction based study of knee anthropometry of Indian population: Comparison with other ethnic groups and current TKA implants

Agrawal¹,

Dalei²,

Reddy³

2017

Int. J. Orthop. Sci.

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Introduction: Most of the implants used for total knee arthroplasty in Asian patients have been produced based on anthropometry of Western people. Anthropometric studies have shown that there are significant variations in knee morphology between the Asian and Western population. Data of Indian knee morphometry of healthy and non osteoarthritic knee was lacking. Objective of this study was to study the knee anthropometry of Indian population and its comparison with other ethnic groups and current TKA Implants. Materials and Methods: 60 patients, 29 female and 31 male with peri-articlar knee injuries from the period of June 2016 to November 2016 were studied. 3D reconstruction of normal knee of the patients undergoing CT scan for injured knee was done. Measurement of the mediolateral width, anteroposterior width and aspect ratio of distal femur and proximal tibia was done. Data was compared with other ethnic groups and currently available and commonly used knee systems. Results: Indian females were found to have significantly (p>0.01) smaller dimensions of femur and tibia than Indian males and both had smaller aspect ratios than the Western population. Also study suggests that there is a morphological mismatch between commonly used implants and Indian knees. Conclusion: Our study suggests that why Western implant mismatches when implanted in Indian patients. Also this study provides definite rationale for designing total knee prosthesis, especially a gender-specific design suitable for the Indian population.

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Differences of Knee Anthropometry Between Chinese and White Men and Women

Cited by 197 publications

References 24 publications

3D Morphological Study of the Indian Arthritic Knee: Comparison with Other Ethnic Groups and Conformity of Current TKA Implant*

3D Morphological Study of the Indian Arthritic Knee: Comparison with Other Ethnic Groups and Conformity of Current TKA Implant*

Anthropometric measurements of tibial plateau and correlation with the current tibial implants

Computer tomography 3D reconstruction based study of knee anthropometry of Indian population: Comparison with other ethnic groups and current TKA implants

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