Clinical Implications of Femoral Anthropometrical Features for Total Knee Arthroplasty in Koreans.
Anthropometric features of Asians femora and their clinical relevance with regard to TKA are not rigorously investigated. We attempted to determine how well current prostheses accommodate femoral anthropometric features of Koreans and whether the presence of condylar or trochlear overhang or underhang adversely affects functional outcomes. We hypothesized that current prostheses do not accommodate Korean female femora well, and that overhang or underhang would adversely affect outcomes. Condylar and trochlear mediolateral (ML) widths and condylar anteroposterior (AP) heights were measured, and ML/AP ratios were calculated in 1025 osteoarthritic knees that underwent TKA. Besides gender difference, wide individual variation exists in condylar and trochlear widths and ML/AP aspect ratios for given AP heights. Size options of current prostheses could not cover the wide ranges of ML widths for given AP heights. The knees with condylar overhang more than 4mm showed lower maximum flexion angle postoperatively (P=0.005).
Knee and Spine Hospital, Seoul, Republic of Korea.
Byung June
BJ
Chung
Joint Reconstruction Center, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.
Jong Yeal
JY
Kang
Joint Reconstruction Center, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.
Yeon Gwi
YG
Kang
Department of Statistics, Korea University, Seoul, Republic of Korea.
Sung Ju
SJ
Kim
Joint Reconstruction Center, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Republic of Korea.
Tae Kyun
TK
Kim
D000368:Aged; D000886:Anthropometry; D019645:Arthroplasty, Replacement, Knee; D044466:Asian People / Q000706:statistics & numerical data*; D005260:Female; D005269:Femur / Q000033:anatomy & histology* / Q000601:surgery; D006801:Humans; D007720:Knee Prosthesis / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000601:surgery; D011184:Postoperative Period; D016059:Range of Motion, Articular; D012727:Sex Characteristics
femoral anthropometrical features; functional outcome; gender difference; overhang or underhang; total knee arthroplasty