Browse > Article
http://dx.doi.org/10.5115/acb.2010.43.3.252

Resected femoral anthropometry for design of the femoral component of the total knee prosthesis in a Korean population  

Kwak, Dai-Soon (Catholic Institute for Applied Anatomy.Department of Anatomy, School of Medicine, The Catholic University of Korea)
Han, Suh-Youn (Monte Vista Christian School class of 2012)
Han, Chang-Whan (Somang Orthopedic Clinic)
Han, Seung-Ho (Catholic Institute for Applied Anatomy.Department of Anatomy, School of Medicine, The Catholic University of Korea)
Publication Information
Anatomy and Cell Biology / v.43, no.3, 2010 , pp. 252-259 More about this Journal
Abstract
We measured the mediolateral (ML) and anteroposterior (AP) length, height and widths of the anterior, posterior and inferior section of the resected distal femurs using three dimensional computer tomographic measurements in 200 knees from 100 cadavers. We also calculated the aspect ratio (ML/AP) and compared the measured parameters with that of six conventionally used total knee femoral prostheses. We found that the average ML ($70.2{\pm}5.5$ mm) and AP ($53.9{\pm}3.8$ mm) dimensions from our study were lower than those reported from Western populations. The aspect ratio showed a progressive decline with an increasing antero-posterior dimension. All of the compared designs showed undersizing for the mediolateral dimension distally and for the widths of the resected medial and lateral posterior femoral condyles. But some of the compared designs showed oversizing for the height of the resected medial and lateral posterior femoral condyles. This study provides guidelines for designing a suitable femoral component for total knee prostheses that fit Asian populations.
Keywords
Distal femur anthropometry; Computed tomography; Aspect ratio; Femoral prosthesis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Wang SW, Feng CH, Lu HS. (1992). A study of Chinese knee joint geometry for prosthesis design. Chin Med J (Engl) 105: 227-233
2 Low FH, Khoo LP, Chua CK, Lo NN. (2000). Kinematic analysis of total knee prosthesis designed for Asian population. Crit Rev Biomed Eng 28: 33-40   DOI   ScienceOn
3 Mensch JS, Amstutz HC. (1975). Knee morphology as a guide to knee replacement. Clin Orthop Relat Res 112: 231-241
4 Moreland JR, Bassett LW, Hanker GJ. (1987). Radiographic analysis of the axial alignment of the lower extremity. J Bone Joint Surg Am 69: 745-749   DOI
5 Ranawat CS. (1986). The patellofemoral joint in total condylar knee arthroplasty. Pros and cons based on five- to ten-year follow-up observations. Clin Orthop Relat Res 205: 93-99
6 Urabe K, Miura H, Kuwano T, et al. (2003). Comparison between the shape of resected femoral sections and femoral prostheses used in total knee arthroplasty in Japanese patients: simulation using three-dimensional computed tomography. J Knee Surg 16: 27-33
7 Vaidya SV, Ranawat CS, Aroojis A, Laud NS. (2000). Anthropometric measurements to design total knee prostheses for the Indian population. J Arthroplasty 15: 79-85   DOI   ScienceOn
8 Dorr LD, Boiardo RA. (1986). Technical considerations in total knee arthroplasty. Clin Orthop Relat Res 205: 5-11
9 Hitt K, Shurman JR 2nd, Greene K, et al. (2003). Anthropometric measurements of the human knee: correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg Am 85-A(Suppl 4): 115-122
10 Goldberg VM, Figgie HE 3rd, Figgie MP. (1989). Technical considerations in total knee surgery. Management of patella problems. Orthop Clin North Am 20: 189-199
11 Ho WP, Cheng CK, Liau JJ. (2006). Morphometrical measurements of resected surface of femurs in Chinese knees: correlation to the sizing of current femoral implants. Knee 13: 12-14   DOI   ScienceOn