Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population

被引:162
作者
Cheng, Fu Bo [1 ,2 ]
Ji, Xiao Feng [3 ]
Lai, Ying [4 ]
Feng, Jia Chun [2 ]
Zheng, Wen Xu [1 ]
Sun, Yue Fang [1 ]
Fu, Yao Wen [5 ]
Li, You Qiong [1 ]
机构
[1] Jilin Univ, Dept Anat, Norman Bethune Med Sch, Changchun 130021, Jilin Province, Peoples R China
[2] Jilin Univ, Dept Neurol, Affiliated Hosp 1, Changchun 130021, Jilin Province, Peoples R China
[3] Jilin Univ, Dept Orthoped, China Japan Union Hosp, Changchun 130021, Jilin Province, Peoples R China
[4] Jilin Univ, Dept Radiol, China Japan Union Hosp, Changchun 130021, Jilin Province, Peoples R China
[5] Jilin Univ, Organ Transplantat Ctr, Affiliated Hosp 1, Changchun 130021, Jilin Province, Peoples R China
关键词
Computer tomography; Total knee arthroplasty; Morphometry; Digital Chinese human knee; Gender prostheses design; ANTHROPOMETRIC MEASUREMENTS; FEMORAL IMPLANTS; PROXIMAL TIBIA; PROSTHESIS; COMPONENT; ANATOMY; DIMENSIONS; COVERAGE;
D O I
10.1016/j.knee.2008.12.019
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Anthropometric data on the proximal tibia and distal femur of 172 normal knees (94 male knees, 78 female knees) were obtained using three dimensional computer tomographic measurements, We measured the tibial mediolateral (tML) and tibial anteroposterior (tAP) dimension in resected proximal tibia surface, femoral mediolateral (fML) and femoral anteroposterior (fAP) dimension in resected distal femur surface. The measurements were compared with the similar dimensions of five total knee prostheses conventionally used in China. We found that in the smaller sized prostheses the tibial mediolateral dimension was undersized, while in the larger size prostheses the tibial mediolateral dimension was overhang. For all sizes of prostheses the femoral mediolateral dimension was overhang. We found a progressively decreased in the aspect ratio (ML/AP%) with an increasing anteroposterior dimension both in the tibia and femur, as compared to the constant aspect ratio shown by the conventional total Prostheses. Male had larger values in mediolateral dimension and aspect ratio than female under a given anteroposterior dimension both in the tibia and femur. There were strong correlations between measurements of the tibia and femur. The results of this study may provide guidelines for designing suitable total knee prosthesis for the Chinese population, especially for design of gender-specific prostheses. (C) 2009 Elsevier B.V. All rights reserved.
引用
收藏
页码:341 / 347
页数:7
相关论文
共 25 条
[1]
[Anonymous], J ARTHROPLASTY
[2]
BERGER RA, 1993, CLIN ORTHOP RELAT R, P40
[3]
A new approach of designing the tibial baseplate of total knee prostheses [J].
Cheng, CK ;
Lung, CY ;
Lee, YM ;
Huang, CH .
CLINICAL BIOMECHANICS, 1999, 14 (02) :112-117
[4]
Chin Kingsley R, 2002, J Knee Surg, V15, P213
[5]
CHOW SL, 1996, THESIS NANYANG TU
[6]
Anatomy of the epicondyles of the distal femur - MRI analysis of normal knees [J].
Griffin, FM ;
Math, K ;
Scuderi, GR ;
Insall, JN ;
Poilvache, PL .
JOURNAL OF ARTHROPLASTY, 2000, 15 (03) :354-359
[7]
Anthropometric measurements of the human knee: Correlation to the sizing of current knee arthroplasty systems [J].
Hitt, K ;
Shurman, JR ;
Greene, K ;
McCarthy, J ;
Moskal, J ;
Hoeman, T ;
Mont, MA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A :115-122
[8]
Morphometrical measurements of resected surface of femurs in Chinese knees: Correlation to the sizing of current femoral implants [J].
Ho, WP ;
Cheng, CK ;
Liau, HJ .
KNEE, 2006, 13 (01) :12-14
[9]
HOAGLUND FT, 1980, CLIN ORTHOP RELAT R, P10
[10]
INCAVO SJ, 1994, CLIN ORTHOP RELAT R, P81