Share This Article:

Morphological Measurements of Knee Joints in Indian Population: Comparison to Current Knee Prostheses

Full-Text HTML XML Download Download as PDF (Size:1305KB) PP. 75-85
DOI: 10.4236/ojra.2014.42012    3,100 Downloads   5,361 Views   Citations

ABSTRACT

Most of the existing total knee arthroplasty (TKA) implants are designed to suit the knee anatomy of the Western population. Studies have shown that there are striking variations in knee morphology between the Asian and Western population. We conducted a case-control study to investigate the anthropometry of the Indian arthritic knees using three dimensional knee models and evaluated them morphologically against commercially available TKA implants. Measurements included the mediolateral width (ML), anteroposterior width (AP) and aspect ratio of femur and tibia. Indian females were found to have smaller dimensions of femur and tibia than Indian males and both had smaller aspect ratios than the Western population. Our study suggests that there is a morphological mismatch between existing implants and Indian arthritic knees. This may mean that Western implants have drawbacks when implanted in Indian patients.

Cite this paper

Shah, D. , Ghyar, R. , Ravi, B. , Hegde, C. and Shetty, V. (2014) Morphological Measurements of Knee Joints in Indian Population: Comparison to Current Knee Prostheses. Open Journal of Rheumatology and Autoimmune Diseases, 4, 75-85. doi: 10.4236/ojra.2014.42012.

References

[1] Incavo, S.J., Ronchetti, P.J., Howe, J.G. and Tranowski, J.P. (1994) Tibial Plateau Coverage in Total Knee Arthroplasty. Clinical Orthopaedics and Related Research, 299, 81-85.
[2] Cheng, C.K., Lung, C.Y., Lee, Y.M. and Huang, C.H. (1999) A New Approach of Designing the Tibial Base Plate of Total Knee Prostheses. Clinical Biomechanics, 14, 112-117.
http://dx.doi.org/10.1016/S0268-0033(98)00054-0
[3] Kwak, D.S., Sibin, S., Patinharayil, G., et al. (2007) Morphometry of the Proximal Tibia to Design the Tibial Component of Total Knee Arthroplasty for the Korean Population. Knee, 14, 295-300. http://dx.doi.org/10.1016/j.knee.2007.05.004
[4] Ho, W.P., Cheng, C.K. and Liau, J.J. (2006) Morphometrical Measurements of Resected Surface of Femurs in Chinese Knees: Correlation to the Sizing of Current Femoral Implants. Knee, 13, 12-14. http://dx.doi.org/10.1016/j.knee.2005.05.002
[5] 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. The Journal of Knee Surgery, 16, 27-33.
[6] Westrich, G.H., Haas, S.B. and Insall, J.N. (1996) Resection Specimen Analysis of Proximal Tibial Anatomy Based on 100 Total Knee Arthroplasty Specimens. The Journal of Arthroplasty, 10, 47-51. http://dx.doi.org/10.1016/S0883-5403(05)80100-7
[7] Uehara, K., Kadoya, Y., Kobayashi, A., Ohashi, H. and Yamano, Y. (2002) Anthropometry of the Proximal Tibia to Design a Total Knee Prosthesis for the Japanese Population. The Journal of Arthroplasty, 17, 1028-1032. http://dx.doi.org/10.1054/arth.2002.35790
[8] Shah, D.S., Ghyar, R., Ravi, B. and Shetty, V. (2013) 3D morphological Study of the Indian Arthritic Knee: Comparison with Other Ethnic Groups and Conformity of Current TKA Implant. Open Journal of Rheumatology and Autoimmune Diseases, 3, 263-269. http://dx.doi.org/10.4236/ojra.2013.34041
[9] Kim, H.A., Kim, S., Seo, Y.I., et al. (2008) The Epidemiology of Total Knee Replacement in South Korea: National Registry Data. Rheumatology Oxford, 47, 88.
http://dx.doi.org/10.1093/rheumatology/kem308
[10] Cheng, F.B., Ji, X.F., Lai, Y., et al. (2009) Three Dimensional Morphometry of the Knee to Design the Total Knee Arthroplasty for Chinese Population. Knee, 16, 341-347.
http://dx.doi.org/10.1016/j.knee.2008.12.019
[11] Mahoney, O.M. and Kinsey, T. (2010) Overhang of Femoral Component in Total Knee Arthroplasty: Risk Factors and Clinical Consequences. The Journal of Bone & Joint Surgery, 92, 1115-1121. http://dx.doi.org/10.2106/JBJS.H.00434
[12] Vaidya, S.V., Ranawat, C.S., Aroojis, A. and Laud, N.S. (2000) Anthropometric Measurements to Design Total Knee Prostheses for the Indian Population. The Journal of Arthroplasty, 15, 79-85. http://dx.doi.org/10.1016/S0883-5403(00)91285-3
[13] Lee, I.S., Choi, J.A., Kim, T.K., Han, I., Lee, J.W. and Kang, H.S. (2006) Reliability Analysis of 16-MDCT in Preoperative Evaluation of Total Knee Arthroplasty and Comparison with Intraoperative Measurements. American Journal of Roentgenology, 186, 1778-1782.
http://dx.doi.org/10.2214/AJR.05.1191
[14] Seedhom, B.B., Longton, E.B., Wright, V., et al. (1972) Dimensions of the Knee: Radiographic and Autopsy Study of Sizes Required by a Knee Prosthesis. Annals of the Rheumatic Diseases, 31, 54-58. http://dx.doi.org/10.1136/ard.31.1.54
[15] Yue, B., Kartik, M.V., Songtao, A., Tingting, T., Harry, E.R. and Guoan, L. (2011) Differences of Knee Anthropometry between Chinese and White Men and Women. The Journal of Arthroplasty, 26, 124-130. http://dx.doi.org/10.1016/j.arth.2009.11.020
[16] Berger, R.A., Rubash, H.E., Seel, M.J., Thompson, W.H. and Crossett, L.S. (1993) Determining Therotational Alignment of the Femoral Component in Total Knee Arthroplasty Using the Epicondylar Axis. Clinical Orthopaedics and Related Research, 286, 40-47.
[17] Mensch, J. and Amstutz, H. (1975) Knee Morphology as a Guide to Knee Replacement. Clinical Orthopaedics and Related Research, 112, 231-241.
[18] Wang, S.W., Feng, C.H. and Lu, H.S. (1992) A Study of Chinese Knee Joint Geometry for Prostheses Design. Chinese Medical Journal (English Edition), 105, 227-233.
[19] Griffin, F.M., Math, K., Scuderi, G.R., et al. (2000) Anatomy of the Epicondyles of the Distal Femur: MRI Analysis of Normal Knees. The Journal of Arthroplasty, 115, 354-359. http://dx.doi.org/10.1016/S0883-5403(00)90739-3
[20] Chin, K.R., Dalury, D.F., Zurakowski, D., et al. (2002) Intraoperative Measurements of Male and Female Distal Femurs during Primary Total Knee Arthroplasty. The Journal of Knee Surgery, 15, 213-217.

  
comments powered by Disqus

Copyright © 2017 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.