Anthropometry of the medial tibial plateau in the Chinese population: the morphometric analysis and adaptability with Oxford Phase III tibial components

Abstract

Purpose

The objective of this study was to measure resected surfaces of the medial tibial plateau and to provide accurate anatomical parameters for the Chinese population and improve the unicompartmental knee arthroplasty (UKA) component design in the future.

Methods

This study measured different dimensions of the medial tibial plateau on MRIs of 1000 consecutive healthy Chinese people without knee deformity. The anteroposterior (AP) dimension and mediolateral dimensions at defined points (recorded as WA, WB, WC) of the medial tibial plateau were measured. The aspect ratio (WB/AP, recorded as AR) was also recorded. The measured results were grouped to compare with the dimensions of the Oxford Phase III tibial component. An independent t test was used to compare the differences between the males and females.

Results

The Oxford Phase III tibial component showed mediolateral overhang or undersize for the whole range of measured anteroposterior dimensions of the resected medial tibial plateau. A total of 71.3% patients’ resected surface did not match the Oxford Phase III tibial component well. The study also found a decrease in the aspect ratio (WB/AP) with an increase in the AP dimension in the medial tibial plateau.

Conclusions

There is a difference between the morphology of the Chinese knee joint and the configuration of the Oxford Phase III tibial components. The results of this study provided accurate anatomical parameters for Chinese and guidelines for designing UKA components suitable for the Chinese population.

Level of evidence

Retrospective comparative study, Level III.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. 1.

    Akagi M, Oh M, Nonaka T, Tsujimoto H, Asano T, Hamanishi C (2004) An anteroposterior axis of the tibia for total knee arthroplasty. Clin Orthop Relat Res 420(420):213–219. https://doi.org/10.1097/00003086-200403000-00030

    Article  Google Scholar 

  2. 2.

    Bonnin MP, Saffarini M, Shepherd D, Bossard N, Dantony E (2016) Oversizing the tibial component in TKAs: incidence, consequences and risk factors. Knee Surg Sports Traumatol Arthrosc 24(8):2532–2540

    Article  Google Scholar 

  3. 3.

    Bonnin MP, Schmidt A, Basiglini L, Bossard N, Dantony E (2013) Mediolateral oversizing influences pain, function, and flexion after TKA. Knee Surg Sports Traumatol Arthrosc 21(10):2314–2324

    Article  Google Scholar 

  4. 4.

    Chang TW, Huang CH, McClean CJ, Lai YS, Lu YC, Cheng CK (2012) Morphometrical measurement of resected surface of medial and lateral proximal tibia for Chinese population. Knee Surg Sports Traumatol Arthrosc 20(9):1730–1735

    Article  Google Scholar 

  5. 5.

    Chau R, Gulati A, Pandit H, Beard DJ, Price AJ, Dodd CA, Gill HS, Murray DW (2009) Tibial component overhang following unicompartmental knee replacement—does it matter? Knee 16(5):310–313

    CAS  Article  Google Scholar 

  6. 6.

    Cheng FB, Ji XF, Zheng WX, Lai Y, Cheng KL, Feng JC, Li YQ (2010) Use of anthropometric data from the medial tibial and femoral condyles to design unicondylar knee prostheses in the Chinese population. Knee Surg Sports Traumatol Arthrosc 18(3):352–358

    Article  Google Scholar 

  7. 7.

    Fitzpatrick C, FitzPatrick D, Lee J, Auger D (2007) Statistical design of unicompartmental tibial implants and comparison with current devices. Knee 14(2):138–144

    Article  Google Scholar 

  8. 8.

    Fitzpatrick CK, FitzPatrick DP, Auger DD (2008) Size and shape of the resection surface geometry of the osteoarthritic knee in relation to total knee replacement design. Proc Inst Mech Eng H 222(6):923–932

    CAS  Article  Google Scholar 

  9. 9.

    Hitt K, Shurman JN, Greene K, McCarthy J, Moskal J, Hoeman T, Mont MA (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

    Article  Google Scholar 

  10. 10.

    Kang KT, Kwon OR, Son J, Suh DS, Kwon SK, Koh YG (2018) Effect of joint line preservation on mobile-type bearing unicompartmental knee arthroplasty: finite element analysis. Australas Phys Eng Sci Med 41(1):201–208

    Article  Google Scholar 

  11. 11.

    Kawahara S, Matsuda S, Okazaki K, Tashiro Y, Iwamoto Y (2012) Is the medial wall of the intercondylar notch useful for tibial rotational reference in unicompartmental knee arthroplasty? Clin Orthop 470(4):1177–1184

    Article  Google Scholar 

  12. 12.

    Kucukdurmaz F, Tuncay I, Elmadag M, Tuncer N (2014) Morphometry of the medial tibial plateau in Turkish knees: correlation to the current tibial components of unicompartmental knee arthroplasty. Acta Orthop Traumatol Turc 48(2):147–151

    Article  Google Scholar 

  13. 13.

    Mahoney OM, Kinsey T (2010) Overhang of the femoral component in total knee arthroplasty: risk factors and clinical consequences. J Bone Joint Surg Am 92(5):1115–1121

    Article  Google Scholar 

  14. 14.

    Nielsen PT, Hansen EB, Rechnagel K (1992) Cementless total knee arthroplasty in unselected cases of osteoarthritis and rheumatoid arthritis. A 3-year follow-up study of 103 cases. J Arthroplasty 7(2):137–143

    CAS  Article  Google Scholar 

  15. 15.

    Rankin A, Bostrom M, Hozack W (2008) Gender-specific knee replacements: a technology overview. J Am Acad Orthop Surg 16(2):63–67

    Article  Google Scholar 

  16. 16.

    Schwab JH, Haidukewych GJ, Hanssen AD, Jacofsky DJ, Pagnano MW (2005) Flexion instability without dislocation after posterior stabilized total knees. Clin Orthop 440:96–100

    Article  Google Scholar 

  17. 17.

    Servien E, Saffarini M, Lustig S, Chomel S, Neyret P (2008) Lateral versus medial tibial plateau: morphometric analysis and adaptability with current tibial component design. Knee Surg Sports Traumatol Arthrosc 16(12):1141–1145

    CAS  Article  Google Scholar 

  18. 18.

    Surendran S, Kwak DS, Lee UY, Park SE, Gopinathan P, Han SH, Han CW (2007) Anthropometry of the medial tibial condyle to design the tibial component for unicondylar knee arthroplasty for the Korean population. Knee Surg Sports Traumatol Arthrosc 15(4):436–442

    Article  Google Scholar 

  19. 19.

    Yokoyama M, Nakamura Y, Egusa M, Doi H, Onishi T, Hirano K, Doi M (2019) Factors related to stress fracture after unicompartmental knee arthroplasty. Asia Pac J Sports Med Arthrosc Rehabil Technol 15:1–5

    PubMed  Google Scholar 

Download references

Funding

This study was funded by National Natural Science Foundation of China (Grant number 81703896, 81673776), Beijing municipal science and technology commission (Grant number Z171100001017209), and the Capital Health Research and Development of Special (Grant number 2016-2-4062).

Author information

Affiliations

Authors

Contributions

FL and WG: contributed to the conception and design; FL and QZ: did the analysis and interpretation; FL and PL: did the data collection; FL and PL: wrote the article; WG: did the revision of the article.

Corresponding author

Correspondence to Wanshou Guo.

Ethics declarations

Conflict of interest

Author Feifan Lu, Author Qidong Zhang, Author Pei Liu, and Author Wanshou Guo declare that they have no conflict of interest. The authors report no proprietary or commercial interest in any product mentioned or concept discussed in this article.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (XLSX 66 kb)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Lu, F., Zhang, Q., Liu, P. et al. Anthropometry of the medial tibial plateau in the Chinese population: the morphometric analysis and adaptability with Oxford Phase III tibial components. Knee Surg Sports Traumatol Arthrosc 28, 3048–3054 (2020). https://doi.org/10.1007/s00167-019-05777-9

Download citation

Keywords

  • Anthropometry
  • Tibial plateau
  • Oxford Phase III UKA tibial components
  • Chinese population