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Gender differences in the knees of Chinese population

  • Knee
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

The goal of this study was to characterize the geometry of the distal femur and proximal tibia in the Chinese population. Three-dimensional models of twenty female and twenty male knees were constructed using CT images. The morphologic measurements of the distal femur included mediolateral (ML) and anteroposterior dimension of medial and lateral condyles (MAP, LAP), femoral aspect ratio (ML/LAP), medial and lateral condylar width, intercondylar notch width, notch width index (NWI), and trochlear groove orientation. The sagittal profiles of the medial and lateral femoral condyles and tibial plateaus were also characterized. The results showed that the size of the distal femur of the females was significantly smaller than that of the males. Furthermore, when normalized by LAP, the females had a significantly narrower distal femur (ML), and a shorter MAP compared to the males. In the sagittal plane, the radius of the lateral distal circle of the femur was significantly smaller than that of the medial condyle in both genders. There were no significant gender differences in the proximal tibial geometry. The data of the present study may enable suitable modification of total knee prosthesis sizing/geometry for Asia-Pacific patients.

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References

  1. Biscevic M, Hebibovic M, Smrke D (2005) Variations of femoral condyle shape. Coll Antropol 29:409–414

    PubMed  Google Scholar 

  2. Bull AM, Kessler O, Alam M, Amis AA (2008) Changes in knee kinematics reflect the articular geometry after arthroplasty. Clin Orthop Relat Res 466:2491–2499

    Article  PubMed  Google Scholar 

  3. Chaudhari AM, Dyrby CO, Andriacchi TP (2005) The importance of the ACL for the function of the knee: relevance to future developments. In: Bellemans J, Ries MD, Victor J (eds) Total Knee Arthroplasty. A Guide to Get Better Performance. Springer, New York, pp 121–125

    Google Scholar 

  4. Cheng FB, Ji XF, Lai Y, Feng JC, Zheng WX, Sun YF, Fu YW, Li YQ (2009) Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population. Knee 16:341–347

    Article  PubMed  Google Scholar 

  5. Chin KR, Dalury DF, Zurakowski D, Scott RD (2002) Intraoperative measurements of male and female distal femurs during primary total knee arthroplasty. J Knee Surg 15:213–217

    PubMed  Google Scholar 

  6. Clarke HD, Hentz JG (2008) Restoration of femoral anatomy in TKA with unisex and gender-specific components. Clin Orthop Relat Res 466:2711–2716

    Article  PubMed  Google Scholar 

  7. Conley S, Rosenberg A, Crowninshield R (2007) The female knee: anatomic variations. J Am Acad Orthop Surg 15(Suppl 1):S31–S36

    PubMed  Google Scholar 

  8. Freeman MA, Pinskerova V (2005) The movement of the normal tibio-femoral joint. J Biomech 38:197–208

    Article  CAS  PubMed  Google Scholar 

  9. Freeman MAR (2001) How the knee moves. Curr Orthop 15:444–450

    Article  Google Scholar 

  10. Garth WP Jr, Greco J, House MA (2000) The lateral notch sign associated with acute anterior cruciate ligament disruption. Am J Sports Med 28:68–73

    PubMed  Google Scholar 

  11. Greene KA (2007) Gender-specific design in total knee arthroplasty. J Arthroplasty 22:27–31

    Article  PubMed  Google Scholar 

  12. Hitt K, Shurman JR II, 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

    PubMed  Google Scholar 

  13. 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

    Article  PubMed  Google Scholar 

  14. Inoue K, Hukuda S, Fardellon P, Yang ZQ, Nakai M, Katayama K, Ushiyama T, Saruhashi Y, Huang J, Mayeda A, Catteddu I, Obry C (2001) Prevalence of large-joint osteoarthritis in Asian and Caucasian skeletal populations. Rheumatology (Oxford) 40:70–73

    Article  CAS  Google Scholar 

  15. Iwaki H, Pinskerova V, Freeman MA (2000) Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee. J Bone Joint Surg Br 82:1189–1195

    Article  CAS  PubMed  Google Scholar 

  16. Kim HA, Kim S, Seo YI, Choi HJ, Seong SC, Song YW, Hunter D, Zhang Y (2008) The epidemiology of total knee replacement in South Korea: national registry data. Rheumatology (Oxford) 47:88–91

    Article  Google Scholar 

  17. Li G, DeFrate LE, Park SE, Gill TJ, Rubash HE (2005) In vivo articular cartilage contact kinematics of the knee: an investigation using dual-orthogonal fluoroscopy and magnetic resonance image-based computer models. Am J Sports Med 33:102–107

    Article  CAS  PubMed  Google Scholar 

  18. Li G, Papannagari R, Nha KW, Defrate LE, Gill TJ, Rubash HE (2007) The coupled motion of the femur and patella during in vivo weightbearing knee flexion. J Biomech Eng 129:937–943

    Article  PubMed  Google Scholar 

  19. Lonner JH, Jasko JG, Thomas BS (2008) Anthropomorphic differences between the distal femora of men and women. Clin Orthop Relat Res 466:2724–2729

    Article  PubMed  Google Scholar 

  20. Mahfouz MR, Merkl BC, Fatah EE, Booth R Jr, Argenson JN (2007) Automatic methods for characterization of sexual dimorphism of adult femora: distal femur. Comput Methods Biomech Biomed Eng 10:447–456

    Article  CAS  Google Scholar 

  21. Malek IA, Moorehead JD, Abiddin Z, Montgomery SC (2009) The correlation between femoral condyle radii and subject height. Clin Anat 22:517–522

    Article  CAS  PubMed  Google Scholar 

  22. Merchant AC, Arendt EA, Dye SF, Fredericson M, Grelsamer RP, Leadbetter WB, Post WR, Teitge RA (2008) The female knee: anatomic variations and the female-specific total knee design. Clin Orthop Relat Res 466:3059–3065

    Article  PubMed  Google Scholar 

  23. Most E, Li G, Schule S, Sultan P, Park SE, Zayontz S, Rubash HE (2003) The kinematics of fixed- and mobile-bearing total knee arthroplasty. Clin Orthop Relat Res 416:197–207

    Article  PubMed  Google Scholar 

  24. Nuno N, Ahmed AM (2003) Three-dimensional morphometry of the femoral condyles. Clin Biomech (Bristol, Avon) 18:924–932

    Article  CAS  Google Scholar 

  25. Poilvache PL, Insall JN, Scuderi GR, Font-Rodriguez DE (1996) Rotational landmarks and sizing of the distal femur in total knee arthroplasty. Clin Orthop Relat Res 331:35–46

    Article  PubMed  Google Scholar 

  26. Siu D, Rudan J, Wevers HW, Griffiths P (1996) Femoral articular shape and geometry. A three-dimensional computerized analysis of the knee. J Arthroplasty 11:166–173

    Article  CAS  PubMed  Google Scholar 

  27. Stewart TD, Hall RM (2006) Basic biomechanics of human joints: hips, knees and the spine. Curr Orthop 20:23–31

    Article  Google Scholar 

  28. 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

    Article  CAS  PubMed  Google Scholar 

  29. Varadarajan KM, Gill TJ, Freiberg AA, Rubash HE, Li G (2009) Gender differences in trochlear groove orientation and rotational kinematics of human knees. J Orthop Res 27:871–878

    Article  PubMed  Google Scholar 

  30. Yue B, Varadarajan KM, Ai S, Rubash HE, Li G (2010) Differences of knee anthropometry between chinese and caucasian men and women. J Arthroplasty. doi:10.1016/j.arth.2009.11.020

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Acknowledgments

This study was supported by an AEF grant of Department of Orthopaedics, MGH, the Program for Shanghai Key Laboratory of Orthopaedic Implant (08DZ2230330), Fund for Key Disciplines of Shanghai Municipal Education Commission (J50206), and National Natural Science Foundation of China (30901517).

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Correspondence to Guoan Li.

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Yue, B., Varadarajan, K.M., Ai, S. et al. Gender differences in the knees of Chinese population. Knee Surg Sports Traumatol Arthrosc 19, 80–88 (2011). https://doi.org/10.1007/s00167-010-1139-8

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  • DOI: https://doi.org/10.1007/s00167-010-1139-8

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