Year 2019, Volume 13 , Issue 3, Pages 174 - 182 2019-12-31

Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty

Mehmet ŞİMŞEK [1] , Murat BOZKURT [2]


Objectives: A proper morphometric analysis of the anatomy of the distal femur is of utmost importance for providing correct alignment for the survival of total knee arthroplasty (TKA). Herein, we aimed to conduct a detailed morphometric analysis of the distal femur, including the differences between men and women. We also aimed to determine landmarks in the sagittal and coronal planes for positioning of the femoral component during TKA and demonstrate the data that may affect clinical outcome.

Methods: Two-hundred adult femurs from the collection of anatomy department were enrolled in this study. Three-dimensional reconstruction of computed tomography scans were performed on these femurs. Differences between the reference axes and lines in the sagittal and coronal planes were obtained from the images, and correlation coefficients of the collected data were analyzed. All measurements were compared between men and women.

Results: The calculated mean angles between the sagittal mechanical axis, anterior cortical axis and distal medullary axis were found as 5.14±1.67° and 4.12±2.41°, respectively, and the mean angle difference between the posterior condylar line (PCL) and the epicondylar axis (EA) was 4.37±2.18°. The angle difference between PCL and EA was higher in females (p=0.047).

Conclusion: In addition to the gender-dependent anthropomorphic differences between the distal femurs of females and males, differences between the measurements used as reference in conventional TKA techniques may affect the post-operative alignment.
distal femur, femoral bowing, morphometry, total knee arthroplasty
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Original Articles
Authors

Orcid: 0000-0002-8081-0550
Author: Mehmet ŞİMŞEK (Primary Author)
Institution: LOKMAN HEKIM UNIVERSITY, MEDICAL SCHOOL
Country: Turkey


Author: Murat BOZKURT
Institution: FACULTY OF MEDICINE
Country: Turkey


Dates

Publication Date : December 31, 2019

Bibtex @research article { anatomy676875, journal = {Anatomy}, issn = {1307-8798}, eissn = {1308-8459}, address = {}, publisher = {Turkish Society of Anatomy and Clinical Anatomy (TSACA)}, year = {2019}, volume = {13}, pages = {174 - 182}, doi = {}, title = {Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty}, key = {cite}, author = {Şi̇mşek, Mehmet and Bozkurt, Murat} }
APA Şi̇mşek, M , Bozkurt, M . (2019). Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty . Anatomy , 13 (3) , 174-182 . Retrieved from https://dergipark.org.tr/en/pub/anatomy/issue/53646/676875
MLA Şi̇mşek, M , Bozkurt, M . "Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty" . Anatomy 13 (2019 ): 174-182 <https://dergipark.org.tr/en/pub/anatomy/issue/53646/676875>
Chicago Şi̇mşek, M , Bozkurt, M . "Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty". Anatomy 13 (2019 ): 174-182
RIS TY - JOUR T1 - Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty AU - Mehmet Şi̇mşek , Murat Bozkurt Y1 - 2019 PY - 2019 N1 - DO - T2 - Anatomy JF - Journal JO - JOR SP - 174 EP - 182 VL - 13 IS - 3 SN - 1307-8798-1308-8459 M3 - UR - Y2 - 2019 ER -
EndNote %0 Anatomy Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty %A Mehmet Şi̇mşek , Murat Bozkurt %T Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty %D 2019 %J Anatomy %P 1307-8798-1308-8459 %V 13 %N 3 %R %U
ISNAD Şi̇mşek, Mehmet , Bozkurt, Murat . "Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty". Anatomy 13 / 3 (December 2020): 174-182 .
AMA Şi̇mşek M , Bozkurt M . Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty. Anatomy. 2019; 13(3): 174-182.
Vancouver Şi̇mşek M , Bozkurt M . Clinical significance of the relationship between 3D analysis of the distal femur and femoral shaft anatomy in total knee arthroplasty. Anatomy. 2019; 13(3): 174-182.