Research Article
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Year 2023, Volume: 17 Issue: 1, 1 - 4, 30.04.2023

Abstract

References

  • Kim DI, Kwak DS, Han SH. Sex determination using discriminant analysis of the medial and lateral condyles of the femur in Koreans. Forensic Sci Int 2013;233:121–5.
  • Mahfouz M, Abdel Fatah EE, Bowers LS, Scuderi G. Three-dimensional morphology of the knee reveals ethnic differences. Clin Orthop Relat Res 2012;470:172–85.
  • Pinskerova V, Nemec K, Landor I. Gender differences in the morphology of the trochlea and the distal femur. Knee Surg Sports Traumatol Arthrosc 2014;22:2342–9.
  • Cavaignac E, Ancelin D, Reina N, Telmon N, Chiron P. Geometric morphometric analysis reveals ethnic group related differences in the distal femur. Journal of Orthopedic and Trauma Surgery 2016;102:S181.
  • Bansal V, Mishra A, Verma T, Maini D, Karkhur Y, Maini L. Anthropometric assessment of tibial resection surface morphology in total knee arthroplasty for tibial component design in Indian population. J Arthrosc Jt Surg 2018;5:24–8.
  • Cheng FB, Ji XF, Lai Y, Feng JC, Zheng WX, Sun YF, Fu YW, Li YQ. Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population. Knee 2009;16:341–7.
  • Yue B, Varadarajan KM, Ai S, Tang T, Rubash HE, Li G. Gender differences in the knees of Chinese population. Knee Surg Sports Traumatol Arthrosc 2011;19:80–8.
  • Koh YG, Jung KH, Hong HT, Kim KM, Kang KT. Optimal design of patient-specific total knee arthroplasty for improvement in wear performance. J Clin Med 2019;8:2023.
  • Mahoney OM, Kinsey T. Overhang of the femoral component in total knee arthroplasty: risk factors and clinical consequences. J Bone Joint Surg Am 2010;92:1115–21.
  • Phombut C, Rooppakhun S, Sindhupakorn B. Morphometric analysis and three-dimensional computed tomography reconstruction of Thai distal femur. Applied Sciences 2021;11:1052.
  • Gunaratne R, Pratt DN, Banda J, Fick DP, Khan RJK, Robertson BW. Patient dissatisfaction following total knee arthroplasty: a systematic review of the literature. J Arthroplasty 2017;32:3854–60.
  • Insall JN, Hood RW, Flawn LB, Sullivan DJ. The total condylar knee prosthesis in gonarthrosis. A five to nine-year follow-up of the first one hundred consecutive replacements. J Bone Joint Surg Am 1983;65:619–28.
  • Hitt K, Shurman 2nd JR, Greene K, McCarthy J, Moskal J, Hoeman T, Mont MA. Anthropometric measurements of the human knee: correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg Am 2003;85:115–22.
  • Lonner JH, Jasko JG, Thomas BS. Anthropomorphic differences between the distal femora of men and women. Clin Orthop Relat Res 2008;466:2724–9.
  • Barrett WP. The need for gender-specific prostheses in TKA: does size make a difference? Orthopedics 2006;29:S53–5.
  • MacDonald SJ, Charron KD, Bourne RB, Naudie DD, McCalden RW, Rorabeck CH. The John Insall Award: gender-specific total knee replacement: prospectively collected clinical outcomes. Clin Orthop Relat Res 2008;466:2612–6.
  • Merchant AC, Arendt EA, Dye SF, Fredericson M, Grelsamer RP, Leadbetter WB, Post WR, Teitge RA. The female knee: anatomic variations and the female-specific total knee design. Clin Orthop Relat Res 2008;466:3059–65.
  • Kawahara S, Okazaki K, Okamoto S, Iwamoto Y, Banks SA. A lateralized anterior flange improves femoral component bone coverage in current total knee prostheses. Knee 2016;23:719–24.
  • Mueller JKP, Wentorf FA, Moore RE. Femoral and tibial insert downsizing increases the laxity envelope in TKA. Knee Surg Sports Traumatol Arthrosc 2014;22:3003–11.

Morphological analysis of the distal femur: a radiological study

Year 2023, Volume: 17 Issue: 1, 1 - 4, 30.04.2023

Abstract

Objectives: The morphology of the femur in both proximal and distal parts has been the subject of various studies. The dimensions of the distal femur are important in prosthesis and implant design, especially for knee joints in cases such as total knee arthroplasty. This study aims to enrich the limited literature on distal femur morphology by using computed tomography images of 100 dry femur bones obtained from the human skeleton.
Methods: Computed tomography sections were evaluated for the distal parts of 100 dry human femur bones and parameters such as mediolateral length, anteroposterior width, and medial and lateral condyle widths were measured. Measurement data were presented as means and standard deviations.
Results: As a result of the measurements, the mean mediolateral length was 76.1 mm and the mean anteroposterior width was 59.9 mm. The femoral aspect ratio was 1.27.
Conclusion: Understanding the variations in distal femur morphology will reduce the risk of bone-size mismatch in total knee replacement designs.

References

  • Kim DI, Kwak DS, Han SH. Sex determination using discriminant analysis of the medial and lateral condyles of the femur in Koreans. Forensic Sci Int 2013;233:121–5.
  • Mahfouz M, Abdel Fatah EE, Bowers LS, Scuderi G. Three-dimensional morphology of the knee reveals ethnic differences. Clin Orthop Relat Res 2012;470:172–85.
  • Pinskerova V, Nemec K, Landor I. Gender differences in the morphology of the trochlea and the distal femur. Knee Surg Sports Traumatol Arthrosc 2014;22:2342–9.
  • Cavaignac E, Ancelin D, Reina N, Telmon N, Chiron P. Geometric morphometric analysis reveals ethnic group related differences in the distal femur. Journal of Orthopedic and Trauma Surgery 2016;102:S181.
  • Bansal V, Mishra A, Verma T, Maini D, Karkhur Y, Maini L. Anthropometric assessment of tibial resection surface morphology in total knee arthroplasty for tibial component design in Indian population. J Arthrosc Jt Surg 2018;5:24–8.
  • Cheng FB, Ji XF, Lai Y, Feng JC, Zheng WX, Sun YF, Fu YW, Li YQ. Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population. Knee 2009;16:341–7.
  • Yue B, Varadarajan KM, Ai S, Tang T, Rubash HE, Li G. Gender differences in the knees of Chinese population. Knee Surg Sports Traumatol Arthrosc 2011;19:80–8.
  • Koh YG, Jung KH, Hong HT, Kim KM, Kang KT. Optimal design of patient-specific total knee arthroplasty for improvement in wear performance. J Clin Med 2019;8:2023.
  • Mahoney OM, Kinsey T. Overhang of the femoral component in total knee arthroplasty: risk factors and clinical consequences. J Bone Joint Surg Am 2010;92:1115–21.
  • Phombut C, Rooppakhun S, Sindhupakorn B. Morphometric analysis and three-dimensional computed tomography reconstruction of Thai distal femur. Applied Sciences 2021;11:1052.
  • Gunaratne R, Pratt DN, Banda J, Fick DP, Khan RJK, Robertson BW. Patient dissatisfaction following total knee arthroplasty: a systematic review of the literature. J Arthroplasty 2017;32:3854–60.
  • Insall JN, Hood RW, Flawn LB, Sullivan DJ. The total condylar knee prosthesis in gonarthrosis. A five to nine-year follow-up of the first one hundred consecutive replacements. J Bone Joint Surg Am 1983;65:619–28.
  • Hitt K, Shurman 2nd JR, Greene K, McCarthy J, Moskal J, Hoeman T, Mont MA. Anthropometric measurements of the human knee: correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg Am 2003;85:115–22.
  • Lonner JH, Jasko JG, Thomas BS. Anthropomorphic differences between the distal femora of men and women. Clin Orthop Relat Res 2008;466:2724–9.
  • Barrett WP. The need for gender-specific prostheses in TKA: does size make a difference? Orthopedics 2006;29:S53–5.
  • MacDonald SJ, Charron KD, Bourne RB, Naudie DD, McCalden RW, Rorabeck CH. The John Insall Award: gender-specific total knee replacement: prospectively collected clinical outcomes. Clin Orthop Relat Res 2008;466:2612–6.
  • Merchant AC, Arendt EA, Dye SF, Fredericson M, Grelsamer RP, Leadbetter WB, Post WR, Teitge RA. The female knee: anatomic variations and the female-specific total knee design. Clin Orthop Relat Res 2008;466:3059–65.
  • Kawahara S, Okazaki K, Okamoto S, Iwamoto Y, Banks SA. A lateralized anterior flange improves femoral component bone coverage in current total knee prostheses. Knee 2016;23:719–24.
  • Mueller JKP, Wentorf FA, Moore RE. Femoral and tibial insert downsizing increases the laxity envelope in TKA. Knee Surg Sports Traumatol Arthrosc 2014;22:3003–11.
There are 19 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Original Articles
Authors

Cem Özcan 0000-0002-1541-2484

Early Pub Date October 11, 2023
Publication Date April 30, 2023
Published in Issue Year 2023 Volume: 17 Issue: 1

Cite

APA Özcan, C. (2023). Morphological analysis of the distal femur: a radiological study. Anatomy, 17(1), 1-4.
AMA Özcan C. Morphological analysis of the distal femur: a radiological study. Anatomy. April 2023;17(1):1-4.
Chicago Özcan, Cem. “Morphological Analysis of the Distal Femur: A Radiological Study”. Anatomy 17, no. 1 (April 2023): 1-4.
EndNote Özcan C (April 1, 2023) Morphological analysis of the distal femur: a radiological study. Anatomy 17 1 1–4.
IEEE C. Özcan, “Morphological analysis of the distal femur: a radiological study”, Anatomy, vol. 17, no. 1, pp. 1–4, 2023.
ISNAD Özcan, Cem. “Morphological Analysis of the Distal Femur: A Radiological Study”. Anatomy 17/1 (April 2023), 1-4.
JAMA Özcan C. Morphological analysis of the distal femur: a radiological study. Anatomy. 2023;17:1–4.
MLA Özcan, Cem. “Morphological Analysis of the Distal Femur: A Radiological Study”. Anatomy, vol. 17, no. 1, 2023, pp. 1-4.
Vancouver Özcan C. Morphological analysis of the distal femur: a radiological study. Anatomy. 2023;17(1):1-4.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).