Distal femoral rotational alignment in the Indian population - An important consideration in total knee arthroplasty.

Autor: Pun TB; Resident, Department of Orthopaedics, Christian Medical College, Vellore 632004, Tamil Nadu, India., Krishnamoorthy VP; Associate Professor, Department of Orthopaedics, Christian Medical College, Vellore 632004, Tamil Nadu, India., Korula RJ; Professor, Department of Orthopaedics, Christian Medical College, Vellore 632004, Tamil Nadu, India., Poonnoose PM; Professor, Department of Orthopaedics, Christian Medical College, Vellore 632004, Tamil Nadu, India.
Jazyk: angličtina
Zdroj: Journal of clinical orthopaedics and trauma [J Clin Orthop Trauma] 2015 Dec; Vol. 6 (4), pp. 240-3. Date of Electronic Publication: 2015 May 15.
DOI: 10.1016/j.jcot.2015.04.002
Abstrakt: Objective: To measure the angular relationships of distal femoral rotational axes in the normal Indian population.
Materials and Methods: Magnetic Resonance Imaging (MRI) scans of the knee of 40 Indian subjects were used to define the posterior condylar axis, the transepicondylar axis and the Whiteside's line (anteroposterior axis). The posterior condylar angle (PCA) - the angle between the posterior condylar axis and the transepicondylar axis, and the Whiteside-epicondylar angle (W-EP angle) were then calculated.
Results: The mean posterior condylar angle in the Indian knee was 4.67° and the mean Whiteside-epicondylar angle was 92.7°.
Conclusion: There are differences in the distal femoral rotational axes among various races. The mean PCA and the W-EP angle are more externally rotated in the Indian than in the Western, population, but similar to the Chinese. Using fixed values to define the angular relationships between the axes could lead to malrotation of the femoral component. An understanding of the racial differences is essential while designing implants for the Indian population.
Databáze: MEDLINE
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