Gender differences of the morphology of the distal femur and proximal tibia in a Korean population
| Autor: | Seung Ju Kim, Hong Chul Lim, Jae Gyoon Kim, Ji Yeol Yoon, Ji Hoon Bae, Jae Moon Lee |
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| Rok vydání: | 2011 |
| Předmět: |
musculoskeletal diseases
Adult Male Aspect ratio medicine.medical_treatment Osteoarthritis Prosthesis Design Condyle Proximal tibia Distal femur Young Adult Sex Factors Republic of Korea medicine Humans Orthopedics and Sports Medicine Femur Tibia Sex Distribution Arthroplasty Replacement Knee Retrospective Studies business.industry Incidence Anatomy Middle Aged Osteoarthritis Knee musculoskeletal system medicine.disease Arthroplasty Magnetic Resonance Imaging Female business |
| Zdroj: | The Knee. 20(1) |
| ISSN: | 1873-5800 |
| Popis: | We conducted this study to determine whether the sizes of distal femurs and proximal tibiae in Korean men and women are different, and to assess suitability of the sizes of prostheses currently used in Korea.We performed morphological analysis of proximal tibia and distal femur on 115 patients (56 male, 59 female) using MRI to investigate a gender difference. Tibial mediolateral dimension (tMAP), tibial medial anteroposterior dimension (tMAP), tibial lateral anteroposterior dimension (tLAP) femoral mediolateral dimension (fML), femoral medial anteroposterior dimension (fMAP), and femoral lateral anteroposterior dimension (fLAP) were measured. The ratio of tMAP and tLAP to tML (plateau aspect ratio, tAP/tML×100%), and that of fMAP and fLAP to fML (condylar aspect ratio, fAP/fML×100%) were calculated. The measurements were compared with the similar dimensions of four total knee implants currently used.The tML and tAP lengths showed a significant gender difference (P0.05). The plateau aspect ratio (tMAP/tML) revealed a significant difference between male (0.74±0.05) and female (0.68±0.04, P0.05). For morphotype of distal femur, males were found to have significantly large values (P0.05) in the parameters, except for fLAP. With regards to the ratio of the ML width to the AP length, the women showed a narrower ML width than the men. Both genders were distributed within the range of the dimensions of the prostheses currently used prostheses.Korean population revealed that women have smaller dimensions than male counterparts. In both genders, a relatively small size of prostheses matches distal femur and proximal tibia better among the implants currently used in Korea. |
| Databáze: | OpenAIRE |
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