Three-dimensional morphometric differences of resected distal femurs and proximal tibias in osteoarthritic and normal knees

Abstract Background There is a paucity of data concerning the morphological differences of resected distal femurs and proximal tibias in osteoarthritic (OA) and normal knees. The objective of this study was to determine whether morphometric differences in the surfaces of resected distal femurs and p...

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Autores principales: Xiang-hui Dong, Xiang-hui Huang, Ming Chen, Yan-Hai Chang, Ming Ling, Bo Yang
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Lenguaje:EN
Publicado: BMC 2021
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spelling oai:doaj.org-article:2de0de1bd42942578f0be424a64ee9fb2021-12-05T12:18:16ZThree-dimensional morphometric differences of resected distal femurs and proximal tibias in osteoarthritic and normal knees10.1186/s12891-021-04889-z1471-2474https://doaj.org/article/2de0de1bd42942578f0be424a64ee9fb2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04889-zhttps://doaj.org/toc/1471-2474Abstract Background There is a paucity of data concerning the morphological differences of resected distal femurs and proximal tibias in osteoarthritic (OA) and normal knees. The objective of this study was to determine whether morphometric differences in the surfaces of resected distal femurs and proximal tibias exist between OA and normal knees in a Chinese population. Methods Ninety-four OA knees and ninety-five normal knees were evaluated in Chinese individuals. Computed tomography was used to measure the femoral mediolateral (fML), medial anteroposterior (fMAP), lateral anteroposterior (fLAP), medial condylar width (fMCW), lateral condylar width (fLCW), medial posterior condylar curvature radii (fMCR), lateral posterior condyle curvature radii (fLCR), fML/fMAP aspect ratio, tibial mediolateral (tML), middle anteroposterior (tAP), medial anteroposterior (tMAP), and lateral anteroposterior (tLAP) tML/tMAP aspect ratio to determine the morphologic differences between OA and normal knees. Results The average fMCW and tMAP dimensions of OA knees were larger than those of normal knees in both male and female (p <0.05). The fMAP/fML aspect ratio and tMAP/tML aspect ratio were also significantly different in both sexs (p <0.05). OA knees have an oval-shaped distal femur with a wider ML length and more spherical-shaped proximal tibiae with relatively narrow ML dimensions. Conclusions The study revealed the morphological differences in fMCW, tMAP, fMAP/fML and tMAP/tML between OA and normal knees in both males and females. These findings may provide guidelines that can be used to design better knee implants that are more size-matched for OA knees.Xiang-hui DongXiang-hui HuangMing ChenYan-Hai ChangMing LingBo YangBMCarticleComputed tomographyOsteoarthritisNormal kneeTotal knee arthroplastyMorphometryDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Computed tomography
Osteoarthritis
Normal knee
Total knee arthroplasty
Morphometry
Diseases of the musculoskeletal system
RC925-935
spellingShingle Computed tomography
Osteoarthritis
Normal knee
Total knee arthroplasty
Morphometry
Diseases of the musculoskeletal system
RC925-935
Xiang-hui Dong
Xiang-hui Huang
Ming Chen
Yan-Hai Chang
Ming Ling
Bo Yang
Three-dimensional morphometric differences of resected distal femurs and proximal tibias in osteoarthritic and normal knees
description Abstract Background There is a paucity of data concerning the morphological differences of resected distal femurs and proximal tibias in osteoarthritic (OA) and normal knees. The objective of this study was to determine whether morphometric differences in the surfaces of resected distal femurs and proximal tibias exist between OA and normal knees in a Chinese population. Methods Ninety-four OA knees and ninety-five normal knees were evaluated in Chinese individuals. Computed tomography was used to measure the femoral mediolateral (fML), medial anteroposterior (fMAP), lateral anteroposterior (fLAP), medial condylar width (fMCW), lateral condylar width (fLCW), medial posterior condylar curvature radii (fMCR), lateral posterior condyle curvature radii (fLCR), fML/fMAP aspect ratio, tibial mediolateral (tML), middle anteroposterior (tAP), medial anteroposterior (tMAP), and lateral anteroposterior (tLAP) tML/tMAP aspect ratio to determine the morphologic differences between OA and normal knees. Results The average fMCW and tMAP dimensions of OA knees were larger than those of normal knees in both male and female (p <0.05). The fMAP/fML aspect ratio and tMAP/tML aspect ratio were also significantly different in both sexs (p <0.05). OA knees have an oval-shaped distal femur with a wider ML length and more spherical-shaped proximal tibiae with relatively narrow ML dimensions. Conclusions The study revealed the morphological differences in fMCW, tMAP, fMAP/fML and tMAP/tML between OA and normal knees in both males and females. These findings may provide guidelines that can be used to design better knee implants that are more size-matched for OA knees.
format article
author Xiang-hui Dong
Xiang-hui Huang
Ming Chen
Yan-Hai Chang
Ming Ling
Bo Yang
author_facet Xiang-hui Dong
Xiang-hui Huang
Ming Chen
Yan-Hai Chang
Ming Ling
Bo Yang
author_sort Xiang-hui Dong
title Three-dimensional morphometric differences of resected distal femurs and proximal tibias in osteoarthritic and normal knees
title_short Three-dimensional morphometric differences of resected distal femurs and proximal tibias in osteoarthritic and normal knees
title_full Three-dimensional morphometric differences of resected distal femurs and proximal tibias in osteoarthritic and normal knees
title_fullStr Three-dimensional morphometric differences of resected distal femurs and proximal tibias in osteoarthritic and normal knees
title_full_unstemmed Three-dimensional morphometric differences of resected distal femurs and proximal tibias in osteoarthritic and normal knees
title_sort three-dimensional morphometric differences of resected distal femurs and proximal tibias in osteoarthritic and normal knees
publisher BMC
publishDate 2021
url https://doaj.org/article/2de0de1bd42942578f0be424a64ee9fb
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