Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2021

Open Access 01-12-2021 | Magnetic Resonance Imaging | Research article

Anthropometry of the medial femoral condyle in the Chinese population: the morphometric analysis to design unicomparmental knee component

Authors: Feifan Lu, Xiaowei Sun, Weiguo Wang, Qidong Zhang, Wanshou Guo

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

Login to get access

Abstract

Background

This study aimed to assess the radii of the distal and posterior articular surfaces of the medial femoral condyle in a Chinese population and provide detailed parameters of the knee joint for the future design of UKA components.

Methods

This study included 500 consecutive Chinese patients who underwent knee MRI from Jan 2019 to Jan 2020. The two most appropriate circles were used to reveal the distal and posterior joint surfaces in the sagittal plane of the MRI images. The radius of the circle representing the distal articular surface in the sagittal plane was measured as R1, and the radius of the posterior articular surface was measured as R2. The distance between the centers of the two rotation circles was recorded as d. An independent t test was used to compare the differences between men and women. The Pearson correlation coefficient was calculated to analyze the correlation between R1 and R2. SPSS v19.0 software was used for statistical analysis.

Results

The average values of R1, R2, R1/R2 and d were calculated. Scatter plots were constructed to show the trend of changes in the radius of the distal and posterior articular surfaces of the femoral condyle. R1, R2 and d differed significantly between men and women (p < 0.05). Correlation analysis showed that R1 was positively correlated with R2 (r = 0.61, p < 0.05).

Conclusions

The data of the radii of the distal and posterior articular surfaces of the medial femoral condyle were provided. In the UKA design, the relationships between the radii of the distal and posterior articular surfaces should be taken into account.
Literature
1.
go back to reference Walker T, Hetto P, Bruckner T, Gotterbarm T, Merle C, Panzram B, Innmann MM, Moradi B. Minimally invasive Oxford unicompartmental knee arthroplasty ensures excellent functional outcome and high survivorship in the long term. Knee Surg Sports Traumatol Arthrosc. 2019;27:1658–64.CrossRef Walker T, Hetto P, Bruckner T, Gotterbarm T, Merle C, Panzram B, Innmann MM, Moradi B. Minimally invasive Oxford unicompartmental knee arthroplasty ensures excellent functional outcome and high survivorship in the long term. Knee Surg Sports Traumatol Arthrosc. 2019;27:1658–64.CrossRef
2.
go back to reference Price AJ, Svard U. A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res. 2011;469:174–9.CrossRef Price AJ, Svard U. A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res. 2011;469:174–9.CrossRef
3.
go back to reference Johal S, Nakano N, Baxter M, Hujazi I, Pandit H, Khanduja V. Unicompartmental Knee Arthroplasty: The Past, Current Controversies, and Future Perspectives. J KNEE SURG. 2018;31:992–8.CrossRef Johal S, Nakano N, Baxter M, Hujazi I, Pandit H, Khanduja V. Unicompartmental Knee Arthroplasty: The Past, Current Controversies, and Future Perspectives. J KNEE SURG. 2018;31:992–8.CrossRef
4.
go back to reference Kucukdurmaz F, Tuncay I, Elmadag M, Tuncer N. Morphometry of the medial tibial plateau in Turkish knees: correlation to the current tibial components of unicompartmental knee arthroplasty. Acta Orthop Traumatol Turc. 2014;48:147–51.CrossRef Kucukdurmaz F, Tuncay I, Elmadag M, Tuncer N. Morphometry of the medial tibial plateau in Turkish knees: correlation to the current tibial components of unicompartmental knee arthroplasty. Acta Orthop Traumatol Turc. 2014;48:147–51.CrossRef
5.
go back to reference Cheng FB, Ji XF, Zheng WX, Lai Y, Cheng KL, Feng JC, Li YQ. Use of anthropometric data from the medial tibial and femoral condyles to design unicondylar knee prostheses in the Chinese population. Knee Surg Sports Traumatol Arthrosc. 2010;18:352–8.CrossRef Cheng FB, Ji XF, Zheng WX, Lai Y, Cheng KL, Feng JC, Li YQ. Use of anthropometric data from the medial tibial and femoral condyles to design unicondylar knee prostheses in the Chinese population. Knee Surg Sports Traumatol Arthrosc. 2010;18:352–8.CrossRef
6.
go back to reference Surendran S, Kwak DS, Lee UY, Park SE, Gopinathan P, Han SH, Han CW. Anthropometry of the medial tibial condyle to design the tibial component for unicondylar knee arthroplasty for the Korean population. Knee Surg Sports Traumatol Arthrosc. 2007;15:436–42.CrossRef Surendran S, Kwak DS, Lee UY, Park SE, Gopinathan P, Han SH, Han CW. Anthropometry of the medial tibial condyle to design the tibial component for unicondylar knee arthroplasty for the Korean population. Knee Surg Sports Traumatol Arthrosc. 2007;15:436–42.CrossRef
7.
go back to reference Lim HC, Bae JH, Song SH, Kim SJ. Oxford phase 3 unicompartmental knee replacement in Korean patients. J Bone Joint Surg Br. 2012;94:1071–6.CrossRef Lim HC, Bae JH, Song SH, Kim SJ. Oxford phase 3 unicompartmental knee replacement in Korean patients. J Bone Joint Surg Br. 2012;94:1071–6.CrossRef
8.
go back to reference Xue H, Tu Y, Ma T, Wen T, Yang T, Cai M. Up to twelve year follow-up of the Oxford phase three unicompartmental knee replacement in China: seven hundred and eight knees from an independent centre. INT ORTHOP. 2017;41:1571–7.CrossRef Xue H, Tu Y, Ma T, Wen T, Yang T, Cai M. Up to twelve year follow-up of the Oxford phase three unicompartmental knee replacement in China: seven hundred and eight knees from an independent centre. INT ORTHOP. 2017;41:1571–7.CrossRef
9.
go back to reference Yoshida K, Tada M, Yoshida H, Takei S, Fukuoka S, Nakamura H. Oxford phase 3 unicompartmental knee arthroplasty in Japan--clinical results in greater than one thousand cases over ten years. J ARTHROPLASTY. 2013;28:168–71.CrossRef Yoshida K, Tada M, Yoshida H, Takei S, Fukuoka S, Nakamura H. Oxford phase 3 unicompartmental knee arthroplasty in Japan--clinical results in greater than one thousand cases over ten years. J ARTHROPLASTY. 2013;28:168–71.CrossRef
10.
go back to reference Lu F, Zhang Q, Liu P, Guo W. Anthropometry of the medial tibial plateau in the Chinese population: the morphometric analysis and adaptability with Oxford Phase III tibial components. Knee Surg Sports Traumatol Arthrosc. 2019. Lu F, Zhang Q, Liu P, Guo W. Anthropometry of the medial tibial plateau in the Chinese population: the morphometric analysis and adaptability with Oxford Phase III tibial components. Knee Surg Sports Traumatol Arthrosc. 2019.
11.
go back to reference Yokoyama M, Nakamura Y, Egusa M, Doi H, Onishi T, Hirano K, Doi M. Factors related to stress fracture after unicompartmental knee arthroplasty. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2019;15:1–5.PubMed Yokoyama M, Nakamura Y, Egusa M, Doi H, Onishi T, Hirano K, Doi M. Factors related to stress fracture after unicompartmental knee arthroplasty. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2019;15:1–5.PubMed
12.
go back to reference Kang KT, Kwon OR, Son J, Suh DS, Kwon SK, Koh YG. Effect of joint line preservation on mobile-type bearing unicompartmental knee arthroplasty: finite element analysis. Australas Phys Eng Sci Med. 2018;41:201–8.CrossRef Kang KT, Kwon OR, Son J, Suh DS, Kwon SK, Koh YG. Effect of joint line preservation on mobile-type bearing unicompartmental knee arthroplasty: finite element analysis. Australas Phys Eng Sci Med. 2018;41:201–8.CrossRef
13.
go back to reference Siu D, Rudan J, Wevers HW, Griffiths P. Femoral articular shape and geometry. A three-dimensional computerized analysis of the knee, J ARTHROPLASTY. 1996;11:166–73.PubMed Siu D, Rudan J, Wevers HW, Griffiths P. Femoral articular shape and geometry. A three-dimensional computerized analysis of the knee, J ARTHROPLASTY. 1996;11:166–73.PubMed
14.
go back to reference Nuno N, Ahmed AM. Three-dimensional morphometry of the femoral condyles. Clin Biomech (Bristol, Avon). 2003;18:924–32.CrossRef Nuno N, Ahmed AM. Three-dimensional morphometry of the femoral condyles. Clin Biomech (Bristol, Avon). 2003;18:924–32.CrossRef
15.
go back to reference Iwaki H, Pinskerova V, Freeman MA. Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee. J Bone Joint Surg Br. 2000;82:1189–95.CrossRef Iwaki H, Pinskerova V, Freeman MA. Tibiofemoral movement 1: the shapes and relative movements of the femur and tibia in the unloaded cadaver knee. J Bone Joint Surg Br. 2000;82:1189–95.CrossRef
16.
go back to reference White SH, Roberts S, Jones PW. The Twin Peg Oxford partial knee replacement: the first 100 cases. KNEE. 2012;19:36–40.CrossRef White SH, Roberts S, Jones PW. The Twin Peg Oxford partial knee replacement: the first 100 cases. KNEE. 2012;19:36–40.CrossRef
17.
go back to reference Razek AA, El-Basyouni SR. Ultrasound of knee osteoarthritis: interobserver agreement and correlation with Western Ontario and McMaster Universities Osteoarthritis. CLIN RHEUMATOL. 2016;35:997–1001.CrossRef Razek AA, El-Basyouni SR. Ultrasound of knee osteoarthritis: interobserver agreement and correlation with Western Ontario and McMaster Universities Osteoarthritis. CLIN RHEUMATOL. 2016;35:997–1001.CrossRef
18.
go back to reference Razek AA, Fouda NS, Elmetwaley N, Elbogdady E. Sonography of the knee joint. J Ultrasound. 2009;12:53–60.CrossRef Razek AA, Fouda NS, Elmetwaley N, Elbogdady E. Sonography of the knee joint. J Ultrasound. 2009;12:53–60.CrossRef
19.
go back to reference Siu D, Rudan J, Wevers HW, Griffiths P. Femoral articular shape and geometry. A three-dimensional computerized analysis of the knee. J ARTHROPLASTY. 1996;11:166–73.CrossRef Siu D, Rudan J, Wevers HW, Griffiths P. Femoral articular shape and geometry. A three-dimensional computerized analysis of the knee. J ARTHROPLASTY. 1996;11:166–73.CrossRef
20.
go back to reference Nuno N, Ahmed AM. Sagittal profile of the femoral condyles and its application to femorotibial contact analysis. J Biomech Eng. 2001;123:18–26.CrossRef Nuno N, Ahmed AM. Sagittal profile of the femoral condyles and its application to femorotibial contact analysis. J Biomech Eng. 2001;123:18–26.CrossRef
21.
go back to reference Zoghi M, Hefzy MS, Fu KC, Jackson WT. A three-dimensional morphometrical study of the distal human femur. Proc Inst Mech Eng H. 1992;206:147–57.CrossRef Zoghi M, Hefzy MS, Fu KC, Jackson WT. A three-dimensional morphometrical study of the distal human femur. Proc Inst Mech Eng H. 1992;206:147–57.CrossRef
22.
go back to reference Hernigou P, Deschamps G. Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop Relat Res. 2004:161–5. Hernigou P, Deschamps G. Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop Relat Res. 2004:161–5.
23.
go back to reference Rankin A, Bostrom M, Hozack W. Gender-specific knee replacements: a technology overview. J Am Acad Orthop Surg. 2008;16:63–7.CrossRef Rankin A, Bostrom M, Hozack W. Gender-specific knee replacements: a technology overview. J Am Acad Orthop Surg. 2008;16:63–7.CrossRef
Metadata
Title
Anthropometry of the medial femoral condyle in the Chinese population: the morphometric analysis to design unicomparmental knee component
Authors
Feifan Lu
Xiaowei Sun
Weiguo Wang
Qidong Zhang
Wanshou Guo
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-021-03979-2

Other articles of this Issue 1/2021

BMC Musculoskeletal Disorders 1/2021 Go to the issue