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Published on: December 16, 2022
Morphometric Study of Lower End Femur by Using Helical Computed Tomography
Bhanu Awasthi1, Sunil Kumar Raina2, Vivek Negi1
1Department of Orthopaedics, Dr R.P.G.M.C, Tanda, Himachal Pradesh, India.
This study analyzed knee CT scans in Indian adults, revealing significant sex-based differences in distal femur morphology. These findings are crucial for improving total knee arthroplasty (TKA) implant fit and patient outcomes.
Area of Science:
- Orthopedic surgery
- Radiology
- Anthropometry
Background:
- Prosthesis-bone size mismatch can cause complications in total knee arthroplasty (TKA).
- Understanding ethnic variations in knee morphology is vital for optimizing TKA performance.
- This study focused on the computed tomography (CT) profile of the distal femur in the Indian population.
Purpose of the Study:
- To analyze the computed tomography (CT) morphological profile of the distal femur in the Indian population.
- To identify sex-specific anatomical differences in knee joint dimensions.
- To provide data for improving TKA component design and surgical planning.
Main Methods:
- A descriptive study involving 62 patients with knee osteoarthritis or trauma in rural North-West India.
- Helical CT scans of both knees were performed.
- Data analysis included t-tests using SPSS version 17.0, with P < 0.05 considered significant.
Main Results:
- Male patients exhibited significantly larger mean mediolateral (ML) dimensions (72.74 ± 4.45 mm) compared to females (63.59 ± 2.61 mm).
- Mean anteroposterior (AP) dimensions were significantly higher in males (49.62 ± 3.86 mm) than females (45.11 ± 4.4 mm).
- Mean anterior lateral condylar height (ALCH) was greater in males (17.53 ± 2.72 mm) than females (14.63 ± 3.42 mm).
Conclusions:
- The study underscores the necessity of age- and sex-specific anatomical considerations for TKA components.
- Developing implants tailored to the ethnic-specific features of diverse populations is essential.
- These findings can aid in reducing complications associated with TKA and distal femur fractures.
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