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Morphometrical measurement of resected surface of medial and lateral proximal tibia for Chinese population

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The objective of this study was to analyze the morphology of the medial tibial plateau and lateral tibial plateau in Chinese knees and compared these measurements and features with those of commercial unicondylar tibial baseplates.

Methods

Three-dimensional knee models were reconstructed from computed tomography slices of 81 subjects. Among the series, 27 knees were from male subjects and 54 knees from female subjects. The dimensions and shape of the medial and lateral tibial plateaus were measured and compared with six commercially available unicondylar tibial baseplates.

Results

The results showed significant differences between the shapes of the medial and lateral tibial plateaus. For the lateral tibial plateau, the shape was symmetric about the mediolateral axis. The medial plateaus presented their widest mediolateral width in an obviously more posterior position than the lateral compartment. Additionally, the plateau aspect ratio decreased with increasing mediolateral dimensions, in contrast to the constant aspect ratio shown by conventional unicondylar knee prostheses.

Conclusion

Compartment-specific designs may optimize coverage between the prosthesis and resected tibial surface. The morphometrical measurements presented may allow manufacturers to design tibial baseplates that accommodate the structural variability between different ethnic groups.

Level of evidence

Prospective comparative study, Level II.

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References

  1. Ashraf T, Newman JH, Evans RL, Ackroyd CE (2002) Lateral unicompartmental knee replacement survivorship and clinical experience over 21 years. J Bone Jt Surg Br 84:1126–1130

    Article  CAS  Google Scholar 

  2. Bartel DL, Burstein AH, Santavicca EA, Insall JN (1982) Performance of the tibial component in total knee replacement. J Bone Jt Surg Am 64:1026–1033

    CAS  Google Scholar 

  3. Baré JV, Gill HS, Beard DJ, Murray DW (2006) A convex lateral tibial plateau for knee replacement. Knee 13:122–126

    Article  PubMed  Google Scholar 

  4. Chaichankul C, Tanavalee A, Itiravivong P (2011) Anthropometric measurements of knee joints in Thai population: correlation to the sizing of current knee prostheses. Knee 18:5–10

    Article  PubMed  Google Scholar 

  5. Chau R, Gulati A, Pandit H, Beard DJ, Price AJ, Dodd CA, Gill HS, Murray DW (2009) Tibial component overhang following unicompartmental knee replacement–does it matter? Knee 16:310–313

    Article  PubMed  CAS  Google Scholar 

  6. Chang TW, Yang CT, Liu YL, Chen WC, Lin KJ, Lai YS, Huang CH, Lu YC, Cheng CK (2011) Biomechanical evaluation of proximal tibial behavior following unicondylar knee arthroplasty: modified resected surface with corresponding surgical technique. Med Eng Phys PMID: 21741289

  7. Cheng FB, Ji XF, Zheng WX, Lai Y, Cheng KL, Feng JC, Li YQ (2010) 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 18:352–358

    Article  PubMed  Google Scholar 

  8. Cheng FB, Ji XF, Lai Y, Feng JC, Zheng WX, Sun YF, Fu YW, Li YQ (2009) Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population. Knee 16:341–347

    Article  PubMed  Google Scholar 

  9. Fisher DA, Dalury DF, Adams MJ, Shipps MR, Davis K (2010) Unicompartmental and total knee arthroplasty in the over 70 population. Orthopedics 33:668

    PubMed  Google Scholar 

  10. Hamilton WG, Ammeen D, Engh CA Jr, Engh GA (2010) Learning curve with minimally invasive unicompartmental knee arthroplasty. J Arthroplasty 25:735–740

    Article  PubMed  Google Scholar 

  11. Hang JR, Stanford TE, Graves SE, Davidson DC, de Steiger RN, Miller LN (2010) Outcome of revision of unicompartmental knee replacement. Acta Orthop 81:95–98

    Article  PubMed  Google Scholar 

  12. Heyse TJ, Tibesku CO (2010) Lateral unicompartmental knee arthroplasty: a review. Arch Orthop Trauma Surg 130:1539–1548

    Article  PubMed  Google Scholar 

  13. Koskinen E, Paavolainen P, Eskelinen A, Harilainen A, Sandelin J, Ylinen P, Tallroth K, Remes V (2009) Medial unicompartmental knee arthroplasty with Miller-Galante II prosthesis: mid-term clinical and radiographic results. Arch Orthop Trauma Surg 129:617–624

    Article  PubMed  Google Scholar 

  14. Naal FD, Fischer M, Preuss A, Goldhahn J, von Knoch F, Preiss S, Munzinger U, Drobny T (2007) Return to sports and recreational activity after unicompartmental knee arthroplasty. Am J Sports Med 35:1688–1695

    Article  PubMed  Google Scholar 

  15. Pennington DW, Swienckowski JJ, Lutes WB, Drake GN (2006) Lateral unicompartmental knee arthroplasty: survivorship and technical considerations at an average follow-up of 12.4 years. J Arthroplasty 21:13–17

    Article  PubMed  Google Scholar 

  16. Sah AP, Scott RD (2007) Lateral unicompartmental knee arthroplasty through a medial approach. Study with an average five-year follow-up. J Bone Jt Surg Am 89:1948–1954

    Article  Google Scholar 

  17. Servien E, Saffarini M, Lustig S, Chomel S, Neyret P (2008) Lateral versus medial tibial plateau: morphometric analysis and adaptability with current tibial component design. Knee Surg Sports Traumatol Arthrosc 16:1141–1145

    Article  PubMed  CAS  Google Scholar 

  18. Stulberg BN, Dombrowski RM, Froimson M, Easley K (1995) Computed tomography analysis of proximal tibial coverage. Clin Orthop Relat Res 311:148–156

    PubMed  Google Scholar 

  19. Surendran S, Kwak DS, Lee UY, Park SE, Gopinathan P, Han SH, Han CW (2007) Anthropometry of the medial tibial condyle to design the tibial component for unicondylar knee arthroplasty for the Korean population. Knee Surg Sports Traumatol Arthrosc 15:436–442

    Article  PubMed  Google Scholar 

  20. Tang Q, Zhou Y, Yang D, Xu H, Liu Q (2010) The offset of the tibial shaft from the tibial plateau in Chinese people. J Bone Jt Surg Am 92:1981–1987

    Article  Google Scholar 

  21. Uehara K, Kadoya Y, Kobayashi A, Ohashi H, Yamano Y (2002) Anthropometry of the proximal tibia to design a total knee prosthesis for the Japanese population. J Arthroplasty 17:1028–1032

    Article  PubMed  CAS  Google Scholar 

  22. Walker PS (1989) Requirements for successful total knee replacements. Design considerations. Orthop Clin N Am 20:15–29

    CAS  Google Scholar 

  23. Westrich GH, Haas SB, Insall JN, Frachie A (1995) Resection specimen analysis of proximal tibial anatomy based on 100 total knee arthroplasty specimens. J Arthroplasty 10:47–51

    PubMed  CAS  Google Scholar 

  24. Yue B, Varadarajan KM, Ai S, Tang T, Rubash HE, Li G (2011) Differences of knee anthropometry between Chinese and white men and women. J Arthroplasty 26:124–130

    Article  PubMed  Google Scholar 

  25. Yue B, Varadarajan KM, Ai S, Tang T, Rubash HE, Li G (2011) Gender differences in the knees of Chinese population. Knee Surg Sports Traumatol Arthrosc 19:80–88

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors acknowledge the financial support from the Southern Taiwan Science Park (STSP) (BY-03-04-17-98) and the National Science Council (NSC 98-2221-E-195-001 and NSC 99-2221E-195-001).

Conflict of interest

No conflicts of interest on this manuscript.

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Authors and Affiliations

  1. Institute of Biomedical Engineering, National Yang-Ming University, No.155, Sec. 2, Li-Nong St., Taipei, 112, Taiwan

    Tsung-Wei Chang, Colin J. McClean & Cheng-Kung Cheng

  2. Department of Biomedical Research, Biomechanics Research Laboratory, Mackay Memorial Hospital, Tamshui, Taiwan

    Chang-Hung Huang & Yung-Chang Lu

  3. Orthopaedic Device Research Center, National Yang-Ming University, Taipei, Taiwan

    Yu-Shu Lai & Cheng-Kung Cheng

  4. Orthopedics and Surgery Department, Mackay Memorial Hospital, Tamshui, Taiwan

    Yung-Chang Lu

Authors
  1. Tsung-Wei Chang
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  2. Chang-Hung Huang
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  3. Colin J. McClean
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  4. Yu-Shu Lai
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  5. Yung-Chang Lu
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  6. Cheng-Kung Cheng
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Corresponding author

Correspondence to Cheng-Kung Cheng.

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Chang, TW., Huang, CH., McClean, C.J. et al. Morphometrical measurement of resected surface of medial and lateral proximal tibia for Chinese population. Knee Surg Sports Traumatol Arthrosc 20, 1730–1735 (2012). https://doi.org/10.1007/s00167-011-1749-9

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  • DOI: https://doi.org/10.1007/s00167-011-1749-9

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