ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
Gender differences in the morphology of the trochlea and the distal femur.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 41 citations in OpenAlex.
- Distal Femoral Dimensions in Turkish Population and Their Implications in Knee Prosthesis.Cureus · 2024Article
- Analysis of Variation in Sagittal Curvature of the Femoral Condyles.Journal of biomechanical engineering · 2024Article
- Three Morphological Risk Factors for Predicting Isolated Meniscal Bucket-handle Tear.Indian journal of orthopaedics · 2024Article
- The relationship between lateral femoral condyle ratio measured by MRI and anterior cruciate ligament injury.Frontiers in bioengineering and biotechnology · 2024Article
- Intraoperative analysis of patellofemoral joint morphology before and after total knee arthroplasty : A feasibility study.Orthopadie (Heidelberg, Germany) · 2022Article
- Morphological Analysis of the Tibial Slope in 720 Adult Knee Joints.Diagnostics (Basel, Switzerland) · 2022Article
- The Morphology of a Kinematically Aligned Distal Femoral Osteotomy Is Different from That Obtained with Mechanical Alignment and Could Have Implications for the Design of Total Knee Arthroplasty.Journal of personalized medicine · 2022Article
- Gender differences in femoral trochlea morphology.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Sexual and ethnic polymorphism render prosthetic overhang and under-coverage inevitable using off-the shelf TKA implants.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Morphological Measurement of Supracondylar Femur Based on Digital Technology in Chinese Han Population.Orthopaedic surgery · 2019Article
- Increased Patellar Volume/Width and Decreased Femoral Trochlear Width Are Associated With Adolescent Patellofemoral Pain.Clinical orthopaedics and related research · 2018Article
- Morphometric evaluation of the knee in Chinese population reveals sexual dimorphism and age-related differences.International orthopaedics · 2018Article
- Geometric morphometric analysis reveals age-related differences in the distal femur of Europeans.Journal of experimental orthopaedics · 2017Article
- Morphologic features of the distal femur and tibia plateau in Southeastern Chinese population: A cross-sectional study.Medicine · 2017Article
- Availability of Additional Mediolateral Implant Option During Total Knee Arthroplasty Improves Femoral Component Fit Across Ethnicities: Results of a Multicenter Study.JB & JS open access · 2017Article
- Sex differences in femoral deformity determined using three-dimensional assessment for osteoarthritic knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Intraoperative anthropomorphic study of anterior femoral condyles compared with sizing of femoral arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe objective of this study was to provide a morphologic description of the distal femur and to determine whether there are any gender differences in the shape that might have an important consequence for the design of a femoral component of a total knee prosthesis.
methodsAnthropometric data on the distal femur of 200 normal knees were obtained using two-dimensional MRI measurements. In all 18 parameters of the distal femur were measured including the anteroposterior (AP) dimension of femoral condyles, the mediolateral (ML) width of the distal femur at four levels, and the AP dimension and ML width of the trochlea. The aspect ratios between the AP and ML dimensions were calculated to determine whether there is a shape difference between genders.
resultsThe female distal femur is significantly smaller in all measured parameters. The mean AP/ML aspect ratio of the female distal femur is significantly larger (p<0.05) at all measured ML levels except that of the anterior edge of the anterior chamfer. The AP dimensions of both the medial and lateral trochlea were significantly greater in men (p<0.001), but AP/ML aspect ratio did not differ between genders.
conclusionsWe have found that although the female distal femur is relatively narrower (larger AP/ML aspect ratio) than the male in three of the four measured levels, there is no significant difference between genders at the level of the anterior edge of the anterior chamfer. It is at this level that it has been suggested that impingement between soft tissues and an overhanging prosthesis is most likely to be painful. Equally, there were no gender-related differences in the shape of the trochlea. These data therefore do not support the provision of narrow femoral components for TKA for women.
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