ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
Strong correlation between the morphology of the proximal femur and the geometry of the distal femoral trochlea.
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 16 papers.
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Who cites it
16 citing papers in PubMed.
- Limited ability of coronal alignment parameters to assess rotational alignment in patients with varus knee osteoarthritis: a cross-sectional study.BMC musculoskeletal disorders · 2026Article
- Valgus cut angle and the factors affecting distal femoral cut in total knee arthroplasty in the Turkish population.Journal of orthopaedic surgery and research · 2026Article
- Stem Design in Total Hip Arthroplasty Influences Ipsilateral Knee Valgus: A Retrospective Comparative Analysis of 2953 Cases.Journal of clinical medicine · 2023Article
- Local torsion of distal femur is a risk factor for patellar dislocation.Journal of orthopaedic surgery and research · 2023Article
- Patients with varus knee osteoarthritis undergoing high tibial osteotomy exhibit more femoral varus but similar tibial morphology compared to non-arthritic varus knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Bony asymmetry in patellofemoral morphology and risk factors of instability are mostly clinically negligible.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- An association between femoral trochlear morphology and non-contact anterior cruciate ligament total rupture: a retrospective MRI study.Skeletal radiology · 2021Article
- Sexual and ethnic polymorphism result in considerable mismatch between native trochlear geometry and off-the-shelf TKA prostheses.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- A landmark-based 3D analysis reveals a narrower tibial plateau and patella in trochlear dysplastic knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- The popliteal surface axis may define hip anteversion.Joint diseases and related surgery · 2020Article
- Hybrid high tibial osteotomy is superior to medial opening high tibial osteotomy for the treatment of varus knee with patellofemoral osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- The Hip Morphology Changes with Ageing in Asian Population.BioMed research international · 2018Article
- Evaluation of a modified knee rotation angle in MRI scans with and without trochlear dysplasia: a parameter independent of knee size and trochlear morphology.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- The patellofemoral joint: from dysplasia to dislocation.EFORT open reviews · 2017Article
- Article
- Anthropometric measurements of the knee: time to make it fit.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePrevious investigations suggested that the geometry of the proximal femur may be related to osteoarthritis of the tibiofemoral joint and various patellofemoral joint conditions. This study aims to investigate the correlation between proximal and distal femoral geometry. Such a correlation could aid our understanding of patient complications after total knee arthroplasty (TKA) and be of benefit for further development of kinematic approaches in TKA.
methodsCT scans of 60 subjects (30 males, 30 females) were used to identify anatomical landmarks to calculate anatomical parameters of the femur, including the femoral neck anteversion angle, neck-shaft angle (NSA), mediolateral offset (ML-offset), condylar twist angle (CTA), trochlear sulcus angle (TSA) and medial/lateral trochlear inclination angles (MTIA/LTIA). Correlation analyses were carried out to assess the relationship between these parameters, and the effect of gender was investigated.
resultsThe CTA, TSA and LTIA showed no correlation with any proximal parameter. The MTIA was correlated with all three proximal parameters, mostly with the NSA and ML-offset. Per 5° increase in NSA, the MTIA was 2.1° lower (p < 0.01), and for every 5 mm increase in ML-offset, there was a 2.6° increase in MTIA (p < 0.01). These results were strongest and statistically significant in females and not in males and were independent of length and weight.
conclusionsProximal femoral geometry is distinctively linked with trochlear morphology. In order to improve knowledge on the physiological kinematics of the knee joint and to improve the concept of kinematic knee replacement, the proximal femur seems to be a factor of clinical importance. LEVEL OF EVIDENCE: III.
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