ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Sex differences in femoral deformity determined using three-dimensional assessment for osteoarthritic knees.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 51 citations in OpenAlex.
- Radiographic Analysis of Lower Limb Alignment in Patients with Knee Osteoarthritis.Tomography (Ann Arbor, Mich.) · 2026Article
- Global burden of knee osteoarthritis from 1990 to 2021: Trends, inequalities, and projections to 2035.PloS one · 2025Article
- Influence of Axial Rotation Between the Femoral Neck and Ankle Joint on Kinematics in Normal Knees: A Cross-Sectional Study.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Association between three-dimensional gait kinematics and joint-line inclination in osteoarthritic knees compared with normal knees: An epidemiological study.Journal of experimental orthopaedics · 2024Article
- Medial cortical bone thickness of the tibial diaphysis in osteoarthritis is related to lower extremity alignment and tibial morphology.Journal of orthopaedic surgery and research · 2024Article
- Regional disparities, age-related changes and sex-related differences in knee osteoarthritis.BMC musculoskeletal disorders · 2024Article
- The Matsudai Knee Osteoarthritis Survey showed the longitudinal changes of knee phenotypes in alignment and structure during 23-28 years.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Variability of functional knee phenotype for coronal alignment in advanced varus knee osteoarthritis in the Japanese population.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The Regional Burden and Disability-Adjusted Life Years of Knee Osteoarthritis in Kazakhstan 2014-2020.Biomedicines · 2023Article
- Asymmetry of Posterior Condyles in Resection Plane and Axial Curvature for Total Knee Arthroplasty.Orthopaedic surgery · 2022Article
- Coronal plane femoral bowing in Far East Asians: implications for the strategy of distal femoral resection in total knee arthroplasty.Journal of orthopaedic surgery and research · 2022Article
- The medial inclination of the proximal tibia is associated with the external knee adduction moment in advanced varus knee osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Gender and Sex Are Key Determinants in Osteoarthritis Not Only Confounding Variables. A Systematic Review of Clinical Data.Journal of clinical medicine · 2021Review
- Comparison of post-operative three-dimensional and two-dimensional evaluation of component position for total knee arthroplasty.Knee surgery & related research · 2021Article
- Morphological divergence in the curvature of human femoral diaphyses: Tracing the central mass distributions of cross-sections.Journal of anatomy · 2021Article
- Coronal shaft bowing of the femur affects varus inclination of the surgical transepicondylar axis in varus knee osteoarthritis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Cortical thickness of the tibial diaphysis reveals age- and sex-related characteristics between non-obese healthy young and elderly subjects depending on the tibial regions.Journal of experimental orthopaedics · 2020Article
- Articular surface of the medial proximal tibia is aligned parallel to the ground in three-dimensional space under weight-bearing conditions in healthy and varus osteoarthritic knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Age- and sex-related characteristics in cortical thickness of femoral diaphysis for young and elderly subjects.Journal of bone and mineral metabolism · 2020Article
- Coronal Alignment of the Lower Extremity: A Gender-Based Radio-Graphic Analysis in Indian Patients.Indian journal of orthopaedics · 2020Article
Corrections and comments
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Authors and funding
12 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo characterize femoral deformities and determine sex differences in varus knee osteoarthritis (OA), femoral morphology and limb alignment were evaluated by using three-dimensional (3D) assessment, comparing healthy, elderly volunteers with osteoarthritic knees.
methodsA total of 178 lower limbs of 169 subjects with knee osteoarthritis (136 women, 33 men; mean age 74.9 ± 5.2 years) and 80 lower limbs of 45 healthy, elderly subjects (24 women, 21 men; mean age 65 ± 4.9 years) were examined. A 3D extremity alignment assessment system was used to examine the subjects under weight-bearing conditions on biplanar long-leg radiographs using a 3D-to-2D image registration technique. The evaluation parameters were (1) femoral bowing in the coronal plane, (2) femoral bowing in the sagittal plane, (3) femoral neck anteversion, (4) hip-knee-ankle angle, and (5) femoral torsion.
resultsHigher femoral lateral bowing and slightly higher femoral internal torsion in the proximal diaphysis were observed in women with OA compared with healthy subjects. No difference in the higher varus malalignment, no alteration in the femoral anterior bowing, and no difference in the lower femoral neck anteversion were found between men and women when comparing healthy and OA subjects.
conclusionsThe higher femoral lateral bowing and slightly higher femoral internal torsion in the proximal diaphysis in women are possibly a structural adaptation to mechanical use. The clinical significance is that the femoral deformities and the sex differences in knee OA have the potential to improve the understanding of the aetiology of primary varus knee OA. LEVEL OF EVIDENCE: IV.
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