The Journal of Arthroplasty
Volume 26, Issue 3 , Pages 346-353 , April 2011

Human Knee Joint Anatomy Revisited: Morphometry in the Light of Sex-Specific Total Knee Arthroplasty

  • Jens Dargel, MD

      Affiliations

    • Department of Orthopedic Surgery, University of Cologne, Joseph-Stelzmann Strasse, Cologne, Germany
    • University of Cologne Center of Anatomy Joseph-Stelzmann Strasse, Cologne, Germany
    • Corresponding Author InformationReprint requests: Jens Dargel, MD, Department of Orthopedic Surgery, University of Cologne, Joseph-Stelzmann Strasse 9, 50924 Cologne, Germany.
  • ,
  • Joern W.P. Michael, PhD

      Affiliations

    • Department of Orthopedic Surgery, University of Cologne, Joseph-Stelzmann Strasse, Cologne, Germany
  • ,
  • Janna Feiser, PhD

      Affiliations

    • University of Cologne Center of Anatomy Joseph-Stelzmann Strasse, Cologne, Germany
  • ,
  • Roland Ivo, MD

      Affiliations

    • Department of Orthopedic Surgery, University of Cologne, Joseph-Stelzmann Strasse, Cologne, Germany
  • ,
  • Juergen Koebke, PhD

      Affiliations

    • University of Cologne Center of Anatomy Joseph-Stelzmann Strasse, Cologne, Germany

Received 23 June 2009 ,Revised 8 November 2009 ,Accepted 22 December 2009.

References 

  1. Barrett WP. The need for gender-specific prostheses in TKA: does size make a difference?. Orthopedics. 2006;29-S:53
  2. Booth RE. The gender-specific (female) knee. Orthopedics. 2006;29:768
  3. Chin KR, Dalury DF, Zurakowski D, et al. Intra-operative measurements of male and female distal femurs during primary total knee arthroplasty. J Knee Surg. 2002;15:213
  4. Conley S, Rosenberg A, Crowninshield R. The female knee: anatomic variations. J Am Acad Orthop Surg. 2007;15-S1:31
  5. Greene KA. Gender-specific design in total knee arthroplasty. J Arthroplasty. 2007;22:27
  6. Harwin SF, Greene KA, Hitt K. Early experience with a new total knee implant: maximizing range of motion and function with gender-specific sizing. Surg Technol Int. 2007;16:199
  7. Merchant AC, Arendt EA, Dye SF, et al. The female knee: anatomic variations and the female-specific total knee design. Clin Orthop Relat Res. 2008;466:3059
  8. MacDonald SJ, Charron KD, Bourne RB, et al. Gender-specific total knee replacement: prospectively collected clinical outcomes. Clin Orthop Relat Res. 2008;466:2612
  9. Elias SG, Freeman AR, Gokcay EI. A correlative study of the geometry and anatomy of the distal femur. Clin Orthop. 1990;260:98
  10. Kurosawa H, Walker PS, Abe S, et al. Geometry and motion of the knee for implant and orthotic design. J Biomech. 1985;18:487
  11. Mensch JS, Amstutz HC. Knee morphology as a guide to knee replacement. Clin Orthop Rel Res. 1975;112:231
  12. Seedhom BB, Longton EB, Wright V, et al. Dimensions of the knee: Radiographic and autopsy study of sizes required for a knee prosthesis. Ann Rheum Dis. 1972;31:54
  13. Yoshioka Y, Siu D, Cooke TDV. The anatomy and functional axis of the femur. J Bone Joint Surg Am. 1987;69:873
  14. Erkman MJ, Walker PS. A study of knee geometry applied to the design of condylar prostheses. Biomed Eng. 1974;9:14
  15. Hitt K, Shurman JR, Greene K, et al. Anthropometric measurements of the human knee: correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg Am. 2003;85-S4:115
  16. Poilvache PL, Insall JN, Scuderi GR, et al. Rotational landmarks and sizing of the distal femur in total knee arthroplasty. Clin Orthop Rel Res. 1996;331:35
  17. Giffin JR, Vogrin TM, Zantop T, et al. Effects of increasing tibial slope on the biomechanics of the knee. Am J Sports Med. 2004;32:376
  18. Petermann J, Kober R, Heinze R, et al. Computer-assisted planning and robot-assisted surgery in anterior cruciate ligament reconstruction. Oper Tech Orthop. 2000;10:50
  19. Iwaki H, Pinskerova V, Freeman MAR. Tibiofemoral movement 1: the shapes and relative movements of the femur and the tibia in the unloaded cadaver knee. J Bone Joint Surg Br. 2000;82:1189
  20. Pinskerova V, Johal P, Nakagwa S, et al. Does the femur roll-back with flexion?. J Bone Joint Surg Br. 2004;86:925
  21. Fridén T, Jonsson A, Erlandsson T, et al. Effect of femoral condyle configuration on disability after an anterior cruciate ligament rupture. Acta Orthop Scand. 1993;64:571
  22. Eckstein F, Müller S, Faber SC, et al. Side differences of knee joint cartilage volume, thickness, and surface area, and correlation with lower limb dominance—an MRI-based study. Osteoarthritis Cartilage. 2002;10:914
  23. Baker PN, Khaw FM, Kirk LM, et al. Randomized controlled trial of cemented versus cementless press-fit condylar total knee replacement: 15-year survival analysis. J Bone Joint Surg Br. 2007;89:1608
  24. Fehring TK, Murphy JA, Hayes TD, et al. Factors influencing wear and osteolysis in press-fit condylar modular total knee replacements. Clin Orthop Relat Res. 2004;428:40
  25. Himanen AK, Belt E, Nevalainen J, et al. Survival of the AGC total knee arthroplasty is similar for arthrosis and rheumatoid arthritis: Finnish Arthroplasty Register report on 8,467 operations carried out between 1985 and 1999. Acta Orthop. 2005;76:85
  26. Rand JA, Ilstrup DM. Survivorship analysis of total knee arthroplasty: cumulative rates of survival of 9,200 total knee arthroplasties. J Bone Joint Surg Am. 1991;73:397
  27. Rand JA, Trousdale RT, Ilstrup DM, et al. Factors affecting the durability of primary total knee prostheses. J Bone Joint Surg Am. 2003;85:259
  28. Roberts VI, Esler CN, Harper WM. A 15-year follow-up study of 4,606 primary total knee replacements. J Bone Joint Surg Br. 2007;89:1452
  29. Robertsson O, Knutson K, Lewold S, et al. The Swedish Knee Arthroplasty Register 1975-1997: an update with special emphasis on 41,223 knees operated on in 1988-1997. Acta Orthop Scand. 2001;72:503
  30. Clarke HD, Hentz JG. Restoration of femoral anatomy in TKA with unisex and gender-specific components. Clin Orthop Relat Res. 2008;466:2711
  31. Hauser R, Smolinski J, Gos T. The estimation of stature on the basis of measurements of the femur. Forensic Sci Int. 2005;147:185
  32. Teitz CC, Lind BK, Sacks BM. Symmetry of the femoral notch width index. Am J Sports Med. 1997;25:687
  33. Grelsamer RP, Dubey A, Weinstein CH. Men and women have similar Q angles. J Bone Joint Surg Br. 2005;87:1498–1501
  34. Bengs BC, Scott RD. The effect of patellar thickness on intraoperative knee flexion and patellar tracking in total knee arthroplasty. J Arthroplasty. 2006;21:650
  35. Cheng CK, Liau JJ. Morphometrical measurements of resected surface of femurs in Chinese knees: correlation to the sizing of current femoral implants. Knee. 2006;13:12

 No benefits or funds were received in support of the study.

PII: S0883-5403(10)00007-0

doi: 10.1016/j.arth.2009.12.019

The Journal of Arthroplasty
Volume 26, Issue 3 , Pages 346-353 , April 2011