A study on topography of tibial plateau and its applications in knee arthroplasty

Authors

  • Hema N.
  • Anjana Mittal
  • Venkatesh G. Kamath

DOI:

https://doi.org/10.51248/.v42i5.2000

Keywords:

Osteoarthritis, Tibial plateau, Tibial Prosthesis, Total Knee arthroplasty

Abstract

Introduction and Aim: This investigation was designed for evaluating the tibial plateau in Indian population and compares the data with other populations. The major intention is to observe if significant difference exists in diverse a demographic profile that necessitates production of population specific implants ensuring success in total knee arthroplasty.

 

Materials and Methods: Morphometry of 200 adult human tibial plateaus were measured in dry bones using a sliding digital caliper and data analysis was done. 

 

Results:   The mean anteroposterior dimension of the medial condyle was 38.98 ± 4.46 mm on the left and 38.81 ± 5.05 mm on the right and the lateral condyle was 32.99 ± 4.01mm on the left and 32.42 ± 4.88 mm on the right. The mean transverse dimension of the medial condyle was 24.95 ± 3.22 mm on the left and 24.54 ± 2.69 mm on the right and the lateral condyle was 28.15 ± 4.10 mm on the left and 27.76 ± 3.50 mm on the right. The anteroposterior dimension of the intercondylar area was 44.78 ± 3.87 mm on the left and 44.19 ± 4.51mm on the right.

 

Conclusion: The data obtained will help in designing tibial prosthetic implants best suited for Indian population. The surgeon can assess how much a given deformity deviates from the normal values. The dimensions of the tibial plateau vary in different populations and most available prosthesis is designed based on Caucasian data. The tibial prosthetic sizing needs to be population specific to avoid a mismatch or mediolateral overhang.

Author Biographies

Hema N.

Department of Anatomy, Kanachur Institute of Medical Sciences, Natekal, 575018, Karnataka, India

Anjana Mittal

Department of Anatomy, Maharshi Markandeshwar Institute of Medical Sciences and Research, Mullana, Haryana, India

Venkatesh G. Kamath

Department of Anatomy, Amaltas Institute of Medical Sciences, Dewas, 455001, M.P., India

References

Standring, S. Gray’s Anatomy: The Anatomical Basis of Clinical Practice. 39th ed. London: Elsevier Churchill Livingston; 2005:1474-1492.

Moore, K.L., Dalley, A.F. Clinically Oriented Anatomy. 4th. Ed. Philadelphia, Lippincott Williams & Wilkins,1999.

Insall, J.N., Clarke, H.D. Historic development, classification, and characteristics of knee prosthesis. Fitz W, Scott RD and Insall JN. Unicompartmental total knee arthroplasty. In: Scott WN, editor. Insall and Scott Surgery of the Knee. 4th ed., Vol. 2. Philadelphia: Elsevier Churchill Livingston; 2006: 1367- 1419.

Zanasi, S. Innovations in total knee replacement: new trends in operative treatment and changes in peri-operative management. Eur Orthop Traumatol 2011; 2: 21-31. DOI: https://doi.org/10.1007/s12570-011-0066-6

Goldberg, V.M., Figgie, H.E., Figgie, M.P. Technical considerations in total knee surgery. Management of patella problems. Orthop Clin North Am 1989; 20: 189-199.

Berend, M.E., Small, S.R., Ritter, M.A., Buckley, C.A. The effects of bone resection depth and mal alignment on strain in the proximal tibia after total knee arthroplasty. J Arthroplasty 2010; 25:314-318. DOI: https://doi.org/10.1016/j.arth.2009.01.021

Vaidya, S.V., Ranawat, C.S., Aroojis, A., Laud, N.S. Anthropometric measurements to design total knee prostheses for the Indian population. J Arthroplasty 2000; 15:79-85. DOI: https://doi.org/10.1016/S0883-5403(00)91285-3

Crockarell, J.R., Jr Guyton, J.L. Arthroplasty of the knee. In: Canale ST, Beaty JH, editors. Campbell’s Operative Orthopaedics. 11th ed., Vol. 1. Philadelphia: Mosby Elsevier; 2008: 256-257.

Jacobsen, K. Area intercondylar is tibiae: osseous surface structure and its relation to soft tissue structures and applications to radiography. J Anat. 1974; 117: 605-618.

Kucukdurmaz, F., Tuncay, I., Elmadag, M., Tuncer, N. Morphometry of the medial tibial plateau in Turkish knees: correlation to the current tibial components of unicompartmental knee arthroplasty. Acta OrthopTraumatolTurc 2014; 48:147-151. DOI: https://doi.org/10.3944/AOTT.2014.3006

Kwak, D.S., Han, S., Han, C.W., Han, S.H. Resected femoral anthropometry for design of the femoral component of the total knee prosthesis in a Korean population. Anat Cell Biol 2010; 43:252-259. DOI: https://doi.org/10.5115/acb.2010.43.3.252

Ethgen, O., Bruyere, O., Richy, F., Dardennes, C., Reginster, J.Y. Health-related quality of life in total hip and total knee arthroplasty: a qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004; 86:963-974. DOI: https://doi.org/10.2106/00004623-200405000-00012

Hamilton, D.F., Howie, C.R., Burnett, R., Simpson, A.H., Patton, J.T. Dealing with the predicted increase in demand for revision total knee arthroplasty: challenges, risks, and opportunities. Bone Joint J.2015; 97:723-728. DOI: https://doi.org/10.1302/0301-620X.97B6.35185

Chung, B.J., Kang, J.Y., Kang, Y.G., Kim, S.J., Kim, T.K. Clinical implications of femoral anthropometrical features for total knee arthroplasty in Koreans. J Arthroplasty.2015; 30:1220-1227. DOI: https://doi.org/10.1016/j.arth.2015.02.014

Hosaka, K., Saito, S., Ishii, T., Mori, S., Sumino, T., Tokuhashi, Y. Asian-specific total knee system: 5-14-year follow-up study. BMC Musculoskeletal Disord. 2011; 12:251. DOI: https://doi.org/10.1186/1471-2474-12-251

Xie, X., Lin, L., Zhu, B., Lu, Y., Lin, Z., Li, Q. Will gender-specific total knee arthroplasty be a better choice for women? A systematic review and meta-analysis. Eur J Orthop Surg Traumatol. 2014; 24:1341-1349. DOI: https://doi.org/10.1007/s00590-013-1396-6

Kim, T.K., Phillips, M., Bhandari, M., Watson, J., Malhotra, R. What differences in morphologic features of the knee exist among patients of various races? A systematic review [published correction appears in Clin OrthopRelat Res. 2017 May; 475(5):1507]. Clin OrthopRelat Res.2017;475(1):170-182. DOI: https://doi.org/10.1007/s11999-016-5097-4

Cheng, F.B., Ji, X.F., Zheng, W.X., Lai, Y., Cheng, K.L., Feng, J.C., et al., Use of anthropometric data from the medial tibial and femoral condyles to design unicondylar knee prostheses in the Chinese population. Knee Surg Sports TraumatolArthrosc2010; 18:352-358. DOI: https://doi.org/10.1007/s00167-009-0876-z

Dai, Y., Bischoff, J.E. Comprehensive assessment of tibial plateau morphology in total knee arthroplasty: Influence of shape and size on anthropometric variability. J Orthop Res 2013; 31:1643-1652. DOI: https://doi.org/10.1002/jor.22410

Servien, E., Saffarini, M., Lustig, S., Chomel, S., Nevret, P. Lateral versus medial tibial plateau: morphometric analysis and adaptability with current tibial component design. J Knee Surg. 2008;16: 1141-1145. DOI: https://doi.org/10.1007/s00167-008-0620-0

Gupta, C., Kumar, J., Kalthur, S.G., D’Souza, A.S. A morphometric study of the proximal end of the tibia in South Indian population with its clinical implications. Saudi J Sports Med 2015;15: 166-169. DOI: https://doi.org/10.4103/1319-6308.156354

Conley, S., Rosenberg, A., Crowninshield, R. The female knee: anatomic variations. J Am AcadOrthop Surg. 2007;15(suppl 1): S31–S36. DOI: https://doi.org/10.5435/00124635-200700001-00009

Yang, B., Song, C.H., Yu, J.K., Yang, Y.Q., Gong, X., Chen, L.X., et al., Intraoperative anthropometric measurements of tibial morphology: comparisons with the dimensions of current tibial implants. Knee Surg Sports Traumatol Arthrosc. 2014; 22: 2924-3017. DOI: https://doi.org/10.1007/s00167-014-3258-0

Gandhi, S., Singla, R.K., Kullar, J.S., Suri, R.K., Mehta, V. Morphometric analysis of upper end of tibia. J Clin Diagn Res. 2014 Aug;8(8):AC10- AC 13.

Hovinga, K.R., Lerner, A.L. Anatomic variations between Japanese and Caucasian populations in the healthy young adult knee joint. J Orthop Res. 2009 Sep; 27(9): 1191-1196. DOI: https://doi.org/10.1002/jor.20858

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Published

2022-11-14

How to Cite

1.
N. H, Mittal A, G. Kamath V. A study on topography of tibial plateau and its applications in knee arthroplasty. Biomedicine [Internet]. 2022 Nov. 14 [cited 2022 Nov. 27];42(5):881-6. Available from: https://biomedicineonline.org/home/article/view/2000

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