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Recent Patents on Engineering

Editor-in-Chief

ISSN (Print): 1872-2121
ISSN (Online): 2212-4047

Research Article

Design of Human and Implanted Knee Model using Anthropometric Data for Total Knee Replacement

Author(s): Rashmi Shahu*

Volume 19, Issue 1, 2025

Published on: 26 January, 2024

Article ID: e290124226394 Pages: 22

DOI: 10.2174/0118722121268112240122110810

Price: $65

Open Access Journals Promotions 2
Abstract

Objectives: The objective of this study is to estimate the mismatch error between the human knee and implanted knee for total knee replacement with the help of data analysis considering the anthropometric and implant data for the Indian population.

Methods: Anthropometric data collected for 150 cases from the hospital was contrasted with the typical implant data from the Johnson & Johnson Company and Zimmer. In the data collected for 150 cases, 91 were female patients and 59 were male patients. The maximum cases were for osteoarthritis and rheumatoid arthritis. For each patient—male and female—the mismatch error was computed separately. Major focus of the study was laid on the femoral condyle.

Results: Zimmer implant mismatch errors were computed as follows: -1.18 for A/P and 4.95 for M/L in patients who were male; -5.6 for A/P and -3.3 for M/L in patients who were female and male. -3.4 for A/P and -0.4 for M/L in female patients; 1.85 for A/P and 8.18 for M/L in male patients was the mismatch error computed for Johnson & Johnson implants. The total discrepancy in implant results was 1.83 for men and -4.4 for women for Zimmer, and 5.01 for men and -1.89 for women for Johnson & Johnson. A mismatch of -19 (for females), -15 (for men) was identified for Zimmer, and -11 (for females), -7 (for males) was found for Johnson & Johnson. The femoral condyle was the cause of several inaccuracies.

Conclusion: On the basis of results from data analysis it was found that female patients were more into pray of high mismatch errors. Also, femoral condyle mismatch was majorly responsible for the improper fitting of implants error. So, a 3-D model was developed using Slicr3r to justify that the gap between the implant and implanted knee must not exceed 2mm for femoral condyle in order to get the best fit. A patent on Asymmetric Prosthetic Tibial Component is available to explain a similar concept.

Keywords: Anthropometry, femoral condyle, mismatch error, 3-D modeling, total knee replacement, zimmer implant.

Graphical Abstract
[1]
J. Thilak, and M.J. George, "Patient: Implant dimension mismatch in total knee arthroplasty: Is it worth worrying? An Indian scenario", Indian J. Orthop., vol. 50, no. 5, pp. 512-517, 2016.
[http://dx.doi.org/10.4103/0019-5413.189618] [PMID: 27746494]
[2]
K. Hitt, "Anthropometric measurements of the human knee: Correlation to the sizing of currentknee arthroplasty systems", J. Bone. Joint. Surg., vol. 85, suppl. 4, pp. 115-122, 2003.
[3]
C. Chaichankul, A. Tanavalee, and P. Itiravivong, "Anthropometric measurements of knee joints in Thai population: Correlation to the sizing of current knee prostheses", Knee, vol. 18, no. 1, pp. 5-10, 2011.
[http://dx.doi.org/10.1016/j.knee.2009.12.005] [PMID: 20133135]
[4]
K. Gromov, "What is the optimal alignment of the tibial and femoral components in kneearthroplasty?", Acta Orthop., vol. 5, no. 85, pp. 480-487, 2014.
[5]
Y.H. Kim, "The relationship between the survival of total knee arthroplasty and postoperativecoronal, sagittal and rotational alignment of knee prosthesis", Int. J. Orthop. , vol. 2, no. 38, pp. 379-385, 2014.
[6]
T.P. Scherer, S. Hoechel, M. Müller-Gerbl, and A.M. Nowakowski, "Comparison of knee joint orientation in clinically versus biomechanically aligned computed tomography coordinate system", J. Orthop. Translat., vol. 16, no. January, pp. 78-84, 2018.
[PMID: 30723684]
[7]
C.J. van Loon, M.C. de Waal Malefijt, P. Buma, N. Verdonschot, and R.P. Veth, "Femoral bone loss in total knee arthroplasty. A review", Acta Orthop. Belg., vol. 65, no. 2, pp. 154-163, 1999.
[PMID: 10427796]
[8]
G. Sharma, "Availability of additional mediolateral implant option during Total KneeArthroplasty improves femoral component fit across ethnicities: Results of a multicenter study", J. Bone J. Surg., vol. 2, no. 2, 2017.
[9]
M. Ishimaru, K. Hino, Y. Onishi, Y. Iseki, N. Mashima, and H. Miura, "A three-dimensional computed tomography study of distal femoral morphology in Japanese patients: Gender differences and component fit", Knee, vol. 21, no. 6, pp. 1221-1224, 2014.
[http://dx.doi.org/10.1016/j.knee.2014.09.007]
[10]
J.B. Kim, S.J. Lyu, and H.W. Kang, "Are western knee designs dimensionally correct for Korean women? AMorphometric study of resected femoral surfaces duringPrimary Total Knee Arthroplasty", Clin. Orthop. Surg., vol. 8, no. 3, pp. 254-261, 2016.
[http://dx.doi.org/10.4055/cios.2016.8.3.254] [PMID: 27583107]
[11]
M. Naohisa, "Comparison of intraoperative anthropometric measurements of theproximal tibia and tibial component in total knee arthroplasty", J. Orthop. Sci., no. 21, pp. 635-639, 2016.
[12]
C. Hong, "Gender differences of the morphology of the distal femur and proximaltibia in a Korean population", Knee, no. 20, pp. 26-30, 2013.
[13]
F.B. Chengetal, "Three dimensional morphometry of the knee to design the total kneearthroplasty for Chinese population", Knee, no. 16, pp. 341-347, 2009.
[14]
M. Metal, "What is the possible impact of high variability of distal femoral geometry onTKA? A CT Data Analysis of 24,042", Clin. Orthop. Relat. Res., vol. 3, no. 477, pp. 561-570, 2019.
[15]
Y. Mengning, "Gender-based differences in the dimensions of the femoral trochlea andcondyles in the Chinese population: Correlation to the risk of femoral component overhang", TheKnee, no. 21, pp. 252-256, 2014.
[16]
S. Kawahara, K. Okazaki, S. Okamoto, Y. Iwamoto, and S.A. Banks, "A lateralized anterior flange improves femoral component bone coverage in current total knee prostheses", Knee, vol. 23, no. 4, pp. 719-724, 2016.
[http://dx.doi.org/10.1016/j.knee.2015.11.014] [PMID: 26853740]
[17]
S-Y. Linetal, "Computer-navigated minimally invasive total knee arthroplasty for patients with retained implants in the femur", Kaohsiung J. Med. Sci., 2014.
[18]
S. Wong, "Accuracy of knee implants sizing predicted by digital images", J. Med. Assoc. Thai., vol. 92, suppl. 6, pp. 85-90, 2009.
[19]
M.P. Bonninetal, "Morphometric analysis of the distal femur in total knee arthroplasty andnative knees", The Bone and Joint J., vol. 98, no. 1, pp. 49-57, 2016.
[20]
S. Trainor, "Total knee replacement sizing: Shoe size is a better predictor for implant sizethan body height", Arch. Bone Jt. Surg., vol. 2, no. 6, pp. 100-104, 2018.
[21]
S.T. Campbell, "Distal femur locking plates fit poorly before and after total kneearthroplasty", J. Orthop. Trauma, 2019.
[22]
K.R. Chin, "Intraoperative measurements of male and female distal femurs during primarytotal knee arthroplasty", J. Knee Surg., vol. 4, no. 15, pp. 213-217, 2002.
[23]
J. Jain, "Knee prosthesis sizes in Indian patients undergoing total knee replacement", Int. Surg. J., vol. 3, no. 2, pp. 348-351, 2015.
[http://dx.doi.org/10.18203/2349-2902.isj20150497]
[24]
H. Nakahara, S. Matsuda, K. Okazaki, Y. Tashiro, and Y. Iwamoto, "Sagittal cutting error changes femoral anteroposterior sizing in total knee arthroplasty", Clin. Orthop. Relat. Res., vol. 470, no. 12, pp. 3560-3565, 2012.
[http://dx.doi.org/10.1007/s11999-012-2397-1]
[25]
D.S. Shahetal, "Morphological measurements of knee joints in Indian Population: Comparison to current knee prostheses", Open J. Rheumatol. Autoimmune Dis., vol. 4, no. May, pp. 75-85, 2014.
[26]
I. Nadia, "Mismatched knee implants in Indonesian and Dutch patients: A need for increasing the size", Knee Surgey Traumatology Anthroscopy, vol. 29, no. March, pp. 20-31, 2020.
[27]
R. Shahu, "Mismatch error among anthropometric dimensions of human knee and implanted knee in knee replacement surgery in India", Int. J. Health Sci. , vol. 6, no. S4, pp. 4016-4024, 2022.
[http://dx.doi.org/10.53730/ijhs.v6nS4.9030]
[28]
"Aaron A. Hofmann, and Joseph S. Skraba, ", "Asymmetric prosthetic tibial component", US4963152A.
[29]
"Paolo Arena, "Nuclear instruments and methods in physics research, section A: Accelerators, spectrometers, detectors and associated equipment",", Breats Imag., vol. 18, no. 498, pp. 174-17821, 2003.

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