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Physiological Femoral Condylar Morphology in Adult Knees—A MRI Study of 517 Patients

Title: Physiological Femoral Condylar Morphology in Adult Knees—A MRI Study of 517 Patients
Authors: Meier, Marc-Pascal; Hochrein, Yara; Saul, Dominik; Seitz, Mark-Tilmann; Roch, Paul Jonathan; Jäckle, Katharina; Seif Amir Hosseini, Ali; Lehmann, Wolfgang; Hawellek, Thelonius; 1Department of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075 Göttingen, Germany; 2Department of Trauma and Reconstructive Surgery, BG Trauma Center Tuebingen, Eberhard Karls University Tuebingen, 72076 Tübingen, Germany; 4Department of Diagnostic and Interventional Radiology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075 Göttingen, Germany
Contributors: Meier, Marc-Pascal; Hochrein, Yara; Saul, Dominik; Seitz, Mark-Tilmann; Roch, Paul Jonathan; Jäckle, Katharina; Seif Amir Hosseini, Ali; Lehmann, Wolfgang; Hawellek, Thelonius; 1Department of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075 Göttingen, Germany; 2Department of Trauma and Reconstructive Surgery, BG Trauma Center Tuebingen, Eberhard Karls University Tuebingen, 72076 Tübingen, Germany; 4Department of Diagnostic and Interventional Radiology, University Medical Center Goettingen, Robert-Koch-Straße 40, 37075 Göttingen, Germany
Publication Year: 2023
Collection: Georg-August-Universität Göttingen: GoeScholar
Description: Background: In the age of individualised arthroplasty, the question arises whether currently available standard implants adequately consider femoral condylar morphology (FCM). Therefore, physiological reference values of FCM are needed. The aim was to establish physiological reference values for anterior (ACO) and posterior condylar offset (PCO) as well as for the length of the medial (LMC) and lateral femoral condyles (LLC). Methods: The knee joints of 517 patients (mean age: 52.3 years (±16.8)) were analysed retrospectively using MRI images. Medial (med) and lateral (lat) ACO and PCO, as well as LMC and LLC, were measured. All FCM parameters were examined for association with age, gender, side and osteoarthritis. Results: Mean ACOmed was 2.8 mm (±2.5), mean ACOlat was 6.7 mm (±2.3), mean PCOmed was 25.7 mm (±4.6), mean PCOlat was 23.6 mm (±3.0), mean LMC was 63.7 mm (±5.0) and mean LLC was 64.4 mm (±5.0). Except for PCOmed, the mean values of all other FCM parameters were significantly higher in male knees compared to female knees. ACOmed and PCOmed showed significant side-specific differences. There were no significant differences in relation to age and osteoarthritis. Conclusion: The study showed significant differences in FCM side- and gender-specifically in adult knees. These aspects should be considered in the discussion of individual and gender-specific knee joint replacement. ; Open Access Publication Funds of the University of Goettingen
Document Type: article in journal/newspaper
Language: English
DOI: 10.3390/diagnostics13030350
Availability: https://resolver.sub.uni-goettingen.de/purl?gro-2/121286; https://doi.org/10.3390/diagnostics13030350
Rights: info:eu-repo/semantics/openAccess ; CC BY 4.0
Accession Number: edsbas.B49019D3
Database: BASE