Tul B Pun1, Vignesh P Krishnamoorthy2, Ravi J Korula3, Pradeep M Poonnoose3. 1. Resident, Department of Orthopaedics, Christian Medical College, Vellore 632004, Tamil Nadu, India. 2. Associate Professor, Department of Orthopaedics, Christian Medical College, Vellore 632004, Tamil Nadu, India. 3. Professor, Department of Orthopaedics, Christian Medical College, Vellore 632004, Tamil Nadu, India.
Abstract
OBJECTIVE: To measure the angular relationships of distal femoral rotational axes in the normal Indian population. MATERIALS AND METHODS: Magnetic Resonance Imaging (MRI) scans of the knee of 40 Indian subjects were used to define the posterior condylar axis, the transepicondylar axis and the Whiteside's line (anteroposterior axis). The posterior condylar angle (PCA) - the angle between the posterior condylar axis and the transepicondylar axis, and the Whiteside-epicondylar angle (W-EP angle) were then calculated. RESULTS: The mean posterior condylar angle in the Indian knee was 4.67° and the mean Whiteside-epicondylar angle was 92.7°. CONCLUSION: There are differences in the distal femoral rotational axes among various races. The mean PCA and the W-EP angle are more externally rotated in the Indian than in the Western, population, but similar to the Chinese. Using fixed values to define the angular relationships between the axes could lead to malrotation of the femoral component. An understanding of the racial differences is essential while designing implants for the Indian population.
OBJECTIVE: To measure the angular relationships of distal femoral rotational axes in the normal Indian population. MATERIALS AND METHODS: Magnetic Resonance Imaging (MRI) scans of the knee of 40 Indian subjects were used to define the posterior condylar axis, the transepicondylar axis and the Whiteside's line (anteroposterior axis). The posterior condylar angle (PCA) - the angle between the posterior condylar axis and the transepicondylar axis, and the Whiteside-epicondylar angle (W-EP angle) were then calculated. RESULTS: The mean posterior condylar angle in the Indian knee was 4.67° and the mean Whiteside-epicondylar angle was 92.7°. CONCLUSION: There are differences in the distal femoral rotational axes among various races. The mean PCA and the W-EP angle are more externally rotated in the Indian than in the Western, population, but similar to the Chinese. Using fixed values to define the angular relationships between the axes could lead to malrotation of the femoral component. An understanding of the racial differences is essential while designing implants for the Indian population.
Entities:
Keywords:
Indian knees; Posterior condylar axis; Total knee arthroplasty; Transepicondylar line; Whiteside's line
Authors: Arun B Mullaji; Amit K Sharma; Satyajit V Marawar; Anirudh F Kohli; Dharmendra P Singh Journal: J Orthop Surg (Hong Kong) Date: 2009-08 Impact factor: 1.118