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IJAR.2017.493

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Type of Article:  Original Research

Volume 6; Issue 1.1 (January 2018)

Page No.: 4871-4875

DOI: https://dx.doi.org/10.16965/ijar.2017.493

MORPHOMETRIC STUDY OF UPPER END OF TIBIA IN GUJARAT REGION AND ITS CLINICAL IMPLICATION IN KNEE ARTHROPLASTY

Ankur Z Zalawadia, Shailesh M Patel *.

1 Associate Professor, Dept. of Anatomy, Govt. Medical College, Bhavnagar, Gujarat, India.

*2 Professor and Head, Dept. of Anatomy, Govt. Medical College, Bhavnagar, Gujarat, India.

Corresponding Author: Dr. Shailesh M Patel, Professor and Head, Department of Anatomy, Govt. Medical College, Bhavnagar-364002, Gujarat, India. Mo. No.: +919426709012 E-Mail: dr_smpatel@yahoo.com

ABSTRACT

Introduction: Upper end of tibia is the component of knee joint. Accurate morphometric anatomical data of the upper end of tibia and morphometric differences according to gender are very important to make design of total knee joint replacement prosthesis. Knee prosthesis made based on morphometric data of components of knee (femur and tibia) and according to gender difference will give better results after surgery in early mobility of patients as well as fewer post-operative complications.

Aim: Present study was done to find out sexual dimorphism in upper end of tibia as well as differences in morphometric data of upper end of tibia between other populations across the world and within India.

Materials and Methods: For the present study the material consisted of 120 dry tibia of known gender were used. Out of them 60 were of male tibia (30 of right side and 30 of left side) and 60 were of female tibia (30 of right side and 30 of left side). We have selected five metrical parameters 1. Bicondylar width (BCW),     2. Medial condylar antero-posterior distance of superior articular surface (MCAPD), 3. Lateral condylar antero-posterior distance of superior articular surface (LCAPD), 4. Medial condylar transverse distance of superior articular surface (MCTD) and 5. Lateral condylar transverse distance of superior articular surface (LCTD) for the present study based on which the tibial component of prosthesis for knee joint replacement surgery is made.

Results: All five parameters which are chosen are found significantly larger in male than females. The findings are smaller than Caucasian population and population of North India and found larger than population of South India.

Conclusion: Present study provides data of measurement of upper end of tibia by direct observation which will be useful to select correct sized knee prosthesis according to measurements. We have also provided data gender-wise and on right and left side which will improve the longitivity of knee prosthesis, increased mobility of patient and improve the lifestyle after knee replacement surgery.

Key words: Dry tibia, upper end, morphometry, knee prosthesis.

REFERENCES

  1. Gray’s Anatomy. The Anatomical Basis of Clinical Practice. 39th Edition, Elsevier Churchil Livingstone. 2005;1436-37.
  2. Moghtadaei M, Moghimi J,  Farahini H, Jahansouz A. Morphology of proximal tibia in Iranian population and its correlation with available prostheses. Med J Islam Repub Iran. 2015;29:225-31.
  3. Murshed KA, Cicekcibasi AE, Karabacakoglu A, Seker M, Ziylan T. Distal femur morphometry: a gender and bilateral comparative study using magnetic resonance imaging. Surgical and Radiologic Anatomy 2005;27(2):108–112.
  4. Lombardo S, Sethi PM, StarkeyC. Intercondylar notch stenosis is not a risk factor for anterior cruciate ligament tears in professional male basketball players: an 11-year prospective study. American Journal of Sports Medicine 2005;33(1):29–34.
  5. Anderson AF, Dome DC, Gautam S, Awh MH, Rennirt GW. Correlation of anthropometric measurements, strength, anterior cruciate ligament size and intercondylar notch characteristics to sex differences in anterior cruciate ligament tear rates. American Journal of Sports Medicine, 2001; 29(1):58–66.
  6. Terzidis I, Totlis T, Papathanasiou E, Sideridis A, Vlasis K, Natsis K. Gender and Side-to-Side Differences of Femoral Condyles Morphology: Osteometric Data from 360 Caucasian Dried Femori. Anatomy Research International. 2012 http://dx.doi.org/10.1155/2012/679658.
  7. Cheng FB et al. Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population. Knee 2009;16(5):341-7.
  8. Yue B, Varadarajan KM, Ai S, Tang T, Rubash HE, Li G. Gender differences in the knees of Chinese population. Knee Surgery, Sports Traumatology, Arthroscopy 2011;19(1):80–88.
  9. Kwak DS, Surendran S, Pengatteeri YH, Park SE, Choi KN, Gopinathan P, Han SH, Han CW. Morphometry of the proximal tibia to design the tibial component of total knee Arthroplasty for the Koran population. Knee. 2007;14(4):295-300.
  10. Li P, Tsai TY, LI JS, Zhang Y, Kwon YM, Rubash HE, Li G. Morphometric measurement of the knee: race and sex. Acta Orthop. 2014;80:260-68.
  11. Loures FB, Goes RFA, Palma IM, Labronici PJ, Granjeiro JM, Olej B. Anthropometric study of the knee and its correlation with the size of three implants available for Arthroplasty. Rev Bras Ortop. 2016;51(3):282-289.
  12. Gandhi S, Single RK, Kullar JS, Suri RK, Mehta V. Morphometric analysis of upper end of tibia. Journal of clinical and Diagnostic Research. 2014;8(8);10-13.
  13. Murlimanju BV, Purushothama C, Srivastava A, Kumar CG, Krishnamurthy A, Blossom V, Prabhu LV, Saralaya VV, Pai MM. Anatomical morphometry of the tibial plateau in South Indian Population. Italian Journal of Anatomy and Embyology. 2016;121(3):258-264.
  14. Anderson AF, Anderson CN, Gorman TM, Cross MB, Spindler KP. Radiographic measurements of the intercondylar notch: are they accurate?” Arthroscopy. 2007;23(3):261–268.
  15. Biswas A, Bhattacharya S. A morphometric and radiological study of the distal end of femur in West Bengal population. Italian Journal of Anatomy and Embryology. 2017;122(1): 39-48.

Cite this article: Ankur Z Zalawadia, Shailesh M Patel. MORPHOMETRIC STUDY OF UPPER END OF TIBIA IN GUJARAT REGION AND ITS CLINICAL IMPLICATION IN KNEE ARTHROPLASTY. Int J Anat Res 2018;6(1.1):4871-4875. DOI: 10.16965/ijar.2017.493