Prediction of Total Knee Arthroplasty Sizes with Demographics, including Hand and Foot Sizes

Vincent W.K. Chan; Ping Keung Chan; Henry Fu; Man Hong Cheung; Amy Cheung; Thomas C.M. Tang; Kwong Yuen Chiu

doi:10.1055/a-2198-7983

The Journal of Knee Surgery, Inhaltsverzeichnis

J Knee Surg 2024; 37(08): 602-606
DOI: 10.1055/a-2198-7983

Original Article

Prediction of Total Knee Arthroplasty Sizes with Demographics, including Hand and Foot Sizes

Vincent W.K. Chan

¹Department of Orthopaedics and Traumatology, Division of Joint Replacement Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China

,

Ping Keung Chan

¹Department of Orthopaedics and Traumatology, Division of Joint Replacement Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China

,

Henry Fu

¹Department of Orthopaedics and Traumatology, Division of Joint Replacement Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China

,

Man Hong Cheung

¹Department of Orthopaedics and Traumatology, Division of Joint Replacement Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China

,

Amy Cheung

¹Department of Orthopaedics and Traumatology, Division of Joint Replacement Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China

,

Thomas C.M. Tang

¹Department of Orthopaedics and Traumatology, Division of Joint Replacement Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China

,

Kwong Yuen Chiu

¹Department of Orthopaedics and Traumatology, Division of Joint Replacement Surgery, The University of Hong Kong, Queen Mary Hospital, Hong Kong SAR, China

› Institutsangaben

Abstract

Anticipating implant sizes before total knee arthroplasty (TKA) allows the surgical team to streamline operations and prepare for potential difficulties. This study aims to determine the correlation and derive a regression model for predicting TKA sizes using patient-specific demographics without using radiographs. We reviewed the demographics, including hand and foot sizes, of 1,339 primary TKAs. To allow for comparison across different TKA designs, we converted the femur and tibia sizes into their anteroposterior (AP) and mediolateral (ML) dimensions. Stepwise multivariate regressions were performed to analyze the data. Regarding the femur component, the patient's foot, gender, height, hand circumference, body mass index, and age was the significant demographic factors in the regression analysis (R-square 0.541, p < 0.05). For the tibia component, the significant factors in the regression analysis were the patient's foot size, gender, height, hand circumference, and age (R-square 0.608, p < 0.05). The patient's foot size had the highest correlation coefficient for both femur (0.670) and tibia (0.697) implant sizes (p < 0.05). We accurately predicted the femur component size exactly, within one and two sizes in 49.5, 94.2, and 99.9% of cases, respectively. Regarding the tibia, the prediction was exact, within one and two sizes in 53.0, 96.0, and 100% of cases, respectively. The regression model, utilizing patient-specific characteristics, such as foot size and hand circumference, accurately predicted TKA femur and tibia sizes within one component size. This provides a more efficient alternative for preoperative planning.

Keywords

total knee arthroplasty - size prediction - demographic-based regression - foot size - hand size

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Referenzen

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