1. Prediction of Total Knee Arthroplasty Sizes with Demographics, including Hand and Foot Sizes.
- Author
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Chan VWK, Chan PK, Fu H, Cheung MH, Cheung A, Tang TCM, and Chiu KY
- Subjects
- Humans, Male, Female, Aged, Middle Aged, Knee Prosthesis, Hand anatomy & histology, Hand surgery, Hand diagnostic imaging, Prosthesis Design, Tibia surgery, Tibia anatomy & histology, Tibia diagnostic imaging, Aged, 80 and over, Retrospective Studies, Femur surgery, Femur anatomy & histology, Femur diagnostic imaging, Arthroplasty, Replacement, Knee, Foot anatomy & histology, Foot surgery, Foot diagnostic imaging
- 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., Competing Interests: None declared., (Thieme. All rights reserved.)
- Published
- 2024
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