2017 DKG Annual Meeting

Article Title: Anatomical variation of the distal femur - a CT data analysis of 24,042 knees
Cornelia Merz, 1, Andre Steinert, MB, Prof.², Wiliam Kurtz MD³, Franz Xaver Köck, MB, Priv.-Doz.4, Johannes Beckmann,
MB, Prof.5
1Sportklinik Stuttgart, Stuttgart, Germany, 2Krankenhaus Agatharied, München Germany, 3Orthopaedic Surgery,Akron, OH,
4Gemeinschaftspraxis Neutraublingen, Germany, 5Sportklinik Stuttgart, Stuttgart, Germany

Aims and Objectives: Based on a large quantity of CT data, variations in distal femoral geometry was examined
and evaluated for TKA.

Materials and Methods: A retrospective study was performed on 24,042 data sets generated during the process of
designing individual knee implants. Following parameters were recorded for the distal femur:
Femoral absolute anterior-posterior (AP) and medial-lateral (ML) extent, lateral and medial condyle and trochlea
size, distal condylar offset (DCO) between lateral and medial condyle, and the difference between medial and
lateral posterior condylar offset (PCO) measured in AP direction.

Results: Variable patient geometry was found with analysis of the AP and ML extent. Approximately one-third of
the patients would experience size conflicts of +/- 3 mm with standard arthroplasty systems. 62% of the knees had a
DCO> 1mm. 83% of the distal femur had a mediolateral difference in PCO> 2mm, which corresponds to about 3 °
external rotation and does not correlate with the femoral size.

Conclusion: There is a distinct variability of femoral AP and ML extent as well as offsets / asymmetries. Medial and
lateral PCOs are different and do not correlate with femoral size. This first results in mismatches between size of
implant and individual knee anatomy and secondly in possible softtissue release and different femoral external
rotations to adapt systems with fixed distal geometry to the individual situation.

The Orthopaedic Journal of Sports Medicine, 6(4)(suppl 2)

DOI: 10.1177/2325967118S00034
©The Author(s) 2018

This open-access article is published and distributed under the Creative Commons Attribution - NonCommercial - No Derivatives License
(http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium,
provided the original author and source are credited. You may not alter, transform, or build upon this article without the permission of the Author(s). For reprints
and permission queries, please visit SAGE’s Web site at http://www.sagepub.com/journalsPermissions.nav.