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

TitlePrediction of Total Knee Arthroplasty Sizes with Demographics, including Hand and Foot Sizes
Authors
Issue Date25-Oct-2023
PublisherThieme Publishing / Georg Thieme Verlag
Citation
Journal of Knee Surgery, 2023 How to Cite?
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.


Persistent Identifierhttp://hdl.handle.net/10722/339949
ISSN
2023 Impact Factor: 1.6
2023 SCImago Journal Rankings: 0.831
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, Vincent W K-
dc.contributor.authorChan, Ping Keung-
dc.contributor.authorFu, Henry-
dc.contributor.authorCheung, Man Hong-
dc.contributor.authorCheung, Amy-
dc.contributor.authorTang, Thomas C M-
dc.contributor.authorChiu, Kwong Yuen-
dc.date.accessioned2024-03-11T10:40:32Z-
dc.date.available2024-03-11T10:40:32Z-
dc.date.issued2023-10-25-
dc.identifier.citationJournal of Knee Surgery, 2023-
dc.identifier.issn1538-8506-
dc.identifier.urihttp://hdl.handle.net/10722/339949-
dc.description.abstract<p>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, <em>p</em> < 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, <em>p</em> < 0.05). The patient's foot size had the highest correlation coefficient for both femur (0.670) and tibia (0.697) implant sizes (<em>p</em> < 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.</p>-
dc.languageeng-
dc.publisherThieme Publishing / Georg Thieme Verlag-
dc.relation.ispartofJournal of Knee Surgery-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titlePrediction of Total Knee Arthroplasty Sizes with Demographics, including Hand and Foot Sizes-
dc.typeArticle-
dc.identifier.doi10.1055/a-2198-7983-
dc.identifier.scopuseid_2-s2.0-85175791964-
dc.identifier.eissn1938-2480-
dc.identifier.isiWOS:001108306700001-
dc.identifier.issnl1538-8506-

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