RESEARCH PROGRESS OF GENDER-SPECIFIC PROSTHESIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

RONGGenxiang ,  GUIBinjie , ZHANGJinling

The First Orthopedic Ward, First Affiliated Hospital of Anhui Medical University, Hefei Anhui, 230022, P. R. China;

Corresponding author：

GUIBinjie, Email: guibinjie@163.com

Keywords：

Total knee arthroplasty; Gender-specific prosthesis; Research progress

DOI：

10.7507/1002-1892.20140153

Video：

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Objective To summarize the research progress of the design and effectiveness of gender-specific prosthesis in total knee arthroplasty (TKA). Methods The relevant literature on gender-specific prosthesis in recent years was extensively reviewed and analyzed. Results Gender-specific prosthesis is designed according to the female knee joint anatomical characteristics. In theory, it should obtain better effectiveness. But a large number of clinical studies have shown that the knee function, pain, and satisfaction has no obvious advantage when compared with conventional prosthesis after TKA for female patient. Conclusion Comprehensive evaluation should be considered when gender-specific is selected; and the effectiveness needs further follow-up.

Citation： RONGGenxiang, GUIBinjie, ZHANGJinling. RESEARCH PROGRESS OF GENDER-SPECIFIC PROSTHESIS. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(6): 693-696. doi: 10.7507/1002-1892.20140153 Copy

1.	Ritter MA, Wing JT, Berend ME, et al. The clinical effect of gender on outcome of total knee arthroplasty. J Arthroplasty, 2008, 23(3):331-336.
2.	Font-Rodriguez DE, Scuderi GR, Insall JN. Survivorship of cemented total knee arthroplasty. Clin Orthop Relat Res, 1997, (345):79-86.
3.	Guerra JP, Arnold MJ, Gajdosik RL. Q angle:effects of isometric quadriceps contraction and body position. J Orthop Sports Phys Ther, 1994, 19(4):200-204.
4.	Woodland LH, Francis RS. Parameters and comparisons of the quadriceps angle of college-aged men and women in the supine andstanding positions. Am J Sports Med, 1992, 20(2):208-211.
5.	Horton MG, Hall TL. Quadriceps femoris muscle angle:normal values and relationships with gender and selected skeletal measures. Phys Ther, 1989, 69(11):897-901.
6.	Hsu RW, Himeno S, Coventry MB, et al. Normal axial alignment of the lower extremity and load bearing distribution at the knee. Clin Orthop Relat Res, 1990, (255):215-227.
7.	Poilvache PL, Insall JN, Scuderi GR, et al. Rotational landmarks and sizing of the distal femur in total knee arthroplasty. Clin Orthop Relat Res, 1996, (331):35-46.
8.	Conley S, Rosenberg A, Crowninshield R. The female knee:anatomic variations. J Am Acad Orthop Surg, 2007, 15 Suppl 1:S31-S36.
9.	Hitt K, Shurman JR 2nd, Greene K, et al. Anthropomorphic measurements of the human knee:correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg (Am), 2003, 85-A Suppl 4:115-122.
10.	Chin KR, Dalury DF, Zurakowski D, et al. Intraoperative measurements of male and female distal femurs during primary total knee arthroplasty. J Knee Surg, 2002, 15(4):213-217.
11.	Cheng FB, Ji XF, Lai Y, et al. Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population. Knee, 2009, 16(5):341-347.
12.	Mihalko W, Fishkin Z, Krackow K. Patellofemoral over-stuff and its relationship to flexion after total knee arthroplasty. Clin Orthop Relat Res, 2006, (449):283-287.
13.	SooHoo NF, Lieberman JR, Ko CY, et al. Factors predicting complication rates following total knee replacement. J Bone Joint Surg (Am), 2006, 88(3):480-485.
14.	Vincent KR, Vincent HK, Lee LW, et al. Outcomes in total knee arthroplasty patients after inpatient rehabilitation:influence of age and gender. Am J Phys Med Rehabil, 2006, 85(6):482-489.
15.	Weaver F, Hynes D, Hopkinson W, et al. Preoperative risks and outcomes of hip and knee arthroplasty in the Veterans Health Administration. J Arthroplasty, 2003, 18(6):693-708.
16.	Guy SP, Farndon MA, Sidhom S, et al. Gender differences in distal femoral morphology and the role of gender specific implants in total knee replacement:a prospective clinical study. Knee, 2011, 19(1):28-31.
17.	Merchant AC, Arendt EA, Dye SF, et al. The female knee:anatomic variations and the female-specific total knee design. Clin Orthop Relat Res, 2008, 466(12):3059-3065.
18.	Grelsamer RP, Dubey A, Weinstein CH. Men and women have similar Q angles:a clinical and trigonometric evaluation. J Bone Joint Surg (Br), 2005, 87(11):1498-1501.
19.	Harwin SF, Greene KA, Hitt K. Early experience with a new total knee implant:maximizing range of motion and function with gender-specific sizing. Surg Technol Int, 2007, 16:199-205.
20.	Lionberger DR, Eggers MD, Brewer KE, et al. Improved knee flexion following high-flexion total knee arthroplasty. J Orthop Surg Res, 2012, 7:22.
21.	Plaster RL, Starkman KB, McGee J. The gender solutions Natural-Knee flex system and future directions. Am J Orthop (Belle Mead NJ), 2010, 39(6 Suppl):9-12.
22.	Clarke HD, Hentz JG. Restoration of femoral anatomy in TKA with unisex and gender-specific components. Clin Orthop Relat Res, 2008, 466(11):2711-2716.
23.	Yue B, Wang J, Wang Y, et al. How the gender or morphological specific TKA prosthesis improves the component fit in the Chinese population? J Arthroplasty, 2014, 29(1):71-74.
24.	Singh H, Mittal V, Nadkarni B, et al. Gender-specific high-flexion knee prosthesis in Indian women:a prospective randomised study. J Orthop Surg (Hong Kong), 2012, 20(2):153-156.
25.	Thomsen MG, Husted H, Bencke J, et al. Do we need a gender-specific total knee replacement? A randomised controlled trial comparing a high-flex and a gender-specific posterior design. J Bone Joint Surg (Br), 2012, 94(6):787-792.
26.	Kim YH, Choi Y, Kim JS. Comparison of a standard and a gender-specific posterior cruciate-substituting high-flexion knee prosthesis:a prospective, randomized, short-term outcome study. J Bone Joint Surg (Am), 2010, 92(10):1911-1920.
27.	Song EK, Park SJ, Yoon TR, et al. Hi-flexion and gender-specific designs fail to provide significant increases in range of motion during cruciate-retaining total knee arthroplasty. J Arthroplasty, 2012, 27(6):1081-1084.
28.	Kim YH, Choi Y, Kim JS. Comparison of standard and gender-specific posterior-cruciate-retaining high-flexion total knee replacements:a prospective, randomised study. J Bone Joint Surg (Br), 2010, 92(5):639-645.
29.	Tanavalee A, Rojpornpradit T, Khumrak S, et al. The early results of gender-specific total knee arthroplasty in Thai patients. Knee, 2011, 18 (6):483-487.
30.	Johnson AJ, Costa CR, Mont MA. Do we need gender-specific total joint arthroplasty? Clin Orthop Relat Res, 2011, 469(7):1852-1858.
31.	Robertsson O, Knutson K, Lewold S, et al. The Swedish Knee Arthroplasty Register 1975-1997:an update with special emphasis on 41, 223 knees operated on in 1988-1997. Acta Orthop Scand, 2001, 72(5):503-513.
32.	Vazquez-Vela Johnson G, Worland RL, Keenan J, et al. Patient demographics as a predictor of the ten-year survival rate in primary total knee replacement. J Bone Joint Surg (Br), 2003, 85(1):52-56.
33.	Khaw FM, Kirk LM, Morris RW, et al. A randomized, controlled trial of cemented versus cementless press-fit condylar total knee replacement. Ten-year survival analysis. J Bone Joint Surg (Br), 2002, 84(5):658-666.
34.	Kim J, Nelson CL, Lotke PA. Stiffness after total knee arthroplasty. Prevalence of the complication and outcomes of revision. J Bone Joint Surg (Am), 2004, 86-A(7):1479-1484.
35.	Baker PN, Khaw FM, Kirk LM, et al. A randomized controlled trial of cemented versus cementless press-fit condylar total knee replacement:15-year survival analysis. J Bone Joint Surg (Br), 2007, 89(12):1608-1614.
36.	Fehring T, Murphy JA, Hayes TD, et al. Factors infiuencing wear and osteolysis in press-fit condylar modular total knee replacements. Clin Orthop Relat Res, 2004, (428):40-50.

1. Ritter MA, Wing JT, Berend ME, et al. The clinical effect of gender on outcome of total knee arthroplasty. J Arthroplasty, 2008, 23(3):331-336.
2. Font-Rodriguez DE, Scuderi GR, Insall JN. Survivorship of cemented total knee arthroplasty. Clin Orthop Relat Res, 1997, (345):79-86.
3. Guerra JP, Arnold MJ, Gajdosik RL. Q angle:effects of isometric quadriceps contraction and body position. J Orthop Sports Phys Ther, 1994, 19(4):200-204.
4. Woodland LH, Francis RS. Parameters and comparisons of the quadriceps angle of college-aged men and women in the supine andstanding positions. Am J Sports Med, 1992, 20(2):208-211.
5. Horton MG, Hall TL. Quadriceps femoris muscle angle:normal values and relationships with gender and selected skeletal measures. Phys Ther, 1989, 69(11):897-901.
6. Hsu RW, Himeno S, Coventry MB, et al. Normal axial alignment of the lower extremity and load bearing distribution at the knee. Clin Orthop Relat Res, 1990, (255):215-227.
7. Poilvache PL, Insall JN, Scuderi GR, et al. Rotational landmarks and sizing of the distal femur in total knee arthroplasty. Clin Orthop Relat Res, 1996, (331):35-46.
8. Conley S, Rosenberg A, Crowninshield R. The female knee:anatomic variations. J Am Acad Orthop Surg, 2007, 15 Suppl 1:S31-S36.
9. Hitt K, Shurman JR 2nd, Greene K, et al. Anthropomorphic measurements of the human knee:correlation to the sizing of current knee arthroplasty systems. J Bone Joint Surg (Am), 2003, 85-A Suppl 4:115-122.
10. Chin KR, Dalury DF, Zurakowski D, et al. Intraoperative measurements of male and female distal femurs during primary total knee arthroplasty. J Knee Surg, 2002, 15(4):213-217.
11. Cheng FB, Ji XF, Lai Y, et al. Three dimensional morphometry of the knee to design the total knee arthroplasty for Chinese population. Knee, 2009, 16(5):341-347.
12. Mihalko W, Fishkin Z, Krackow K. Patellofemoral over-stuff and its relationship to flexion after total knee arthroplasty. Clin Orthop Relat Res, 2006, (449):283-287.
13. SooHoo NF, Lieberman JR, Ko CY, et al. Factors predicting complication rates following total knee replacement. J Bone Joint Surg (Am), 2006, 88(3):480-485.
14. Vincent KR, Vincent HK, Lee LW, et al. Outcomes in total knee arthroplasty patients after inpatient rehabilitation:influence of age and gender. Am J Phys Med Rehabil, 2006, 85(6):482-489.
15. Weaver F, Hynes D, Hopkinson W, et al. Preoperative risks and outcomes of hip and knee arthroplasty in the Veterans Health Administration. J Arthroplasty, 2003, 18(6):693-708.
16. Guy SP, Farndon MA, Sidhom S, et al. Gender differences in distal femoral morphology and the role of gender specific implants in total knee replacement:a prospective clinical study. Knee, 2011, 19(1):28-31.
17. Merchant AC, Arendt EA, Dye SF, et al. The female knee:anatomic variations and the female-specific total knee design. Clin Orthop Relat Res, 2008, 466(12):3059-3065.
18. Grelsamer RP, Dubey A, Weinstein CH. Men and women have similar Q angles:a clinical and trigonometric evaluation. J Bone Joint Surg (Br), 2005, 87(11):1498-1501.
19. Harwin SF, Greene KA, Hitt K. Early experience with a new total knee implant:maximizing range of motion and function with gender-specific sizing. Surg Technol Int, 2007, 16:199-205.
20. Lionberger DR, Eggers MD, Brewer KE, et al. Improved knee flexion following high-flexion total knee arthroplasty. J Orthop Surg Res, 2012, 7:22.
21. Plaster RL, Starkman KB, McGee J. The gender solutions Natural-Knee flex system and future directions. Am J Orthop (Belle Mead NJ), 2010, 39(6 Suppl):9-12.
22. Clarke HD, Hentz JG. Restoration of femoral anatomy in TKA with unisex and gender-specific components. Clin Orthop Relat Res, 2008, 466(11):2711-2716.
23. Yue B, Wang J, Wang Y, et al. How the gender or morphological specific TKA prosthesis improves the component fit in the Chinese population? J Arthroplasty, 2014, 29(1):71-74.
24. Singh H, Mittal V, Nadkarni B, et al. Gender-specific high-flexion knee prosthesis in Indian women:a prospective randomised study. J Orthop Surg (Hong Kong), 2012, 20(2):153-156.
25. Thomsen MG, Husted H, Bencke J, et al. Do we need a gender-specific total knee replacement? A randomised controlled trial comparing a high-flex and a gender-specific posterior design. J Bone Joint Surg (Br), 2012, 94(6):787-792.
26. Kim YH, Choi Y, Kim JS. Comparison of a standard and a gender-specific posterior cruciate-substituting high-flexion knee prosthesis:a prospective, randomized, short-term outcome study. J Bone Joint Surg (Am), 2010, 92(10):1911-1920.
27. Song EK, Park SJ, Yoon TR, et al. Hi-flexion and gender-specific designs fail to provide significant increases in range of motion during cruciate-retaining total knee arthroplasty. J Arthroplasty, 2012, 27(6):1081-1084.
28. Kim YH, Choi Y, Kim JS. Comparison of standard and gender-specific posterior-cruciate-retaining high-flexion total knee replacements:a prospective, randomised study. J Bone Joint Surg (Br), 2010, 92(5):639-645.
29. Tanavalee A, Rojpornpradit T, Khumrak S, et al. The early results of gender-specific total knee arthroplasty in Thai patients. Knee, 2011, 18 (6):483-487.
30. Johnson AJ, Costa CR, Mont MA. Do we need gender-specific total joint arthroplasty? Clin Orthop Relat Res, 2011, 469(7):1852-1858.
31. Robertsson O, Knutson K, Lewold S, et al. The Swedish Knee Arthroplasty Register 1975-1997:an update with special emphasis on 41, 223 knees operated on in 1988-1997. Acta Orthop Scand, 2001, 72(5):503-513.
32. Vazquez-Vela Johnson G, Worland RL, Keenan J, et al. Patient demographics as a predictor of the ten-year survival rate in primary total knee replacement. J Bone Joint Surg (Br), 2003, 85(1):52-56.
33. Khaw FM, Kirk LM, Morris RW, et al. A randomized, controlled trial of cemented versus cementless press-fit condylar total knee replacement. Ten-year survival analysis. J Bone Joint Surg (Br), 2002, 84(5):658-666.
34. Kim J, Nelson CL, Lotke PA. Stiffness after total knee arthroplasty. Prevalence of the complication and outcomes of revision. J Bone Joint Surg (Am), 2004, 86-A(7):1479-1484.
35. Baker PN, Khaw FM, Kirk LM, et al. A randomized controlled trial of cemented versus cementless press-fit condylar total knee replacement:15-year survival analysis. J Bone Joint Surg (Br), 2007, 89(12):1608-1614.
36. Fehring T, Murphy JA, Hayes TD, et al. Factors infiuencing wear and osteolysis in press-fit condylar modular total knee replacements. Clin Orthop Relat Res, 2004, (428):40-50.

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