Researchers report gender-based differences in osteopathic knee geometry

Values measured for various knee regions were significantly larger in men compared to their height-matched women counterparts.

By Robert Trace September 2007
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SEOUL-Men generally have larger knee features than their women counterparts, even when the women are the same height as the men, according to research presented here at the 15th Triennial Congress of the Asia Pacific Orthopaedic Association.

At Teikyo University School of Medicine in Tokyo, Shinro Takai, MD, and colleagues randomly selected and radiologically analyzed 562 osteoarthritic knees rated as stage 1 or greater according to Kellgren's osteoarthritic knee classification system. The researchers also calculated the ratio between the values measured for various knee regions to clarify differences in morphology between the sexes.

In women, the value obtained by dividing the length of the medial femoral condyle in the anterior-posterior direction was 0.87±0.03. The value obtained by dividing the depth of the medial femoral condyle in the proximal-distal direction by the width of femur at the articular level was 0.56±0.03.

For comparison, in men, the value obtained by dividing the length of the medial femoral condyle in the anterior-posterior direction was 0.81±0.04 and the value obtained by dividing the depth of the medial femoral condyle in the proximal-distal direction by the width of femur at the articular level was 0.52±0.03.

Likewise, the value obtained by dividing the length of the medial tibia condyle in the anterior-posterior direction by the width of the tibia at the articular level was 0.61±0.05 in women vs. 0.59±0.04 in men, Takai said.

Ultimately, the values measured for various regions were significantly larger in men than in women, even among height-matched men and women. "Morphologically, the knees of [men] tended to have a larger width than that of [women]," he said.

This finding could underscore the importance of some gender-specific knee implants, Takai said. However, "More research is needed to further verify these differences."

For more information:

Takai S. Gender differences in the geometry of the osteopathic knee joint. ICL001-4.. Presented at the 15th Triennial Congress of the Asia Pacific Orthopaedic Association. Sept. 9-13, 2007. Seoul.

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