Variation of the Three-Dimensional Femoral J-Curve in the Native Knee

The native femoral J-Curve is known to be a relevant determinant of knee biomechanics. Similarly, after total knee arthroplasty, the J-Curve of the femoral implant component is reported to have a high impact on knee kinematics. The shape of the native femoral J-Curve has previously been analyzed in...

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Main Authors: Sonja A. G. A. Grothues, Klaus Radermacher
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/11/7/592
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author Sonja A. G. A. Grothues
Klaus Radermacher
author_facet Sonja A. G. A. Grothues
Klaus Radermacher
author_sort Sonja A. G. A. Grothues
collection DOAJ
description The native femoral J-Curve is known to be a relevant determinant of knee biomechanics. Similarly, after total knee arthroplasty, the J-Curve of the femoral implant component is reported to have a high impact on knee kinematics. The shape of the native femoral J-Curve has previously been analyzed in 2D, however, the knee motion is not planar. In this study, we investigated the J-Curve in 3D by principal component analysis (PCA) and the resulting mean shapes and modes by geometric parameter analysis. Surface models of 90 cadaveric femora were available, 56 male, 32 female and two without respective information. After the translation to a bone-specific coordinate system, relevant contours of the femoral condyles were derived using virtual rotating cutting planes. For each derived contour, an extremum search was performed. The extremum points were used to define the 3D J-Curve of each condyle. Afterwards a PCA and a geometric parameter analysis were performed on the medial and lateral 3D J-Curves. The normalized measures of the mean shapes and the aspects of shape variation of the male and female 3D J-Curves were found to be similar. When considering both female and male J-Curves in a combined analysis, the first mode of the PCA primarily consisted of changes in size, highlighting size differences between female and male femora. Apart from changes in size, variation regarding aspect ratio, arc lengths, orientation, circularity, as well as regarding relative location of the 3D J-Curves was found. The results of this study are in agreement with those of previous 2D analyses on shape and shape variation of the femoral J-Curves. The presented 3D analysis highlights new aspects of shape variability, e.g., regarding curvature and relative location in the transversal plane. Finally, the analysis presented may support the design of (patient-specific) femoral implant components for TKA.
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spelling doaj.art-414b411d4f3e4ee7905d830ab22487a32023-11-22T01:23:42ZengMDPI AGJournal of Personalized Medicine2075-44262021-06-0111759210.3390/jpm11070592Variation of the Three-Dimensional Femoral J-Curve in the Native KneeSonja A. G. A. Grothues0Klaus Radermacher1Chair of Medical Engineering, Helmholtz Institute for Biomedical Engineering, RWTH Aachen University, 52074 Aachen, GermanyChair of Medical Engineering, Helmholtz Institute for Biomedical Engineering, RWTH Aachen University, 52074 Aachen, GermanyThe native femoral J-Curve is known to be a relevant determinant of knee biomechanics. Similarly, after total knee arthroplasty, the J-Curve of the femoral implant component is reported to have a high impact on knee kinematics. The shape of the native femoral J-Curve has previously been analyzed in 2D, however, the knee motion is not planar. In this study, we investigated the J-Curve in 3D by principal component analysis (PCA) and the resulting mean shapes and modes by geometric parameter analysis. Surface models of 90 cadaveric femora were available, 56 male, 32 female and two without respective information. After the translation to a bone-specific coordinate system, relevant contours of the femoral condyles were derived using virtual rotating cutting planes. For each derived contour, an extremum search was performed. The extremum points were used to define the 3D J-Curve of each condyle. Afterwards a PCA and a geometric parameter analysis were performed on the medial and lateral 3D J-Curves. The normalized measures of the mean shapes and the aspects of shape variation of the male and female 3D J-Curves were found to be similar. When considering both female and male J-Curves in a combined analysis, the first mode of the PCA primarily consisted of changes in size, highlighting size differences between female and male femora. Apart from changes in size, variation regarding aspect ratio, arc lengths, orientation, circularity, as well as regarding relative location of the 3D J-Curves was found. The results of this study are in agreement with those of previous 2D analyses on shape and shape variation of the femoral J-Curves. The presented 3D analysis highlights new aspects of shape variability, e.g., regarding curvature and relative location in the transversal plane. Finally, the analysis presented may support the design of (patient-specific) femoral implant components for TKA.https://www.mdpi.com/2075-4426/11/7/592native knee morphologyfemoral J-Curveprincipal component analysisgeometric parameter analysis
spellingShingle Sonja A. G. A. Grothues
Klaus Radermacher
Variation of the Three-Dimensional Femoral J-Curve in the Native Knee
Journal of Personalized Medicine
native knee morphology
femoral J-Curve
principal component analysis
geometric parameter analysis
title Variation of the Three-Dimensional Femoral J-Curve in the Native Knee
title_full Variation of the Three-Dimensional Femoral J-Curve in the Native Knee
title_fullStr Variation of the Three-Dimensional Femoral J-Curve in the Native Knee
title_full_unstemmed Variation of the Three-Dimensional Femoral J-Curve in the Native Knee
title_short Variation of the Three-Dimensional Femoral J-Curve in the Native Knee
title_sort variation of the three dimensional femoral j curve in the native knee
topic native knee morphology
femoral J-Curve
principal component analysis
geometric parameter analysis
url https://www.mdpi.com/2075-4426/11/7/592
work_keys_str_mv AT sonjaagagrothues variationofthethreedimensionalfemoraljcurveinthenativeknee
AT klausradermacher variationofthethreedimensionalfemoraljcurveinthenativeknee