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Are Korean Patients Different from Other Ethnic Groups in Total Knee Arthroplasty?

김강일|송상준|Dong-Kyoon Kim|Min-Chul Seo
대한슬관절학회 (Korean Knee Society)|2015.12|Knee Surgery and Related Research|제27권 제4호|pp. 199-206

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참고문헌

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KoreanKneeArthroplastyEthnic difference

초록

Most of the implants used for total knee arthroplasty (TKA) in Asian patients have been produced based on anthropometry of Western people. Since anatomic features and life styles are different between Western and Eastern people, there would be ethnic differences in terms of conformity of implants to the patient’s anatomy or clinical results after TKA. Therefore, surgeons in Asia are particularly interested in related surgical techniques and implant designs used in TKA for improved clinical results and patient satisfaction. In this review, we investigated the anthropometric differences of Koreans from Westerners. Koreans are of shorter stature, less weight, and smaller skeletal structure and have a higher incidence of constitutional varus alignment of the lower extremity. Moreover, compared to Westerner TKA populations, the proportion of female patients was large and primary osteoarthritis was prevalent in preoperative diagnosis in Korean TKA patients. Culturally, Koreans have life styles that demand high flexion positions of the knee such as squatting, kneeling, and cross-legged sitting. Although there were no notable differences in the complication and revision rates following TKA between Westerners and Koreans, the incidence of postoperative deep vein thrombosis and pulmonary thromboembolism was lower in Koreans than Westerners. We hope that further research on implant designs and more interest in TKA will improve outcomes in Korean patients.

Abstract

Most of the implants used for total knee arthroplasty (TKA) in Asian patients have been produced based on anthropometry of Western people. Since anatomic features and life styles are different between Western and Eastern people, there would be ethnic differences in terms of conformity of implants to the patient’s anatomy or clinical results after TKA. Therefore, surgeons in Asia are particularly interested in related surgical techniques and implant designs used in TKA for improved clinical results and patient satisfaction. In this review, we investigated the anthropometric differences of Koreans from Westerners. Koreans are of shorter stature, less weight, and smaller skeletal structure and have a higher incidence of constitutional varus alignment of the lower extremity. Moreover, compared to Westerner TKA populations, the proportion of female patients was large and primary osteoarthritis was prevalent in preoperative diagnosis in Korean TKA patients. Culturally, Koreans have life styles that demand high flexion positions of the knee such as squatting, kneeling, and cross-legged sitting. Although there were no notable differences in the complication and revision rates following TKA between Westerners and Koreans, the incidence of postoperative deep vein thrombosis and pulmonary thromboembolism was lower in Koreans than Westerners. We hope that further research on implant designs and more interest in TKA will improve outcomes in Korean patients.

참고문헌 (55)

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관련 논문AI추천

Coronal Alignment of the Lower Limb and the Incidence of Constitutional Varus Knee in Korean FemalesGyu-Taek Park, Moo-Ho Song, Seong-Ho Yoo, Suk-Woong Kang, Yeong-Joon Kim, Yong-Seon Pyeun대한슬관절학회 · Knee Surgery and Related Research2015 · 제27권 제1호Usefulness of the Korean Knee Score for Evaluation of the Results of Total Knee Arthroplasty이진규, 정규성, 최충혁, Ji-Hoon Shim대한슬관절학회 · Knee Surgery and Related Research2015 · 제27권 제1호In vivo Kinematics of the Knee after a Posterior Cruciate-Substituting Total Knee Arthroplasty: A Comparison between Caucasian and South Korean Patients배지훈, Ali Hosseini, Guoan Li, Kyung-Wook Nha, Sang-Eun Park, Tsung Yuan Tsai, Young-Min Kwon대한슬관절학회 · Knee Surgery and Related Research2016 · 제28권 제2호Coronal Alignment of the Lower Limb and the Incidence of Constitutional Varus Knee in Korean Females"강석웅, 김영준, 박규택, 송무호, 유승호, 편영선대한슬관절학회 · Knee Surgery and Related Research2015 · 제27권 제3호High-Flexion Posterior-Stabilized Total Knee Prosthesis: Is It Worth the Hype?Aditya Chandrashekhar Pathak, Kalaivanan Kanniyan, Prashant Mane, Sandeep Tawar, Sanjeev Jain, Sourabh Kulkarni대한슬관절학회 · Knee Surgery and Related Research2013 · 제25권 제3호Results of Gender-Specific Total Knee Arthroplasty: Comparative Study with Traditional Implant in Female Patients김종민, 빈성일, 이범식, Dae Hee Lee, Jong-Min Kim, Sang-Beom Kim대한슬관절학회 · Knee Surgery and Related Research2015 · 제27권 제1호

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