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Volume 13 Issue 12 (December) 2024

Original Articles

Morphometric variations of the patella in eastern Indian population: insights for implant design and forensic identification
Dr. Rohit Kumar Saroj, Dr. Adarsh Kumar Yadav, Dr. Chandra Bhan, Dr. Umesh Kumar Saroj

Background: The patella, the largest sesamoid bone in the human body, is pivotal in personal identification due to its resilience against post-mortem alterations. Despite lacking distinct features for sex or racial determination, its morphometric dimensions are essential for anthropological studies and clinical applications, particularly in knee surgeries and implant design. Methods: This study analyzed 95 patellae from the Eastern Indian population using magnetic resonance imaging (MRI). Exclusion criteria included patellae with deformities, fractures, previous surgeries, or other pathological conditions. Measurements focused on patellar height, width, thickness, and the dimensions of the medial and lateral articular facets. Data were statistically analyzed to identify significant morphometric variations and classify patellae based on articular facet morphology. Results: The mean dimensions observed were 38.07 mm in height, 38.58 mm in width, and 18.29 mm in thickness. The medial articular facet averaged 17.4 mm, while the lateral facet averaged 22.4 mm. Type B patellae, characterized by a smaller medial facet compared to the lateral facet, were predominant. Comparative analysis revealed significant differences in patellar dimensions between the Eastern Indian population and other ethnic groups, highlighting the necessity for population-specific implant designs. Conclusion: The study provides comprehensive morphometric data on the patellae of the Eastern Indian population, offering valuable insights for the design of patellar implants and enhancing the accuracy of forensic identification processes. These findings underscore the importance of considering ethnic variations in clinical practices and anthropological research.

 
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