4.31 CME

The Arab Knee- What makes it special?

Pembicara: Dr. Hesham Al-Khatib

Consultant Trauma & Orthopedic Surgeon, Clemenceau Medical Center Hospital, DXB

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Keterangan

The term "Arab Knee" is not a recognized medical or anatomical term, and there is no distinct physiological or structural difference in the knee joint based on ethnicity or regional origin. Human anatomy, including the structure of the knee joint, is generally consistent across populations. The knee joint is a complex hinge joint that connects the thigh bone (femur) to the shinbone (tibia) and plays a crucial role in supporting body weight and facilitating movement.

It's important to note that individual anatomical variations can exist, but these variations are not specific to any ethnic or regional group. Factors such as genetics, lifestyle, and biomechanics may contribute to variations in knee anatomy among individuals, but these differences are not attributed to a specific ethnicity or geographic region.

Ringkasan

  • The final speaker, Dr. Shannnamath, an expert in sports surgery from Ardobinic Surgeon and Glass-T, discussed the unique challenges faced by orthopedic surgeons in the Arab East, specifically regarding knee arthritis. He presented a "terrible triad" of young patient age at presentation, widespread obesity, and severe deformities.
  • Obesity was identified as a significant problem in high-income oil-producing countries, impacting both children and adults. Statistics revealed a high prevalence of obesity among females and males in the region, linked to changes in food consumption, socio-economic factors, and reduced physical activity.
  • Dr. Shannnamath highlighted that knee wear patterns in the Arab East differ from those in North America and Europe due to deep flexion activities prevalent in the region, such as squatting and kneeling. He referenced studies indicating increased osteoarthritis risk associated with these habitual postures.
  • He discussed a mismatch between Western-designed knee implants and the smaller bone structures of patients in the Arab East. This mismatch, he argued, can lead to increased revision rates.
  • Finally, Dr. Shannnamath explored potential solutions, including robotic-assisted surgery for improved implant positioning and custom-made knee replacements tailored to individual patient anatomy. He advocated for a shift towards patient-specific components as a more tailored approach to knee replacement surgery.

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