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anatomy

Tibia

The shinbone - the larger of two lower leg bones. The upper surface of the tibia forms the lower part of the knee joint.

Extended Definition

The tibia is the main weight-bearing bone of the lower leg. Its upper end, the tibial plateau, forms the lower half of the knee joint and bears the body’s weight during standing and walking.

Knee Joint Role

The tibial plateau:

  • Is covered with articular cartilage
  • Is topped by two menisci (cushioning pads)
  • Receives force transmitted through the femur
  • Has medial (inner) and lateral (outer) compartments

Malalignment and OA

The tibia’s alignment affects OA progression:

  • Varus (bow-legged) - More stress on medial compartment
  • Valgus (knock-kneed) - More stress on lateral compartment

This is why alignment can predict which part of the knee develops OA first.

Surgical Considerations

Severe knee OA may require tibial component replacement in partial or total knee arthroplasty. The goal of non-surgical treatments like HA injections is to delay or avoid this surgery.

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