DoctorateOpen Access

Morphologic and morphometric evaluation of proximal femur

2008
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Advisor: Yrd. Doç. Dr. Mustafa Güvençer

Abstract (EN)

We aimed in this study morphologic and morphometric properties of proximal femur how to discrepancies and effect to results in connection with proximal femur built morphometric studies as measured to discrepancies descriptions of parameters.In our study included 97 dry bones femora, 10 adult male cadavers and 148 unilateral with total hip arthroplasty who patients ( 105 female and 43 male ) pelvic radiographs.In dry bones femoral head diameter (FHD), femoral neck width (FNW), anterior, posterior, superior and inferior femoral neck length (FNL-A, FNL-P, FNL-S and FNL-I), femoral neck axis length (FNAL), intertrochanteric line width (ITW), neck-shaft angle (NSA), antevertion angle (AA), retrovertion angle (RA) and Alsberg angle (ALA) were measured with a sliding calipers and goniometer.In radiographic measurements expect FNL-P, FNL-S, FNL-I, AA, RA and ALA others were measured on computer with digital measure program.In cadavers either hip joint diameter of femoral artery (FA) and relationship to femoral nerve, deep femoral artery (DFA), lateral circumflex femoral artery (LCFA) and medial circumflex femoral artery (MCFA) origins, diameters, courses and distances to midpoint of inguinal ligament were measured with a sliding calipers.In dry bones as following FHD, FNW, FNL-A, FNL-P, FNL-S, FNL-I, FNAL, ITW, NSA, AA, RA and ALA were measured 44.8±4.0 mm, 32.7±4.0 mm, 33.8±6.0 mm, 39.1±6.0 mm, 24.8±5.0 mm, 33.2±5.2 mm, 95.3±8.1 mm, 74.7±6.3 mm, 130.9±3.7º, 14.2±3º, 6±1.8 º and 39.1±5.8º, respectively.In pelvic radiographs as following FHD, FNW, FNL-A, FNAL, ITW and NSA were measured 48.0±4.0 mm, 35.0±4.0 mm, 31.0±6.0 mm, 99.0±10.0 mm, 81.0±8.0 mm, 130.0±5.2º, respectively.In cadavers as following originated to LFCA at 7 joint from FA ( 35 %) ( 5 right, 2 left ) at 13 joint from DFA (65 %) ( 5 right, 8 left ) and originated to MCFA at 7 joint from FA (35%) (4 right, 3 left ) at 13 joint from DFA (65%) (6 right, 7 left). As following diameter of FA, DFA, LCFA and MCFA were measured 8.4±1.7 mm, 5.8±1.3 mm, 4.3±1.1 mm, 3.3±0.7 mm, respectively. As following distance from midpoint inguinal ligament DFA, LCFA and MCFA were measured 40±11.9 mm, 53.7±13.3 mm, 40.1±16.8 mm. LCFA and MCFA distance from DFA were measured as 16.1±9.8 and 11.1±7.9 mm. As joint branch from main branch separated of MFCA and LFCA diameter 2.0±0.5 mm were measured.Key words : proximal femur, hip joint, morphometry, morphology.

Author

Dr. Cihan İyem

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Cihan İyem (Doctorate thesis). Morphologic and morphometric evaluation of proximal femur, 2008, Dokuz Eylül University.

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