A study of proximal femoral geometry for standardizing femoral component in total hip replacement
Keywords:
femur, head vertical diameter, head transverse diameter, head circumferenceAbstract
Background and aims - Total Hip Replacement (THR) is the most common, permanent and effective surgical procedure available for the treatment of Osteoarthritis of the hip joint. In case of THR, it is mandatory that the design and dimensions of the femoral component, match (best-fit) the anatomy of the femur more so in cement-less variety. Significant variations are noted in the proximal femoral geometry of different races and ethnic groups Studies show that genetic and environmental factors including lifestyle determine the geometry of the proximal femur. The study is aimed to provide guidelines for future design of the femoral stem for Indian population. Materials & Methods - The present study was conducted on 202 adult human femora available in Anatomy, Orthopaedic & FMT departments of V.S.S Medical College, Burla, Odisha. The head vertical diameter (HVD), head transverse diameter (HTD), and circumference of femoral head (HC) were measured at the upper end of femur. The results were analyzed using statistical package SPSS 17.0 version. Results & Conclusion- - The average HVD was 41.24 ± 3.41 mm. whereas the average HTD was nearly similar with HVD averaging 41.21± 3.44mm.
Downloads
References
Afroze A, Huda MD. Femoral head diameters and sex differentiation in the Northern zone (Rajshahi) of Bangladesh. The Journal of Teachers Association RMC Rashahi. 2005;18(5):1-6.
Anderson JY, Erik T. Patterns of sexual, bilateral and interpopulational variation in human femoral neck shaft angles. Journal of Anatomy 1998;192(1):279-85.
Asala SA. Sex determination from the head of the femur of South African whites and blacks. Forensic science International. 2020;117:15-22.
Baharuddin MY, Kadir MRA, Zulkifly AH. Morphology Study of the Proximal Femur in Malay Population. Int J Morphol. 2011;29(4):1321-5.
Caetano EB, Serafim AG, Padoveze EH. Study of the Collo-diaphyseal Angle of the Femur of Corpses in the Anatomy Department of the PUC-SP Medical School. Int J MorphoL. 2007;25(2):285-8.
Caetano EB, Serafim AG, Padoveze EH. Study of the Collo-diaphyseal Angle of the Femur of Corpses in the Anatomy Department of the PUC-SP Medical School. Int J MorphoL. 2007;25(2):285-8.
Chauhan R, Paul S, Dhaon BK. Anatomical Parameters Of North Indian Hip Joints - Cadaveric Study. Journal of the Anatomical Society of India. 2022;51(1):01-6.
Chiu CK, Chan CYW, Singh VA. Is the Femoral Neck Geometry Adequate for Placement of the Proximal Femoral Nail in the Malaysian Population? A Review of 100 Cases. Malaysia Med J. 2009;Vol 64( 1):22-6.
Deshmukh TR, Kuthe AM, Ingole DS, Thakre SB. Prediction of Femur Bone Geometry using Anthropometric Data of Indian Population: A Numerical Approach. J Med Sci. 2010;10:12-8.
Djuraev, A. M., Alpisbaev, K. S., & Tapilov, E. A. (2021). The choice of surgical tactics for the treatment of children with destructive pathological dislocation of the hip after hematogenous osteomyelitis. International Journal of Health & Medical Sciences, 5(1), 15-20. https://doi.org/10.21744/ijhms.v5n1.1813
Ericksen MF. Ageing changes in the medullary cavityof the proximal femur in American black andwhites. Am J PhysAnthropol. 1979;51:563-9.
Hirsch C, Frankel VH. Analysis of forces producing fractures of proximal ends of femur. J Bone Jt Surg. 1960(42):633-40.
Igbigbi P, Msamati B. Sex Determination From Femoral Head Diameters in Black Malawians. East African Medical Journal. 2020;77(3 ): 147-52.
Marlene Fransen, Lisa Brudgett, Lyn March, DamianHoy, Ester Pensegra and Peter Brooks. The epidemiology of osteoarthritis in Asia: International Journalof Rheumatic Diseases. 2011;14:113-121.
Mishra A, Chalise P, Singh R, Shah R. The Proximal Femur - A Second look at Rational of Implant Design. Nepal Med Coll J. 2009;11(4):278-80.
Mishra AK, Chalise P, Singh RP, Shah RK. The proximalfemur – a second look at rational of implantdesign. Nepal Med Coll J. 2009;11(4):278-280.
Murphy AMC. The femoral head: sex assessment of prehistoric New Zealand Polynesian skeletal remains. Forensic Science International. 2005(154):210-3.
Najjar EI, McWilliams ER. IL,Charles C Thomas.Forensic anthropology: The structure, Morphologyand variations of human bone and dentition. Springfield,1978:106-112.
Noble PC, Jerry W, Alexander JW et al. The anatomicalbasis of femoral component design. ClinOrthop1988;235:148-65.
Nurzenski MK, Briffa NK, Price RI, Khoo BC, Devine A,Beck TJ, et al. Geometric indices of bone strengthare associated with physical activity and dietarycalcium intake in healthy older women. J Bone MinerRes. 2007;22:416-24.
Purkait R, Chandra H. A study of sexual variation in Indian femur. Forensic Sci International. 2024;146:25-33.
Rawal BR. Rahul Ribeiro, Rajesh Malhotra andNareshBhatnagar. Anthropometric measurementsto design best-fit femoral stem for the Indian population.Indian J Orthop.2012;46(1):46-53.
Reddy VS. Is There A Need for Special Design of Femoral Compionent of Total Hip Prosthesis For Our Patients? J Bone Joint Surg Br. 2002;84(B):249-55.
Rubin P, Leyvraz P, Aubaniac J, Argenson J, Esteve P, Roguin Bd. The morphology of the proximal femur. A threedimensional radiographic analysis. J Bone Joint Surg Br. 1992;74:28-32.
Sakaue K. Sexual determination of long bones in recent Japanese. Anthropological Science. 2004;112:75-81.
Samaha AA, Ivanov AV, Haddad JJ, Kolesnik AI, Baydoun S, Yashina IN, et al. Biomechanical and system analysis of the human femoral bone: correlation and anatomical approach. Journal of Orthopaedic Surgery and Research. 2007;8(2):2-8.
Silva VJD, Oda JY, Santana DMG. Anatomical Aspects of the Proximal Femur of Adult Brazilians. Int J Morphol. 2013;21(4):303-8.
Siwach RC, Dahiya S. Anthropometric study of proximal femur geometry and its clinical application. Indian J Orthop 2003;37(4):247-51.
Siwach RC, Dahiya S. Anthropometric study of proximalfemur geometry and its clinical application.Indian J Orthop. 2003;37:247–51.
Soni G, Dhall U, Chhabra S. Determination of sex from femur: discriminant analysis. J Anat Soc India. 2010;59(2):216-21.
Umer M, Sepah YJ, Khan A, Wazir A, Ahmed M, Jawad MU. Morphology of the Proximal Femur in a Pakistani Population. Journal of Orthopaedic Surgery. 2010;18(3):279-81
Widana, I.K., Sumetri, N.W., Sutapa, I.K., Suryasa, W. (2021). Anthropometric measures for better cardiovascular and musculoskeletal health. Computer Applications in Engineering Education, 29(3), 550–561. https://doi.org/10.1002/cae.22202
Ziylan T, Murshid KA. An Analysis of Anatolian Human Femur Anthropometry. Turk J Med Sci. 2002;32(1):231-5.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
