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Published in: International Orthopaedics 4/2021

Open Access 01-04-2021 | Hip-TEP | Original Paper

Radiographic analysis of the proximal femoral anatomy in the Croatian population

Authors: Hrvoje Mokrovic, Simona Komen, Leo Gulan, Gordan Gulan

Published in: International Orthopaedics | Issue 4/2021

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Abstract

Purpose

The goal of total hip endoprosthesis is to achieve painless and functional hip for long term. Accurate reconstruction of hip anatomy largely depends on the implant design. In order to select an implant in correspondence with the native hip, the proximal femoral morphology has been in focus of many studies in the past years. The purpose of this study is to analyze proximal femoral geometry in the Croatian population by radiographic evaluation.

Methods

We conducted a retrospective study analyzing conventional radiographies of the hip, obtained within the last four years from the database of Clinic for Orthopaedic Surgery Lovran. The number of studied patients was 300,168 women and 132 men. The proximal femoral geometric parameters assessed were as follows: femoral head diameter, femoral neck length, neck-shaft angle, angle of femoral neck anteversion, and lateral femoral offset. The results obtained were compared between genders and with results of other studies.

Results

Proximal femoral anatomy differed in femoral head diameter and lateral femoral offset between males and females in our group of patients, while femoral neck length, femoral neck shaft angle, and femoral neck anteversion have shown similar values in both genders. Our study also showed specificity of the Croatian population in almost all parameters of proximal femoral anatomy, in comparison with other ethnic groups.

Conclusion

Our results support the observation on high diversity in the morphology of the proximal femur and the specificity of the proximal femoral anatomy of the Croatian population.
Literature
2.
go back to reference Faizan A, Gerges JJ, Asencio G, Essig J, Munini E, Hozack WJ (2016) Changes in femoral version during implantation of anatomic stems: implications on stem design. J Arthroplast 31(2):512–516CrossRef Faizan A, Gerges JJ, Asencio G, Essig J, Munini E, Hozack WJ (2016) Changes in femoral version during implantation of anatomic stems: implications on stem design. J Arthroplast 31(2):512–516CrossRef
3.
go back to reference Mahmood SS, Mukka SS, Crnalic S, Wretenberg P, Sayed-Noor AS (2016) Association between changes in global femoral offset after total hip arthroplasty and function, quality of life and abductor muscle strength. Acta Orthopaedica 87(1):36–41CrossRefPubMed Mahmood SS, Mukka SS, Crnalic S, Wretenberg P, Sayed-Noor AS (2016) Association between changes in global femoral offset after total hip arthroplasty and function, quality of life and abductor muscle strength. Acta Orthopaedica 87(1):36–41CrossRefPubMed
4.
go back to reference Fessy MH, Seutin B, Bdjui J (1997) Anatomical basis for the choice of the femoral implant in the total hip arthroplasty. Surg Radiol Anat 19:283–286CrossRefPubMed Fessy MH, Seutin B, Bdjui J (1997) Anatomical basis for the choice of the femoral implant in the total hip arthroplasty. Surg Radiol Anat 19:283–286CrossRefPubMed
5.
go back to reference Edwards K, Leyland K, Arden C, Spector T, Nelson A, Jordan J, Nevitt M, Hunter D.(2016) Interaction between race and sex in measures of hip morphology. A population-based comparative study. Osteoarthritis and Cartilage, 24:p.243 Edwards K, Leyland K, Arden C, Spector T, Nelson A, Jordan J, Nevitt M, Hunter D.(2016) Interaction between race and sex in measures of hip morphology. A population-based comparative study. Osteoarthritis and Cartilage, 24:p.243
6.
go back to reference Rawal BR, Ribeiro R, Malhotra R, Bhatnagar N (2012) Anthropometric measurements to design best fit femoral stem for the Indian population. Indian Journal of Orthopaedics 46(1):46–53CrossRefPubMedPubMedCentral Rawal BR, Ribeiro R, Malhotra R, Bhatnagar N (2012) Anthropometric measurements to design best fit femoral stem for the Indian population. Indian Journal of Orthopaedics 46(1):46–53CrossRefPubMedPubMedCentral
7.
go back to reference Nelson DA, Megyesi MS (2004) Sex and ethnic differences in bone architecture. Current Osteoporosis Reports 2:65–69CrossRefPubMed Nelson DA, Megyesi MS (2004) Sex and ethnic differences in bone architecture. Current Osteoporosis Reports 2:65–69CrossRefPubMed
8.
go back to reference Magilligan, Donald J. (1956) Calculation of the angle of anteversion by means of horizontal lateral roentgenography. Journal of Bone &JointSurgery, 38(6):p.1231–1246 Magilligan, Donald J. (1956) Calculation of the angle of anteversion by means of horizontal lateral roentgenography. Journal of Bone &JointSurgery, 38(6):p.1231–1246
9.
go back to reference Markus DS, Thomas P, Thomas JH, Jan S, Ulrich B (2010) Radiological determination of the anatomic hip centre from pelvic landmarks. Acta Orthopedica Belgica 76:479–485 Markus DS, Thomas P, Thomas JH, Jan S, Ulrich B (2010) Radiological determination of the anatomic hip centre from pelvic landmarks. Acta Orthopedica Belgica 76:479–485
12.
go back to reference Kristiansen B, Jorgensen L, Holmich P (1985) Dislocation following total hip arthroplasty. Archives of Orthopaedic Trauma Surgery 103:375–377CrossRef Kristiansen B, Jorgensen L, Holmich P (1985) Dislocation following total hip arthroplasty. Archives of Orthopaedic Trauma Surgery 103:375–377CrossRef
13.
go back to reference Boese CK, Dargel J, Oppermann J, Eysel P, Scheyerer MJ, Bredow J et al (2016) The femoral neck-shaft angle on plain radiographs: a systematic review. Skelet Radiol 45(1):19–28CrossRef Boese CK, Dargel J, Oppermann J, Eysel P, Scheyerer MJ, Bredow J et al (2016) The femoral neck-shaft angle on plain radiographs: a systematic review. Skelet Radiol 45(1):19–28CrossRef
14.
go back to reference Gilligan I, Chandraphak S, Mahakkanukrauh P (2013) Femoral neck-shaft angle in humans: variation relating to climate, clothing, lifestyle, sex, age and side. J Anat 223(2):133–151CrossRefPubMedPubMedCentral Gilligan I, Chandraphak S, Mahakkanukrauh P (2013) Femoral neck-shaft angle in humans: variation relating to climate, clothing, lifestyle, sex, age and side. J Anat 223(2):133–151CrossRefPubMedPubMedCentral
16.
go back to reference Rubin PJ, Leyuraz PF, Aubaniac JM, Argenson JN, Esteve P, de Roguin B.(1992) The morphology of the proximal femur. A three dimensional radiographic analysis. J Bone Joint Surg[Br],74(1):p.28−32. 10.1302/0301-620X.74B1.1732260 Rubin PJ, Leyuraz PF, Aubaniac JM, Argenson JN, Esteve P, de Roguin B.(1992) The morphology of the proximal femur. A three dimensional radiographic analysis. J Bone Joint Surg[Br],74(1):p.28−32. 10.1302/0301-620X.74B1.1732260
17.
go back to reference Husmann O, Rubin PJ, Leyvraz PF, de Roguin B, Argenson JN (1987) Three dimensional morphology of the proximal femur. J Arthroplasty 12:444–450CrossRef Husmann O, Rubin PJ, Leyvraz PF, de Roguin B, Argenson JN (1987) Three dimensional morphology of the proximal femur. J Arthroplasty 12:444–450CrossRef
18.
go back to reference Reikerås O, Høiseth A, Reigstad A, Fönstelien E (1982) Femoral neck angles: a specimen study with special regard to bilateral differences. Acta Orthop Scand 53(5):775–779CrossRefPubMed Reikerås O, Høiseth A, Reigstad A, Fönstelien E (1982) Femoral neck angles: a specimen study with special regard to bilateral differences. Acta Orthop Scand 53(5):775–779CrossRefPubMed
19.
go back to reference Unnanuntana A, Toogood P, Hart D, Cooperman D, Grant RE.(2010) Evaluation of proximal femoral geometry using digital photographs. Journal of Orthopaedic Research. 28:p.1399–404 Unnanuntana A, Toogood P, Hart D, Cooperman D, Grant RE.(2010) Evaluation of proximal femoral geometry using digital photographs. Journal of Orthopaedic Research. 28:p.1399–404
21.
go back to reference Lin KJ, Wei HW, Lin KP, Tsai CL, Lee PY. (2014) Proximal femoral morphology and the relevance to design of Anatomically precontoured plates: a study of the Chinese population. The Scientific World Journal. 2014:106941, https://doi.org/10.1155/2014/106941 Lin KJ, Wei HW, Lin KP, Tsai CL, Lee PY. (2014) Proximal femoral morphology and the relevance to design of Anatomically precontoured plates: a study of the Chinese population. The Scientific World Journal. 2014:106941, https://​doi.​org/​10.​1155/​2014/​106941
22.
go back to reference Minakshi Verma et al.(2017) Morphometry of proximal femur in Indian population. Journal of Clinical and Diagnostic Research, 11(2): p. AC01-AC04 Minakshi Verma et al.(2017) Morphometry of proximal femur in Indian population. Journal of Clinical and Diagnostic Research, 11(2): p. AC01-AC04
24.
go back to reference Gilligan I, Chandraphak S, Mahakkanukrauh P.(2013) Femoral neck-shaft angle in humans: variation relating to climate, clothing, lifestyle, sex, age and side. Journal of anatomy 223 (2): p.133-51 Gilligan I, Chandraphak S, Mahakkanukrauh P.(2013) Femoral neck-shaft angle in humans: variation relating to climate, clothing, lifestyle, sex, age and side. Journal of anatomy 223 (2): p.133-51
25.
go back to reference Dolan MM, Heyworth BE, Bedi A, Duke G, Kelly BT (2011) CT reveals a high incidence of osseous abnormalities in hips with labral tears. Clinical Orthopaedics Related Research 469(3):831–838CrossRefPubMed Dolan MM, Heyworth BE, Bedi A, Duke G, Kelly BT (2011) CT reveals a high incidence of osseous abnormalities in hips with labral tears. Clinical Orthopaedics Related Research 469(3):831–838CrossRefPubMed
27.
go back to reference Jolles BM, Zangger P, Leyvraz PF (2002) Factors predisposing to dislocation after primary total hip arthroplasty: a multivariate analysis. J Arthroplasty 17:282CrossRefPubMed Jolles BM, Zangger P, Leyvraz PF (2002) Factors predisposing to dislocation after primary total hip arthroplasty: a multivariate analysis. J Arthroplasty 17:282CrossRefPubMed
28.
go back to reference Hayashi, S., Hashimoto, S., Matsumoto, T., Takayama, K., Nishida, K., Ishida, K., & Kuroda, R. (2017). Stem anteversion mismatch to the anatomical anteversion causes loss of periprosthetic bone density after THA. Journal of orthopaedic surgery (Hong Kong), 25(3):P.1-6, https://doi.org/10.1177/2309499017739478 Hayashi, S., Hashimoto, S., Matsumoto, T., Takayama, K., Nishida, K., Ishida, K., & Kuroda, R. (2017). Stem anteversion mismatch to the anatomical anteversion causes loss of periprosthetic bone density after THA. Journal of orthopaedic surgery (Hong Kong), 25(3):P.1-6, https://​doi.​org/​10.​1177/​2309499017739478​
29.
go back to reference Hirata M, Nakashima Y, Itokawa T, Ohishi M, Sato T, Akiyama M, Hara D, Iwamoto Y (2014) Influencing factors for the increased stem version compared to the native femur in cementless total hip arthroplasty. Int Orthop 38:1341–1346CrossRefPubMedPubMedCentral Hirata M, Nakashima Y, Itokawa T, Ohishi M, Sato T, Akiyama M, Hara D, Iwamoto Y (2014) Influencing factors for the increased stem version compared to the native femur in cementless total hip arthroplasty. Int Orthop 38:1341–1346CrossRefPubMedPubMedCentral
30.
go back to reference Suh KT, Kang JH, Roh HL, Moon KP, Kim HJ (2006) True femoral anteversion during primary total hip arthroplasty: use of postoperative computed tomography-based sections. J Arthroplasty 21:599–605CrossRefPubMed Suh KT, Kang JH, Roh HL, Moon KP, Kim HJ (2006) True femoral anteversion during primary total hip arthroplasty: use of postoperative computed tomography-based sections. J Arthroplasty 21:599–605CrossRefPubMed
Metadata
Title
Radiographic analysis of the proximal femoral anatomy in the Croatian population
Authors
Hrvoje Mokrovic
Simona Komen
Leo Gulan
Gordan Gulan
Publication date
01-04-2021
Publisher
Springer Berlin Heidelberg
Keywords
Hip-TEP
Hip-TEP
Published in
International Orthopaedics / Issue 4/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-021-04942-5

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