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Surgical and Radiologic Anatomy

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01-01-2019 | Original Article

Anatomical study based on 3D-CT image reconstruction of the hip rotation center and femoral offset in a Chinese population: preoperative implications in total hip arthroplasty

Authors: Lin-hong Yi, Rui Li, Zheng-ya Zhu, Chao-wen Bai, Jin-long Tang, Feng-chao Zhao, Xin Zheng, Kai-jin Guo

Published in: Surgical and Radiologic Anatomy | Issue 1/2019

Abstract

Background

Several anatomical studies regarding the value of hip rotation center (HRC) and femoral offset (FO) have been performed in Western populations. However, there are a few data on hip morphological values in the Chinese population based on CT scans. This study measured the values of the hip and pelvis, especially HRC and FO, in a Chinese population and compared them with the published values obtained from Western populations.

Patients and methods

One hundred patients (50 females and 50 males) were included in the present study, and 3D-CT reconstructions of the hip and pelvis were generated. The mean age was 51.4 ± 8.9 years and mean body mass index (BMI) was 23.5 ± 2.6 kg/m². All the morphologic measurements were compared between genders and sides, and the relationships between different parameters were analyzed.

Results

The mean FO values were 38.4 ± 4.7 mm and 35.6 ± 4.4 mm for the males and females, respectively. A significant negative correlation was noted between FO and neck shaft angle (NSA) in both genders (r = − 0.262, P = 0.009 for the males, r = − 0.350, P ≤ 0.001 for the females). A significant positive correlation was found between horizontal distance (HD) and diameter of the femoral head (DFH) in both genders (r = 0.734, P ≤ 0.001 for the males, r = 0.658, P ≤ 0.001 for the females). A significant positive correlation was noted between HD and pelvic width (PW) in males (r = 0.455, P ≤ 0.001). A significant positive correlation was also noted between HD and pelvic height (PH) in males (r = 0.318, P ≤ 0.001). A significant positive correlation was observed between FO and pelvic cavity height (PCH) in males (r = 0.411, P ≤ 0.001), and a significant positive correlation was observed between VD and PCH in females (r = 0.497, P ≤ 0.001). The tip of the greater trochanter was, on average, 7.0 mm higher than the femoral head center. Relationships between DFH and pelvic morphometric parameters were also observed.

Conclusion

The present morphological data and the relationships between them can be applied to design better ethnic-specific THA prostheses and preoperative plans.

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Title: Anatomical study based on 3D-CT image reconstruction of the hip rotation center and femoral offset in a Chinese population: preoperative implications in total hip arthroplasty
Authors: Lin-hong Yi
Rui Li
Zheng-ya Zhu
Chao-wen Bai
Jin-long Tang
Feng-chao Zhao
Xin Zheng
Kai-jin Guo
Publication date: 01-01-2019
Publisher: Springer Paris
Published in: Surgical and Radiologic Anatomy / Issue 1/2019
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-018-2143-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Anatomical study based on 3D-CT image reconstruction of the hip rotation center and femoral offset in a Chinese population: preoperative implications in total hip arthroplasty

Abstract

Background

Patients and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Patients and methods

Results

Conclusion

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