Morphometric Study of Proximal Femur and its Applications in Prosthesis Designing: A Cross-sectional Study from Western India

Introduction: The hip joint is subjected to daily stresses as it bears the weight of the upper body. Osteoarthritis of the hip may cause irreversible damage. Proximal geometry of the femur, like neck-shaft angle and torsion is important in designing prostheses for a specific population. Most of the...

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Main Authors: Sajan Skaria, Manoj Kulkarni, Hetal Vaishnani
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2022-05-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/16331/56094_F[SH]_PF1(SC_SHU)_PFA(SC_KM)_PN(KM).pdf
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author Sajan Skaria
Manoj Kulkarni
Hetal Vaishnani
author_facet Sajan Skaria
Manoj Kulkarni
Hetal Vaishnani
author_sort Sajan Skaria
collection DOAJ
description Introduction: The hip joint is subjected to daily stresses as it bears the weight of the upper body. Osteoarthritis of the hip may cause irreversible damage. Proximal geometry of the femur, like neck-shaft angle and torsion is important in designing prostheses for a specific population. Most of the prostheses manufacturers follow the Western parameters as there is a scarcity of data in the Indian context. Aim: To analyse the normal Neck-Shaft Angle (NSA) and torsion of the femur in the Indian population. Materials and Methods: This cross-sectional analytical study was carried out in a total of 300 dried femur (150 right and 150 left) of unknown age and gender without any defect or damage during a period of 2.6 years (June 2019 to December 2021) in Sumandeep Vidyapeeth University, Gujarat, India. The NSA and the angle of femoral torsion was measured using a Goniometer. Mean and standard deviation were calculated. Student’s t-tests was applied to ascertain the statistical difference between right and left femur. Results: The average NSA was 128.55±6.99°. The mean values were 130.70±6.03° and 126.41±7.22° on right and left sides respectively with statistically significant difference (p-value <0.0001). The average femoral torsion was found to be 16.43±2.34°. On the left side, it was 16.43±2.31° and 16.43±2.36° on the right side with No statistically significant difference was found between right and left femorae (p-value=1.00). Conclusion: The accuracy and success of the hip replacement surgery demands complete knowledge of the morphometry of the proximal femur which is highly specific among the races, region and gender. The present study provides the normal morphometry of the proximal femur of Indian population.
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spelling doaj.art-505069516b284d0894cf900a69f691d62023-02-10T09:06:32ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-05-01165AC01AC0410.7860/JCDR/2022/56094.16331Morphometric Study of Proximal Femur and its Applications in Prosthesis Designing: A Cross-sectional Study from Western IndiaSajan Skaria0Manoj Kulkarni1Hetal Vaishnani2PhD Scholar, Department of Anatomy, Sumandeep Vidyapeeth, Deemed to be University, Vadodara, Gujarat, India.Professor, Department of Anatomy, Sumandeep Vidyapeeth, Deemed to be University, Vadodara, Gujarat, India.Professor, Department of Anatomy, Sumandeep Vidyapeeth, Deemed to be University, Vadodara, Gujarat, India.Introduction: The hip joint is subjected to daily stresses as it bears the weight of the upper body. Osteoarthritis of the hip may cause irreversible damage. Proximal geometry of the femur, like neck-shaft angle and torsion is important in designing prostheses for a specific population. Most of the prostheses manufacturers follow the Western parameters as there is a scarcity of data in the Indian context. Aim: To analyse the normal Neck-Shaft Angle (NSA) and torsion of the femur in the Indian population. Materials and Methods: This cross-sectional analytical study was carried out in a total of 300 dried femur (150 right and 150 left) of unknown age and gender without any defect or damage during a period of 2.6 years (June 2019 to December 2021) in Sumandeep Vidyapeeth University, Gujarat, India. The NSA and the angle of femoral torsion was measured using a Goniometer. Mean and standard deviation were calculated. Student’s t-tests was applied to ascertain the statistical difference between right and left femur. Results: The average NSA was 128.55±6.99°. The mean values were 130.70±6.03° and 126.41±7.22° on right and left sides respectively with statistically significant difference (p-value <0.0001). The average femoral torsion was found to be 16.43±2.34°. On the left side, it was 16.43±2.31° and 16.43±2.36° on the right side with No statistically significant difference was found between right and left femorae (p-value=1.00). Conclusion: The accuracy and success of the hip replacement surgery demands complete knowledge of the morphometry of the proximal femur which is highly specific among the races, region and gender. The present study provides the normal morphometry of the proximal femur of Indian population.https://www.jcdr.net/articles/PDF/16331/56094_F[SH]_PF1(SC_SHU)_PFA(SC_KM)_PN(KM).pdfanatomyangle of anteversionarthroplastymorphometryneck-shaft angle
spellingShingle Sajan Skaria
Manoj Kulkarni
Hetal Vaishnani
Morphometric Study of Proximal Femur and its Applications in Prosthesis Designing: A Cross-sectional Study from Western India
Journal of Clinical and Diagnostic Research
anatomy
angle of anteversion
arthroplasty
morphometry
neck-shaft angle
title Morphometric Study of Proximal Femur and its Applications in Prosthesis Designing: A Cross-sectional Study from Western India
title_full Morphometric Study of Proximal Femur and its Applications in Prosthesis Designing: A Cross-sectional Study from Western India
title_fullStr Morphometric Study of Proximal Femur and its Applications in Prosthesis Designing: A Cross-sectional Study from Western India
title_full_unstemmed Morphometric Study of Proximal Femur and its Applications in Prosthesis Designing: A Cross-sectional Study from Western India
title_short Morphometric Study of Proximal Femur and its Applications in Prosthesis Designing: A Cross-sectional Study from Western India
title_sort morphometric study of proximal femur and its applications in prosthesis designing a cross sectional study from western india
topic anatomy
angle of anteversion
arthroplasty
morphometry
neck-shaft angle
url https://www.jcdr.net/articles/PDF/16331/56094_F[SH]_PF1(SC_SHU)_PFA(SC_KM)_PN(KM).pdf
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AT hetalvaishnani morphometricstudyofproximalfemuranditsapplicationsinprosthesisdesigningacrosssectionalstudyfromwesternindia