Anatomical features of the proximal femur in the Turkish population / Características anatómicas del fémur proximal en la población turca

SUMMARY: Different populations have different genetic traits, and this causes various anatomical features to emerge. Orthopedic implants used in Turkey are generally of Western origin, and these implants are designed based on the anatomical features of Western populations. This study aimed to evaluate the compatibility of existing implants for the Turkish population by revealing the anatomical features of the proximal femurs of individuals from the Turkish population while also constituting a helpful source of data on newly developed implants. A total of 1920 proximal femurs of 960 patients were evaluated via images obtained by Computer Tomography. Twenty patients (10 females and 10 males) for each age within the age range of 18-65 years were included. Femoral head diameter, femoral neck width, femoral neck length, medullary canal width, and collodiaphyseal angle were measured. The right and left femoral head diameter was 46.46±3.84 mm, 46.50 ±3.85 mm respectively. The right and left femoral neck width was 30.63±3.4 mm, 30.85±3.29 mm respectively. The neck length was 94.62±8.33 mm for the right proximal femur, it was 94.75±8.19 mm for the left. The width of the medullary canal was 15.46±2.25 mm for the right proximal femur and 15.53±2.20 mm for the left. The right and left hips, the collodiaphyseal angles were 133.06±2.39° and 133.13±2.36°. Anatomical features of the proximal femur vary according to age, sex, and race. This study may be used as an important resource for the evaluation of patients' compatibility with existing implants and for the design of new implants.

Diferentes poblaciones tienen diferentes rasgos genéticos, y esto hace que surjan varias características anatómicas. Los implantes ortopédicos utilizados en Turquía son generalmente de origen occidental y estos implantes están diseñados en función de las características anatómicas de estas poblaciones. Este estudio tuvo como objetivo evaluar la compatibilidad de los implantes existentes para la población turca al revelar las características anatómicas de las epífisis proximales de fémures de individuos de la población turca y, al mismo tiempo, constituir una fuente útil de datos sobre implantes recientemente desarrollados. Se evaluaron un total de 1920 fémures proximales de 960 pacientes mediante imágenes obtenidas por tomografía computarizada. Se incluyeron veinte pacientes (10 mujeres y 10 hombres) para cada edad dentro del rango de edad de 18 a 65 años. Se midió el diámetro de la cabeza femoral, el ancho del cuello femoral, la longitud del cuello femoral, el ancho del canal medular y el ángulo colodiafisario. El diámetro de la cabeza femoral derecha e izquierda fue de 46,46 ± 3,84 mm, 46,50 ± 3,85 mm, respectivamente. La anchura del cuello femoral derecho e izquierdo fue de 30,63±3,4 mm, 30,85±3,29 mm, respectivamente. La longitud del cuello fue de 94,62±8,33 mm para el fémur derecho, fue de 94,75±8,19 mm, para el izquierdo. El ancho del canal medular fue de 15,46±2,25 mm para el fémur derecho y de 15,53±2,20 mm para el izquierdo. Las caderas derecha e izquierda, los ángulos colodiafisarios fueron 133,06±2,39° y 133,13±2,36°. Las características anatómicas de la epífisis proximal del fémur varían según la edad, el sexo y la raza. Este estudio puede utilizarse como un recurso importante para la evaluación de la compatibilidad de los pacientes con los implantes existentes y para el diseño de nuevos implantes.

A Comparative Study On Neck Shaft Angle And Length Femur In South Gujarat

Introduction: The femur is the largest and strongest bone in the body and the structure of its proximal portionallows the leg to move in three dimensions relative to the torso, thus serving as a linchpin of human mobility.Moreover, age related and pediatric disorders at this skeletal site are common and confer strong risk factors forcurrent and future disability. The femur forms the skeleton of the thigh, carries body weight, supports themovements of leg and provides attachment to the muscles. Morphology of bones is very much affected by race,sex, environmental factors and life style.Materials and Methods: For this study total 285 Femurs of various bodies in central Gujarat were collectedrandomly and unknown age & sex. 285 Femurs were studied in department of Anatomy, Sri B.K.Shah Medicalinstitute & Research Centre. The following measurements were measured Neck shaft angle, Femoral Length andNeck Length of femur.Results and Conlusion: Total mean length of femur was 435.8 ± 27.32 (Mean ± SD ) mm. Right side mean length offemur was 436.2 ± 27.91 (Mean ± SD ) mm. Left side mean length of femur was 433.8 ± 26.14 (Mean ± SD ) mm.Maximum length of femur was 446 mm and minimum length was 423 mm.

Osteometric Study Of Proximal Femur

Background: The constitutional built and physique of Indians is entirely different from the western populationdue to the variation in the genetic makeup and lifestyle. But the prosthesis for proximal femur used in India ismanufactured by the western countries whose morphometry does not fit our people leading to complications.Hence, this study is to provide the morphometric data of proximal femur for Indian population and to clear thedrawbacks in the information about proximal femur in our people and customize the implant design to suit theIndian people and thereby reduce the complications.Materials and Methods: The study material consisted of 60 dry femora obtained from the Institute of Anatomyand the parameters studied according to standard anthropometrical methods with appropriate instruments.Results: In the present study, the average length of the femur was 41.4cm, diameter of head was 4.17cm, anteriorneck length being 3.42cm, Neck- shaft angle was 129.90and the inter-trochanteric distance 6.13cm.Conclusion: This study showed that our values were comparatively smaller than the western people and variedwith regional ethnicity. This study will encourage our biomechanical engineers to bring in a revolution in thedesigning and manufacturing of implants with correct morphometric data to befit our Indian population andlead to improved surgical outcome with minimal surgical complications.

Relationship between Neck Length, Sleep, and Cardiovascular Risk Factors / 가정의학회지

BACKGROUND: Neck circumference, as a predicator of obesity, is a well-known risk factor for obstructive sleep apnea and cardiovascular diseases. However, little research exists on neck length associated with these factors. This study explored the association of neck length with sleep and cardiovascular risk factors by measuring midline neck length (MNL) and lateral neck length (LNL). METHODS: We examined 240 patients aged 30 to 75 years who visited a health check-up center between January 2012 and July 2012. Patients with depressive disorder or sleep disturbance were excluded from this study. MNL from the upper margin of the hyoid bone to the jugular notch and LNL from the mandibular angle to the mid-portion of the ipsilateral clavicle were measured twice and were adjusted by height to determine their relationship with sleep and cardiovascular disease risk factors. RESULTS: Habitual snorers had shorter LNL height ratios (P = 0.011), MNL height ratios in men (P = 0.062), and MNL height ratios in women (P = 0.052). Those snoring bad enough to annoy others had shorter MNL height ratios in men (P = 0.083) and women (P = 0.035). Men with objective sleep apnea had longer distances from the mandible to the hyoid bone to the mandible (P = 0.057). Men with metabolic syndrome had significantly shorter LNL height ratios (P = 0.021), and women with diabetes, hyperlipidemia, and metabolic syndrome had shorter MNL height ratios (P < 0.05). CONCLUSION: This study shows that a short neck by measuring the MNL is probably associated with snoring. In addition, MNL is related to cardiovascular disease risk factors in women.

Study on Neck Shaft Angle And Femoral Length of South Indian Femurs.

Background: Femoral nek anteversion describes the angle subtended by the femoral neck with reference to the transcondylar plane of the distal end of the femur and is usually 15° to 45°. This along with the neck shaft angle, hip axis length, femoral neck width influence the risk of femoral neck fracture. Femoral neck anteversion angle has to be taken into consideration when reduction and fixation is selected as a method of treatment. Objectives: The objectives of present study to find out the measurements of Neck shaft angle, Femoral Length and Neck Length of femur. Materials and Methods: In present study have used 250 femurs from different colleges in south India. The following measurements were conducted Neck shaft angle, Femoral Length and Neck Length of femur. Results: The results of present study are the length of femur was 446.2+26.39mm, right femur was 446.6+26.66mm and left femur was 445.8+26.12mm, the Neck Length femur was 36.3+4.2mm, right femur was 36.1+4.1mm and left femur was 36.4+4.3m. the neck shaft angle of femur was 137.10 , right femur was 137.30 and left femur was 136.90. Conclusion: There is no significance difference between right and left femur measurements. Orthopaedists and Radiologists use the normal range and means of the neck shaft angle in the diagnosis and treatment of the disease of the hip. The angle is increased in congenital subluxation and dislocation of the hip, poliomyelitis, cerebral palsy and idiopathic scoliosis and decreased in the congenital coxavara , post traumatic coxa vara due to malunited femoral neck and inter trochanteric fractures.