{"id":1666,"date":"2019-01-05T14:14:27","date_gmt":"2019-01-05T14:14:27","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1666"},"modified":"2019-02-05T12:37:48","modified_gmt":"2019-02-05T12:37:48","slug":"ijar-2018-403","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-403","title":{"rendered":"IJAR.2018.403"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.7.1\/IJAR.2018.403.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-7-1.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 7; Issue 1.1 (January 2019)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a06045-6049<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2018.403<\/h3>\n<h3 style=\"text-align: justify;\">A MORPHOMETRIC STUDY OF UPPER END OF FEMUR AND ITS IMPLICATIONS IN HEMIARTHROPLASTY<\/h3>\n<p style=\"text-align: justify;\"><strong>Durga. P *<sup>1<\/sup>, K. R. Dakshayani <sup>2<\/sup>.<\/strong><\/p>\n<p><sup>*1 <\/sup>Postgraduate, Department of Anatomy, Mysore Medical College and Research Institute, Mysore, Karnataka, India.<\/p>\n<p><sup>2<\/sup> Principal, Professor and Head, Department of Anatomy, Mysore Medical College and Research Institute, Mysore, Karnataka, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for correspondence:<\/strong> Dr. Durga P, Postgraduate, Department of Anatomy, Mysore Medical College and Research Institute, Mysore, Karnataka, India.\u00a0<strong>E-Mail:<\/strong> durgapon@gmail.com<\/p>\n<p style=\"text-align: justify;\"><strong>ABSTRACT:<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Introduction: <\/strong>Hemiarthroplasty of hip is very common now-a-days in fracture neck of femur. So there is always need of population specific data for making best fit prosthesis to reduce complications following the procedure.<\/p>\n<p style=\"text-align: justify;\"><strong>Objectives: <\/strong>To measure Femoral Head Diameter, Femoral Neck Length, Femoral Neck Diameter, Femoral Neck Thickness and Cervico- Diaphyseal Angle. To find the correlation between each parameter.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and method: <\/strong>100 dry femur, required for the study, were collected from the Department of Anatomy, Mysore Medical College, Mysore. Measurements were obtained using a digital vernier calliper, a ruler and a protractor.<\/p>\n<p style=\"text-align: justify;\"><strong>Results: <\/strong>Mean value of Femoral Head Diameter was similar to other Indian studies. Mean value of Cervico-Diaphyseal Angle varied as that of western studies. The values of Femoral Head Diameter show high correlation with the values of Femoral Neck Diameter, Length and Thickness.<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion: <\/strong>The regional variations noted in this study will help designing prosthesis of appropriate head, neck and stem size, thus reducing the failure rates in hemiarthroplasty.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words:<\/strong> Upper end of Femur, Hemiarthroplasty, Morphometry of Femur.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Susan Standring, Gray \u2019s Anatomy, \u201cThe Anatomical basis of clinical practice\u201d, 40 edition, Elsevier Churchill Livingstone, London. 2008; 1360-13.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Haidukewych GJ, Israel TA, Berry DJ. \u201cReverse obliquity fractures of the intertrochanteric region of the femur\u201d. <em>J Bone Joint Surg Am<\/em>. 2001; 83(5):643- 50.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Kang SY, Lee EW, Kang KS, et al. \u201cMode of fixation failures of dynamic hip screw with TSP in the treatment of unstable proximal femur fracture: biomechanical analysis and a report of 3 cases\u201d. <em>J Korean Orthop Assoc<\/em>. 2006; 41(1):176- 80.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Subtrochanteric femur fractures\u201d. <em>Orthopaedia Main. In<\/em>: Orthopaedia &#8211; Collaborative Orthopaedic Knowledgebase. Created Jan 27, 2008 17:18. Last modified Nov 22, 2009 20:14 ver.10.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Broos PL, Rommens PM, Geens VR, Stappaerts KH. \u201cPertrochanteric fractures in the elderly. Is the Belgian VDP prosthesis the best treatment for unstable fractures with severe comminution\u201d. <em>Acta Chir Belg<\/em>.1991; 91:242-49.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Harwin SF, Stern RE, Kulick RG. \u201cPrimary Bateman-Leinbach bipolar prosthetic replacement of the hip in the treatment of unstable intertrochanteric fractures in the elderly\u201d. <em>Orthopedics<\/em>. 1990; 13:1131-36.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Green S, Moore T, Proano F.\u201cBipolar prosthetic replacement for the management of unstable intertrochanteric hip fractures in the elderly\u201d. <em>Clin Orthop Relat Res<\/em>. 1987; 224:169-77.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Rogmark C, Carlsson A, Johnell O, Sernbo I. \u201cPrimary hemiarthroplasty in old patients with displaced femoral neck fracture: A 1-year follows-up of 103 patients aged 80 years or more\u201d.\u00a0<em>Acta Orthop Scand<\/em>.\u00a02002;73:605\u201310.\u00a0[PubMed]<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Roden M, Schon M, Freden H. \u201cTreatment of displaced femoral neck fractures: A randomized minimum 5-year follow-up study of screws and bipolar hemiprosthesis in 100 patients\u201d.\u00a0<em>Acta Orthop Scand<\/em>.\u00a02003;74:42\u20134.\u00a0[PubMed]<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Parker MJ, Khan RJ, Crawford J, Pryor GA.\u201cHemiarthroplasty versus internal fixation for displaced intracapsular hip fractures in the elderly\u201d. A randomized trial of 455 patients.\u00a0<em>J Bone Joint Surg Br<\/em>.\u00a02002;84:1150\u20135.\u00a0[PubMed]<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Myung-Rae Cho et al. \u201cCurrent Concepts of Using Large Femoral Heads in THA\u201d<strong>.<\/strong><em>Hip Pelvis <\/em>28(3): 134-141, 2016<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Ravi G.O, Shaik Hussain Saheb, Abraham Ratna Joseph N. \u201cA Morphometric Study of Femur and Its Clinical Importance\u201d. <em>Int J Intg Med Sci <\/em>2016;3(7):341-44. ISSN 2394 &#8211; 4137<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">D Ravichandran et al,Proximal femoral geometry in Indians and its clinical importance,J.Anat.Soc.India 60(1) 6-12 (2011)<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Chaudhary PN, Shirol VS, Virupaxi RD. \u201cA morphometric study of femoral length, anterior neck length, and neck-shaft angle in dry femora: A cross-sectional study\u201d. <em>Indian J Health Sci\u00a0 Biomed Res <\/em>2017;10:331-4.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Minakshi Verma et al., \u201cMorphometry of Proximal Femur in Indian Population\u201d.<em>Journal of Clinical and Diagnostic Research<\/em>. 2017 Feb, Vol-11(2): AC01-AC04<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Haidukewych GJ, Israel TA, Berry DJ.\u201cReverse obliquity fractures of the intertrochanteric region of the femur\u201d. <em>J Bone Joint Surg Am<\/em>. 2001; 83(5):643- 50.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Kang SY, Lee EW, Kang KS, et al. \u201cMode of fixation failures of dynamic hip screw with TSP in the treatment of unstable proximal femur fracture: biomechanical analysis and a report of 3 cases\u201d. <em>J Korean Orthop Assoc. <\/em>2006; 41(1):176- 80.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Broos PL, Rommens PM, Geens VR, Stappaerts KH. \u201cPertrochanteric fractures in the elderly. Is the Belgian VDP prosthesis the best treatment for unstable fractures with severe comminution\u201d. <em>Acta Chir Belg.<\/em>1991; 91:242-49.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Harwin SF, Stern RE, Kulick RG.\u201cPrimary Bateman-Leinbach bipolar prosthetic replacement of the hip in the treatment of unstable intertrochanteric fractures in the elderly\u201d. <em>Orthopedics. <\/em>1990; 13:1131-36.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Green S, Moore T, Proano F.\u201cBipolar prosthetic replacement for the management of unstable intertrochanteric hip fractures in the elderly\u201d. <em>Clin Orthop Relat Res.<\/em>1987; 224:169-77<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Leung K, Procter P, Robioneck B, Behrens K.\u201cGeometric mismatch of the gamma nail to the Chinese femur\u201d. <em>Clin Orthop<\/em> 1996;323:42-8.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Hushmann O, Rubin PJ, Leyvraz PF, De Roguin B, Argenson JN. \u201cMorphology of the proximal femur: a three dimensional radiographic analysis\u201d. <em>Journal of bone and Joint Surgery B.<\/em> 1992; 74(1): 28-32.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Ahmad M, Nanda R, Bajwa AS, Couto JC, Green S, Hui AC. \u201cThree Dimensional morphology of the proximal femur. <em>J Arthroplasty<\/em>. 1997;12(4):444- 50.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Meuru Athapattu et al. \u201cBiomechanical Measurement of the femoral head diameter at hemiarthroplasty of the hip\u201d.<em>Procedia Technology<\/em> 17 ( 2014 ) 217 \u2013 222<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Zaki M, Shona S, Sayed W, Ghada A (2017) The Proximal Femur in Egyptian (Morphometric and Radiological Study). Anat Physiol 7:253. doi:10.4172\/2161-0940.1000253<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">Ho-Jung Cho et al, Morphometric Evaluation of Korean Femurs by Geometric\u00a0Computation: Comparisons of the Sex and the Population, BioMed Research International, Volume 2015, Article ID 730538, 9pages, http:\/\/dx.doi.org\/10.1155\/2015\/730538<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none\">\n<ol>\n<li style=\"text-align: justify;\">De Sousa, E et al,Morphometric study of the proximal femur extremity in Brazilians. <em>Int. J. Morphol., 28(3)<\/em>:835-840, 2010.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol>\n<li style=\"text-align: justify;\">Aparna Gullapalli et al, Morphometric study of femoral neck shaft angle and its clinical significance, International Journal of Anatomy and Research\u00a05(3.2):4261-4264\u00a0\u00b7\u00a0August 2017<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Durga. P, K. R. Dakshayani. A MORPHOMETRIC STUDY OF UPPER END OF FEMUR AND ITS IMPLICATIONS IN HEMIARTHROPLASTY. Int J Anat Res 2019;7(1.1):6045-6049.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2018.403\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 7; Issue 1.1 (January 2019) Page No.:\u00a06045-6049 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2018.403 A MORPHOMETRIC STUDY OF UPPER END OF FEMUR AND ITS IMPLICATIONS IN HEMIARTHROPLASTY Durga. P *1, K. R. Dakshayani 2. *1 Postgraduate, Department of Anatomy, Mysore Medical College and Research Institute, Mysore, Karnataka, India. 2 Principal, Professor and Head, Department of Anatomy,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2018-403\">+ Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1666"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1666"}],"version-history":[{"count":2,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1666\/revisions"}],"predecessor-version":[{"id":1698,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1666\/revisions\/1698"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1666"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}