Türk Toplumunda Proksimal Femurun Geometrik Özelliklerinin Radyolojik Değerlendirilmesi

Amaç: Bu çalışmanın amacı cerrahlar ve implant imalatçıları için bir veri tabanı oluşturmak gayesi ile Türk toplumunda proksimal femur geometrisinin farklı özelliklerini değerlendirmektir.Gereç ve yöntem: 40- 80 yaş arasındaki 380 (190 erkek, 190 kadın) hastanın doğru pelvis ön-arka dijital görüntüleri elde edildi. Femur başı çapı, horizontal offset, boyun şaft açısı, femur boynu genişliği, boynu uzunluğu ve femur boynu eksen uzunluğu ölçüldü.  Bulgular: Her iki cinsiyette de, femur başı çapı ve kalçanın horizontal ofsetinde sağ ve sol kalçalar arasında anlamlı fark saptandı. Femur boyun-şaft açısı, femur boyun genişliği, femur boyun uzunluğu ve femur boyun aks uzunluğu ölçümlerinde ise sağ ve sol kalçalar arasında anlamlı fark saptanmadı. Sonuç: Genellikle erkeklerde kadınlara göre daha yüksek değerler saptandı. Proksimal femur cerrahisi ile uğraşan cerrahlar ve implant imalatçıları için bu çalışma bir veri tabanı hizmeti sunabilir.

Radiological Evaluation of the Proximal Femoral Geometric Features in the Turkish Population

Objective:  The aim of this study is to assess different features of the proximal femoral geometry of the Turkish population to build a database for surgeons and implant manufacturers.Methods: 380 (190 male, 190 female) antero-posterior direct radiography of pelvis of 40-80 years old patients were reviewed retrospectively. The femoral head diameter, horizontal offset, neck shaft angle, femoral neck width, femoral neck length and the femoral axis length were measured.      Results: In both genders, there was statistically significant difference between right and left hips at femoral head diameters and horizontal offset of hip. No significant difference was detected at the measurements of neck-shaft angle, femoral neck width, femoral neck length and femoral neck axis length. Conclusion: Male population most of the time present higher average values than the female population. This study may offer a data base for surgeons and manufacturers who deal with proximal femoral bone surgery. 

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