A simple method for restoring the femoral head center in hip arthroplasty: a 3-dimensional analysis in the Chinese population.

A simple method for restoring the femoral head center in hip arthroplasty: a 3-dimensional analysis in the Chinese population.
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恢复髋关节置换术中股骨头中心的一种简单方法:中国人口的三维分析。

DOI:
10.1186/s12891-022-05901-w
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发表时间:
2022-11-15
影响因子:
2.3
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
作者:

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许多作者已经成功地证明了大转子到股骨头中心的距离(GTFHC)和小转子到股骨头中心的距离(LTFHC)可以作为确定髋关节置换术中股骨头中心恢复的参数。有必要利用3D-CT重建方法获得的数据,对大转子(GT)、小转子(LT)和FHC之间的相关性进行解剖学研究。研究纳入293例患者,其中男性151例,女性142例,平均年龄65.06岁。测量股骨头直径(FHD)、FHC到GT的线性距离(GTFHC)、FHC到LT的线性距离(LTFHC)并记录数据。采用Pearson相关系数评价FHD与LTFHC、GTFHC的相关性,并以此比值计算LTFHC、GTFHC与FHD的比值。所有测量的参数在左右两边和参与者的性别之间进行比较。GTFHC/FHD和LTFHC/FHD的平均比值分别为0.99和0.95。96%的LTFHC的绝对侧差< 4 mm。92%的GTFHC的绝对侧差< 4 mm。LTFHC和GTFHC是髋关节置换术中FHC术前规划和重建的可靠参考参数。本研究显示的比例可能为骨科医生对股骨颈骨折患者进行髋关节置换术提供一种实用而直接的方法。基于同一种族的研究的比率可能对未来的工作是可取的。
Various authors have successfully demonstrated that the distance from the greater trochanter to the femoral head center (GTFHC) and the distance from the lesser trochanter to the femoral head center (LTFHC) can be used as parameters to determine the recovery of the femoral head center (FHC) during hip arthroplasty. It is necessary to undertake an anatomical study concerning the correlations between the greater trochanter (GT), the lesser trochanter (LT), and the FHC using data obtained from the 3D-CT reconstruction method. The study comprised 293 patients (151 males and 142 females), with an average age of 65.06 years. The femoral head diameter(FHD), the linear distance from FHC to GT (GTFHC), and the linear distance from FHC to LT(LTFHC) were all measured and recorded data. The correlation between FHD with LTFHC and GTFHC was assessed using Pearson correlation coefficients, and the ratio of LTFHC and GTFHC to FHD was calculated from this ratio. All measured parameters were compared between the left and right sides and the sexes of the participants. The average ratios of GTFHC/FHD and LTFHC/FHD were 0.99 and 0.95, respectively .96% of the LTFHC had absolute lateral differences of < 4 mm . 92% of the GTFHC had absolute lateral differences of < 4 mm. LTFHC and GTFHC are reliable reference parameters for preoperative planning and reconstruction of FHC of hip arthroplasty. The ratio displayed in this research may yield insight into a practical and straightforward method for orthopedic surgeons to perform hip arthroplasty in patients with femoral neck fractures. Ratios from studies based on the same race may be desirable for future work.
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