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Kuru femur kemiklerinde kollodiyafiz (inklinasyon) açı ile diğer osteometrik ölçümler arasındaki ilişki ve klinik önemi

Year 2021, Issue: 41, 87 - 98, 28.06.2021
https://doi.org/10.33613/antropolojidergisi.902458

Abstract

Bu çalışmada antropologlar ve ortopedistler için faydalı olacak proksimal ve distal femoral geometriye ilişkin geniş bir morfometrik veri setinin oluşturulması amaçlanmıştır. Femoral morfometri adlî antropoloji alanında cinsiyet ve yaş tespiti için kullanılır. Femur anatomisine ilişkin bu morfometrik bilgi, cerrahî açıdan kalça ve diz artroplastisinde özellikle önemlidir. Çalışmamızda yaşı ve cinsiyeti bilinmeyen 120 (60 sağ, 60 sol) kuru femur kemikleri incelenmiştir. Dijital kumpas ve gonyometre kullanılarak 15 doğrusal ve bir açısal antropometrik parametre değerlendirilmiştir. Ölçüm parametreleri; femur uzunluğu, femur gövde uzunluğu ve genişliği, femur başının çevresi ve dikey çapı, femur boyun çevresi, genişliği, ön ve eksen uzunlukları, intertrokanterik mesafe, kollodiyafiz açı (inklinasyon açısı), fossa intercondylaris genişliği ve yüksekliği, fossa intercondylaris endisi, medial ve lateral kondüllerin genişliği ve bikondüler genişlik olarak belirlenmiştir. Ayrıca femurlar, fossa intercondylaris’in şekline ve endisine göre üç gruba ayrılmıştır. Ölçüm değerleri arasında sağ-sol karşılaştırması açısından anlamlı fark bulunmamıştır (p>0,05). İnklinasyon açısının femur boynu ön ve eksen uzunlukları ile anlamlı negatif korelasyon gösterdiği tespit edilmiştir (r=-0,255, p=0,005; r=-0,190, p=0,038). İnklinasyon açısı dışında diğer proksimal femur parametreleri arasında kuvvetli pozitif korelasyon görülmüştür. Ayrıca, distal femur parametreleri arasında da medial kondül genişliği dışında pozitif korelasyon bulunmuştur. Elde edilen morfometrik verilerin ileride yapılacak antropometrik çalışmalar için referans veri tabanı olarak kullanılabileceği ve kalça ve diz protezlerinin tasarımı açısından cerrahlar için faydalı olabileceği düşüncesindeyiz.

References

  • Açar, G. (2021). Sağlıklı genç gönüllülerde dış kulak morfometrisinin foto analizi ile boy, cinsiyet ve vüçut kitle indeksi arasındaki korelasyonun incelenmesi. World Journal of Health and Natural Sciences, (2), 28-45.
  • Albanese, J., Eklics, G., Tuck, A. (2008). A metric method for sex determination using the proximal femur and fragmentary hipbone. Journal of Forensic Sciences, 53(6), 1283-1288. https://doi.org/10.1111/j.1556-4029.2008.00855.x
  • Arıncı K, ve Elhan A. (2006). Anatomi, 4. baskı, Cilt 1 s. 17-25, Cilt 2, s. 87- 131. Güneş Kitabevi.
  • Bouras, T., Fennema, P., Burke, S., ve Bosman, H. (2018). Stenotic intercondylar notch type is correlated with anterior cruciate ligament injury in female patients using magnetic resonance imaging. Knee Surgery, Sports Traumatology, Arthroscopy, 26(4), 1252-1257. https://doi.org/10.1007/s00167-017-4625-4
  • Curate, F., Albuquerque, A., Ferreira, I., ve Cunha, E. (2017) Sex estimation with the total area of the proximal femur: A densitometric approach. Forensic Science International, (275), 110-116. https://doi.org/10.1016/j.forsciint.2017.02.035
  • De Sousa, E., Fernandes, R., M., P., Mathias, M., B., Rodrigues, M., R., Ambram, A., J., ve Babinski, M., A. (2010). Morphometric study of the proximal femur extremity in Brazilians. International Journal of Morphology, 28(3), 835-840. https://doi.org/10.4067/S0717-95022010000300027
  • El-Kaissi, S., Pasco, J., A., Henry, M., J., Panahi, S., Nicholson, J., G., Nicholson, G., J., ve Kotowicz, M., A. (2005). Femoral neck geometry and hip fracture risk: The Geelong osteoporosis study, Osteoporos International, (16), 1299-1303. https://doi.org/10.1007/s00198-005-1988-z
  • Fahim, S., M., Dhawan, T., Jagadeesh, N., ve Ashwathnarayan, Y., P. (2021). The relationship of anterior cruciate ligament injuries with MRI based calculation of femoral notch width, notch width index, notch shape - A randomized control study. Journal of Clinical Orthopaedics and Trauma, (17), 5-10. https://doi.org/10.1016/j.jcot.2021.01.006
  • Ghosh, I., Sengupta, G., Basu, P., ve Bose, A., D. (2015). Assessment of relationship between neck shaft angle and neck length with interepicondylar distance in femur. International Journal of Anatomy and Research, 3(4), 1710-1715. https://doi.org/10.16965/ijar.2015.322
  • Irdesel, J., ve Ari, I. (2006). The proximal femoral morphometry of Turkish women on radiographs. European Journal of Anatomy, 10(1), 21–26.
  • Isaac, B., Vettivel, S., Prasad, R., Jeyaseelan, L., ve Chandi, G. (1997). Prediction of the femoral neck-shaft angle from the length of the femoral neck. Clinical Anatomy, 10(5), 318-323. https://doi.org/10.1002/(SICI)1098-2353(1997)10:5<318::AID-CA5>3.0.CO;2-M
  • İyem, C., Güvençer, M., Karatosun, V., ve Ünver, B. (2014). Morphometric evaluation of proximal femur in patients with unilateral total hip prosthesis. Clinical Anatomy, 27(3), 478–488. https://doi.org/10.1002/ca.22245
  • Karaoğlu, N., ve Açar, G. (2021). Tıp fakültesi öğrencilerinin 2P:4P el parmak uzunluk oranları ile kişilik özellikleri arasındaki ilişkinin incelenmesi. Antropoloji, (41, Erken görünüm), 1-10, https://doi.org/10.33613/antropolojidergisi.832123
  • Katchy, A., U., Nto, N., J., Agu, A., U., Ikele, I., T., Chime, S., C., ve Ugwu, A., U. (2021). Proximal femoral geometry analysis of igbos of South East Nigeria and its clinical application in total hip replacement and hip surgeries: A dry bone study. Nigerian Journal of Clinical Practice, 24(3), 369-379. https://doi.org/10.4103/njcp.njcp_389_20
  • Keskin, A., Çiçekcibaşı, A., Aytekin, K., ve Açar, G. (2021). Muhtemel medial kompartman osteoartrit ön tanısı ile ortoröntgenografi çekilen hastalarda femur/tibia oranı ve alt ekstremite mekanik aks deviasyonu arasındaki ilişkinin incelenmesi. World Journal of Health and Natural Sciences, (2), 46-60.
  • Khanal, L., Shah, S., ve Koirala, S. (2017). Estimation of total length of femur from its proximal and distal segmental measurements of disarticulated femur bones of Nepalese population using regression equation method. Journal of Clinical and Diagnostic Research, 11(3), HC01-HC05. https://doi.org/10.7860/JCDR/2017/23694.9471
  • Kutun, H. (2008). Kol ve bacak kemiklerindeki cinsiyet kriterleri: Tepecik toplumu üzerinde bir inceleme [Yayımlanmamış yüksek lisans tezi]. Ankara Üniversitesi Sosyal Bilimler Enstitüsü, Ankara.
  • Lakati, K., C., Ndeleva, B., M., Mouti, N., ve Kibet, J. (2017). Proximal femur geometry in the adult Kenyan femur and its implications in Orthopaedic surgery. East African Orthopaedic Journal, 11(1), 22-27. https://www.ajol.info/index.php/eaoj/article/view/157630
  • Mahaisavariya, B., Sitthiseripratip, K., Tongdee, T., Bohez, E., L., Vander, Sloten, J., ve Oris, P. (2002). Morphological study of the proximal femur: a new method of geometrical assessment using 3-dimensional reverse engineering. Medical Engineering & Physics, 24(9), 617-622. https://doi.org/10.1016/S1350-4533(02)00113-3
  • Murshed, K., A., Çiçekcibaşi, A., E., Karabacakoğlu, A., Şeker, M., ve Ziylan, T. (2005). Distal femur morphometry: a gender and bilateral comparative study using magnetic resonance imaging. Surgical and Radiologic Anatomy, (27), 108-112. https://doi.org/10.1007/s00276-004-0295-2
  • Özandaç, S., Göker, P., Yücel, A., ve Bozkır, M. (2015). An osteometric study of proximal and distal femur morphology. Cukurova Medical Journal, 40, 466-473. https://doi.org/10.17826/cutf.82812
  • Özer, Y., ve Katayama, K. (2008). Sex determination using the femur in an ancient Japanese population. Collegium Antropologicum, 32(1), 67-72.
  • Purkait, R. (2005). Triangle identified at the proximal end of femur: a new sex determinant. Forensic Science International, 147(2-3), 135-139. https://doi.org/10.1016/j.forsciint.2004.08.005
  • Rajan, M., ve Ramachandran, K. (2020). Morphometric analysis of lower end of adult dry femur in south Indian population–A cross-sectional observational study and its clinical significance. Biomedicine, 40, 128-133.
  • Tan, G., Öz, B., Ölmez, N., Memiş, A., Vidinli, B., ve Özdemir, M. (2007). Atravmatik kalça kırığı olan erkek hastalarda femoral geometri. Türk Osteoporoz Dergisi, (13), 15-18.
  • Terzidis, I., Totlis, T., Papathanasiou, E., Sideridis, A., Vlasis, K., Natsis, K. (2012). Gender and side-to-side differences of femoral condyles morphology: osteometric data from 360 Caucasian dried femori. Anatomy Research International, 2012, Article 679658. https://doi.org/10.1155/2012/679658
  • Verma, M., Joshi, S., Tuli, A., Raheja, S., Jain, P., ve Srivastava, P. (2017). Morphometry of proximal femur in Indian population. Journal of Clinical and Diagnostic Research, 11(2), AC01–AC04. https://doi.org/10.7860/JCDR/2017/23955.9210
  • Villette, C., C., Zhang, J., Phillips, A., T., M. (2020). Influence of femoral external shape on internal architecture and fracture risk. Biomechanics and Modeling in Mechanobiology, (19), 1251-1261. https://doi.org/10.1007/s10237-019-01233-2

The relationship and clinical significance of femoral neck shaft angle with other osteometric measurements in dry femoral bones

Year 2021, Issue: 41, 87 - 98, 28.06.2021
https://doi.org/10.33613/antropolojidergisi.902458

Abstract

In this study, we aimed to provide an extended morphometric dataset regarding proximal and distal femoral geometry for anthropologists and orthopedists. Femoral morphometry was used for estimation of sex and age in forensic anthropology. Especially it is important in hip and knee arthroplasty from the surgical point of view. We studied a group of 120 (60 right, 60 left) dry femoral bones. 15 Linear and one angular anthropometric parameter were evaluated by using a digital caliper and goniometer. Measurement parameters; the femoral length, the length and width of femoral shaft, the circumference and vertical diameter of the femoral head, the circumference, width, anterior and axis lengths of the femoral neck, the length of intertrochanteric line, neck-shaft angle, the width, height and index of intercondylar notch, the width of medial and lateral condyles, and bicondylar width. Also, the femurs were subdivided into three groups according to the shape and index of intercondylar notch. There was no significant difference between the measurement values with respect to laterality (p>0.05). Femoral neck-shaft angle showed a significant negative correlation with the anterior and axis lengths of the femoral neck (r=-0.255, p=0.005; r=-0.190, p=0.038). Proximal femoral parameters except neck-shaft angle showed a strong positive correlation with each other. There was a positive correlation between the parameters of distal femur except for the width of medial condyle. We think that the obtained morphometric data can be used as a reference database for future anthropometric studies and may be useful for surgeons in terms of the design of hip and knee prostheses.

References

  • Açar, G. (2021). Sağlıklı genç gönüllülerde dış kulak morfometrisinin foto analizi ile boy, cinsiyet ve vüçut kitle indeksi arasındaki korelasyonun incelenmesi. World Journal of Health and Natural Sciences, (2), 28-45.
  • Albanese, J., Eklics, G., Tuck, A. (2008). A metric method for sex determination using the proximal femur and fragmentary hipbone. Journal of Forensic Sciences, 53(6), 1283-1288. https://doi.org/10.1111/j.1556-4029.2008.00855.x
  • Arıncı K, ve Elhan A. (2006). Anatomi, 4. baskı, Cilt 1 s. 17-25, Cilt 2, s. 87- 131. Güneş Kitabevi.
  • Bouras, T., Fennema, P., Burke, S., ve Bosman, H. (2018). Stenotic intercondylar notch type is correlated with anterior cruciate ligament injury in female patients using magnetic resonance imaging. Knee Surgery, Sports Traumatology, Arthroscopy, 26(4), 1252-1257. https://doi.org/10.1007/s00167-017-4625-4
  • Curate, F., Albuquerque, A., Ferreira, I., ve Cunha, E. (2017) Sex estimation with the total area of the proximal femur: A densitometric approach. Forensic Science International, (275), 110-116. https://doi.org/10.1016/j.forsciint.2017.02.035
  • De Sousa, E., Fernandes, R., M., P., Mathias, M., B., Rodrigues, M., R., Ambram, A., J., ve Babinski, M., A. (2010). Morphometric study of the proximal femur extremity in Brazilians. International Journal of Morphology, 28(3), 835-840. https://doi.org/10.4067/S0717-95022010000300027
  • El-Kaissi, S., Pasco, J., A., Henry, M., J., Panahi, S., Nicholson, J., G., Nicholson, G., J., ve Kotowicz, M., A. (2005). Femoral neck geometry and hip fracture risk: The Geelong osteoporosis study, Osteoporos International, (16), 1299-1303. https://doi.org/10.1007/s00198-005-1988-z
  • Fahim, S., M., Dhawan, T., Jagadeesh, N., ve Ashwathnarayan, Y., P. (2021). The relationship of anterior cruciate ligament injuries with MRI based calculation of femoral notch width, notch width index, notch shape - A randomized control study. Journal of Clinical Orthopaedics and Trauma, (17), 5-10. https://doi.org/10.1016/j.jcot.2021.01.006
  • Ghosh, I., Sengupta, G., Basu, P., ve Bose, A., D. (2015). Assessment of relationship between neck shaft angle and neck length with interepicondylar distance in femur. International Journal of Anatomy and Research, 3(4), 1710-1715. https://doi.org/10.16965/ijar.2015.322
  • Irdesel, J., ve Ari, I. (2006). The proximal femoral morphometry of Turkish women on radiographs. European Journal of Anatomy, 10(1), 21–26.
  • Isaac, B., Vettivel, S., Prasad, R., Jeyaseelan, L., ve Chandi, G. (1997). Prediction of the femoral neck-shaft angle from the length of the femoral neck. Clinical Anatomy, 10(5), 318-323. https://doi.org/10.1002/(SICI)1098-2353(1997)10:5<318::AID-CA5>3.0.CO;2-M
  • İyem, C., Güvençer, M., Karatosun, V., ve Ünver, B. (2014). Morphometric evaluation of proximal femur in patients with unilateral total hip prosthesis. Clinical Anatomy, 27(3), 478–488. https://doi.org/10.1002/ca.22245
  • Karaoğlu, N., ve Açar, G. (2021). Tıp fakültesi öğrencilerinin 2P:4P el parmak uzunluk oranları ile kişilik özellikleri arasındaki ilişkinin incelenmesi. Antropoloji, (41, Erken görünüm), 1-10, https://doi.org/10.33613/antropolojidergisi.832123
  • Katchy, A., U., Nto, N., J., Agu, A., U., Ikele, I., T., Chime, S., C., ve Ugwu, A., U. (2021). Proximal femoral geometry analysis of igbos of South East Nigeria and its clinical application in total hip replacement and hip surgeries: A dry bone study. Nigerian Journal of Clinical Practice, 24(3), 369-379. https://doi.org/10.4103/njcp.njcp_389_20
  • Keskin, A., Çiçekcibaşı, A., Aytekin, K., ve Açar, G. (2021). Muhtemel medial kompartman osteoartrit ön tanısı ile ortoröntgenografi çekilen hastalarda femur/tibia oranı ve alt ekstremite mekanik aks deviasyonu arasındaki ilişkinin incelenmesi. World Journal of Health and Natural Sciences, (2), 46-60.
  • Khanal, L., Shah, S., ve Koirala, S. (2017). Estimation of total length of femur from its proximal and distal segmental measurements of disarticulated femur bones of Nepalese population using regression equation method. Journal of Clinical and Diagnostic Research, 11(3), HC01-HC05. https://doi.org/10.7860/JCDR/2017/23694.9471
  • Kutun, H. (2008). Kol ve bacak kemiklerindeki cinsiyet kriterleri: Tepecik toplumu üzerinde bir inceleme [Yayımlanmamış yüksek lisans tezi]. Ankara Üniversitesi Sosyal Bilimler Enstitüsü, Ankara.
  • Lakati, K., C., Ndeleva, B., M., Mouti, N., ve Kibet, J. (2017). Proximal femur geometry in the adult Kenyan femur and its implications in Orthopaedic surgery. East African Orthopaedic Journal, 11(1), 22-27. https://www.ajol.info/index.php/eaoj/article/view/157630
  • Mahaisavariya, B., Sitthiseripratip, K., Tongdee, T., Bohez, E., L., Vander, Sloten, J., ve Oris, P. (2002). Morphological study of the proximal femur: a new method of geometrical assessment using 3-dimensional reverse engineering. Medical Engineering & Physics, 24(9), 617-622. https://doi.org/10.1016/S1350-4533(02)00113-3
  • Murshed, K., A., Çiçekcibaşi, A., E., Karabacakoğlu, A., Şeker, M., ve Ziylan, T. (2005). Distal femur morphometry: a gender and bilateral comparative study using magnetic resonance imaging. Surgical and Radiologic Anatomy, (27), 108-112. https://doi.org/10.1007/s00276-004-0295-2
  • Özandaç, S., Göker, P., Yücel, A., ve Bozkır, M. (2015). An osteometric study of proximal and distal femur morphology. Cukurova Medical Journal, 40, 466-473. https://doi.org/10.17826/cutf.82812
  • Özer, Y., ve Katayama, K. (2008). Sex determination using the femur in an ancient Japanese population. Collegium Antropologicum, 32(1), 67-72.
  • Purkait, R. (2005). Triangle identified at the proximal end of femur: a new sex determinant. Forensic Science International, 147(2-3), 135-139. https://doi.org/10.1016/j.forsciint.2004.08.005
  • Rajan, M., ve Ramachandran, K. (2020). Morphometric analysis of lower end of adult dry femur in south Indian population–A cross-sectional observational study and its clinical significance. Biomedicine, 40, 128-133.
  • Tan, G., Öz, B., Ölmez, N., Memiş, A., Vidinli, B., ve Özdemir, M. (2007). Atravmatik kalça kırığı olan erkek hastalarda femoral geometri. Türk Osteoporoz Dergisi, (13), 15-18.
  • Terzidis, I., Totlis, T., Papathanasiou, E., Sideridis, A., Vlasis, K., Natsis, K. (2012). Gender and side-to-side differences of femoral condyles morphology: osteometric data from 360 Caucasian dried femori. Anatomy Research International, 2012, Article 679658. https://doi.org/10.1155/2012/679658
  • Verma, M., Joshi, S., Tuli, A., Raheja, S., Jain, P., ve Srivastava, P. (2017). Morphometry of proximal femur in Indian population. Journal of Clinical and Diagnostic Research, 11(2), AC01–AC04. https://doi.org/10.7860/JCDR/2017/23955.9210
  • Villette, C., C., Zhang, J., Phillips, A., T., M. (2020). Influence of femoral external shape on internal architecture and fracture risk. Biomechanics and Modeling in Mechanobiology, (19), 1251-1261. https://doi.org/10.1007/s10237-019-01233-2
There are 28 citations in total.

Details

Primary Language Turkish
Subjects Anatomy
Journal Section Research Articles
Authors

Gülay Açar 0000-0002-9524-5056

Betül Digilli 0000-0002-5150-5987

Publication Date June 28, 2021
Submission Date March 24, 2021
Acceptance Date May 14, 2021
Published in Issue Year 2021 Issue: 41

Cite

APA Açar, G., & Digilli, B. (2021). Kuru femur kemiklerinde kollodiyafiz (inklinasyon) açı ile diğer osteometrik ölçümler arasındaki ilişki ve klinik önemi. Antropoloji(41), 87-98. https://doi.org/10.33613/antropolojidergisi.902458

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