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The Importance of Morphometric Measurements of Adult Human Dry Hip Bone in Acetabular Reconstruction

Yıl 2022, Cilt 12, Sayı 5, 685 - 691, 30.09.2022
https://doi.org/10.16899/jcm.1134666

Öz

Objective: The aim of this study was to obtain morphometric measurements of adult human hip bones, examine the relationship among these measurement parameters, and develop regression equations to estimate the acetabular dimensions for acetabular reconstruction Material and Method: Seventy-eight (39 right and 39 left) dry hip bones of unknown age and gender located in the laboratory of Çukurova University Faculty of Medicine, Department of Anatomy, were included in the study. Eleven hip bones with fractures, deterioration, deformities, and defects that would affect the measurements were excluded from the study. In our study, 14 morphometric measurements of hip bones were obtained. IBM SPSS program was used for statistical analysis. Results: Single and multiple regression equations were developed from the hip bone morphometric measurements for the estimation of the morphometric measurements of the acetabulum. The standard error of estimate (SEE) values ranged from ±1.818 mm to ±3.546 mm in single regression equations, and between ±1.633 mm and ±2.107 mm in multiple regression equations. A lower SEE value was obtained in multiple regression equations than in single regression equations. Conclusion: The regression equations developed in this study will allow us to obtain personalized measurements, which will aid clinicians in the correct and safe placement of the implant in hip replacement surgeries as well as in the prevention of complications with the use of appropriate prostheses.

Kaynakça

  • Solomon LB, Howie DW, Henneberg M. The variability of the volume of os coxae and linear pelvic morphometry. Considerations for total hip arthroplasty. J Arthroplasty 2014;29(4):769-76.
  • Topal M, Aydın A, Paksoy AE, et al. Asetabulum Kırıkları Cerrahi Tedavisinde Posterior Yaklaşım: Klinik ve Radyolojik Sonuçlar. SDÜ Tıp Fakültesi Dergisi, 2020;27(3):375-81.
  • Browner BD. Skeletal trauma: basic science, management, and reconstruction. Elsevier Health Sciences; 2015. pp.1107- 1161.e1105.
  • Dinçer R, Atay T, Burç H, Baykal YB, Kırdemir V. Asetabulum Kiriklarinda Orta Dönem Konservatif ve Cerrahi Tedavi Sonuçlari. SDÜ Tıp Fakültesi Dergisi, 2021;28(2):229-36.
  • Matta JM. Fractures of the Acetabulum: Accuracy of Reduction and Clinical Results in Patients Managed Operatively within Three Weeks after the Injury. J Bone Joint Surg 1996;78(11):1632-45
  • Koo TK, Li MY A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med 2016;15(2):155-63.
  • Dhindsa GS, Singh P, Singh Z. Morphometry of the adult human dry hip bone. Int J Pharm Pharm Sci 2013;5(2):505-7.
  • Shruthi M, Mohanraj KG. Determination of sex using os coxae in relation to ischial tuberosity–A morphometric study. Drug Invent Today 2019;11(10):2469-72.
  • Sachdeva K, Singla RK, Kalsey G. Role of ilium in sexual dimorphism of hip bone: a morphometric study in North Indian population. Int J Anat Res 2014;2(3):524-32.
  • Sachdeva K, Singla RK, Kalsey G, Sharma P. Sex differences in morphometry of North Indian acetabula—forensic and orthopedic consideration. Natl J Clin Anat 2019;8(4):153-9.
  • Singh A, Gupta R, Singh A. Morphological and morphometric study of the acetabulum of dry human hip bone and its clinical implication in hip arthroplasty. J Anat Soc India 2020;69(4):220.
  • Blake KA, Hartnett‐McCann K. Metric assessment of the pubic bone using known and novel data points for sex estimation. J Forensic Sci., 2018;63(5):1472-8.
  • Sachdeva K, Singla, K, Kalsey G. Role of Pubis In Sexual Dimorphism of Hip Bone-A Morphometric Study In North Indian Population. Int J Anat Res 2020;8(2.1):7430-4.
  • Adhvaryu AV, Patel M, Gohil DV, Patel MM. A Study of Sexual Dimorphism in Ischiopubic Index of Adult Human Hip Bones. Int J Anat Res, 2019;7(2.3):6627-31.
  • Arunkumar K, Delhiraj U, Kumar SS. Morphologic and Morphometric Study of Human Acetabulum and its Clinical Significance. J Clin Diagn Res 2021;15(2):AC16-AC19.
  • Vyas K, Shroff B, Zanzrukiya K. An osseous study of morphological aspect of acetabulum of hip bone. Int J Res Med 2013;2(1):78-82.
  • Parmara G, Ruparelia S, Patel SV, Patel SM, Jethva N. Morphology and morphometry of acetabulum. Int J Biol Med Res 2013;4(1):2924-6.
  • Sreedevi G, Sangam MR. The study of morphology and morphometry of acetabu-lum on dry bones. Int J Anat Res 2017;5(4.2):4558-62.
  • Zeng Y, Wang Y, Zhu Z, Tang T, Dai K, Qiu S. Differences in acetabular morphology related to side and sex in a Chinese population. J Anat 2012;220(3):256-62.
  • Indurjeeth K, Ishwarkumar S, De Gama BZ, Ndlazi Z, Pillay P. Morphometry and morphology of the acetabulum within the black African population of South Africa. Int J Morphol 2019;37(3):971-6.
  • Ukoha UU, Umeasalugo KE, Okafor JI, Ndukwe GU, Nzeakor HC, Ekwunife DO. Morphology and morphometry of dry adult acetabula in Nigeria. Rev Argent Anat Clin 2014;6(3):150-5.
  • Baharuddin MY, Zulkifly AH, Kadir MRA, Saat A, Aziz AA, Lee MH. Morphometric Study of the Acetabular in Malay Population Normal Hips and its Clinical Applications. J Med Sci 2011;11:213-9.
  • Aksu FT, Çeri NG, Arman C, Tetik S. Morphology and morphometry of the acetabulum. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 2006;20(3):143-8.
  • Demir M, Atay E, Güneri B, et al. Morphometric measurements of the hip bone in Turkish adult population. Kobe J Med Sci 2018;64(4):E149-E156.
  • Bağcı Uzun G, Değermenci M, Uçar İ, Arslan A, Nisari M. Morphometrıc evaluatıon of acetabulum. J Surg Med 2020;4(7):555-7.

Acetabulum Rekonstrüksiyonunda Erişkin İnsan Kuru Os coxae’sına ait Morfometrik Ölçümlerin Önemi

Yıl 2022, Cilt 12, Sayı 5, 685 - 691, 30.09.2022
https://doi.org/10.16899/jcm.1134666

Öz

Amaç: Bu çalışmada, yetişkin insan Os coxae’sına ait morfometrik ölçümlerin elde edilmesi ve bu ölçüm parametreleri arasındaki ilişkinin incelenerek Acetabulum’un rekonstrüksiyonunda acetabulum boyutlarını tahmin etmek için regresyon denklemlerinin oluşturulması amaçlanmıştır. Gereç ve Yöntem: Çalışmamıza Çukurova Üniversitesi Tıp Fakültesi Anatomi Anabilim dalı laboratuvarında yer alan yaş ve cinsiyetleri bilinmeyen 78 (39 sağ, 39 sol) kuru Os coxae dahil edilmiştir. Herhangi bir kırık, bozulma, deformite ve çalışmadaki ölçümleri etkileyecek kusur bulunan 11 Os coxae çalışmadan çıkarılmıştır. Çalışmamızda Os coxae’ya ait 14 morfometrik ölçüm elde edilmiştir. Ölçüm parametrelerinin istatistiksel analizinde IBM SPSS programı kullanılmıştır. Bulgular: Acetabulum’un morfometrik ölçümlerinin tahmini için Os coxae’nın morfometrik ölçümlerinden tekli ve çoklu regresyon denklemleri oluşturulmuştur. Standart tahmini hata değerleri tekli regresyon denklemlerinde ±1,818 mm ile ±3,546 mm arasında iken, çoklu regresyon denklemlerinde ±1,633 mm ile ±2,107 mm arasında değişmektedir. Çoklu regresyon denklemlerinde, tekli regresyon denklemlerine kıyasla daha düşük standart tahmini hata değeri elde edilmiştir. Sonuç: Oluşturduğumuz regresyon denklemleri kişiye özel ölçümler elde etmemizi sağlayacağı için kalça protezi ameliyatlarında implantın doğru ve güvenli bir şekilde yerleştirilmesi, uygun protez ile komplikasyonların önlenmesi konusunda klinisyenlere katkı sağlayacağı düşünülmektedir.

Kaynakça

  • Solomon LB, Howie DW, Henneberg M. The variability of the volume of os coxae and linear pelvic morphometry. Considerations for total hip arthroplasty. J Arthroplasty 2014;29(4):769-76.
  • Topal M, Aydın A, Paksoy AE, et al. Asetabulum Kırıkları Cerrahi Tedavisinde Posterior Yaklaşım: Klinik ve Radyolojik Sonuçlar. SDÜ Tıp Fakültesi Dergisi, 2020;27(3):375-81.
  • Browner BD. Skeletal trauma: basic science, management, and reconstruction. Elsevier Health Sciences; 2015. pp.1107- 1161.e1105.
  • Dinçer R, Atay T, Burç H, Baykal YB, Kırdemir V. Asetabulum Kiriklarinda Orta Dönem Konservatif ve Cerrahi Tedavi Sonuçlari. SDÜ Tıp Fakültesi Dergisi, 2021;28(2):229-36.
  • Matta JM. Fractures of the Acetabulum: Accuracy of Reduction and Clinical Results in Patients Managed Operatively within Three Weeks after the Injury. J Bone Joint Surg 1996;78(11):1632-45
  • Koo TK, Li MY A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med 2016;15(2):155-63.
  • Dhindsa GS, Singh P, Singh Z. Morphometry of the adult human dry hip bone. Int J Pharm Pharm Sci 2013;5(2):505-7.
  • Shruthi M, Mohanraj KG. Determination of sex using os coxae in relation to ischial tuberosity–A morphometric study. Drug Invent Today 2019;11(10):2469-72.
  • Sachdeva K, Singla RK, Kalsey G. Role of ilium in sexual dimorphism of hip bone: a morphometric study in North Indian population. Int J Anat Res 2014;2(3):524-32.
  • Sachdeva K, Singla RK, Kalsey G, Sharma P. Sex differences in morphometry of North Indian acetabula—forensic and orthopedic consideration. Natl J Clin Anat 2019;8(4):153-9.
  • Singh A, Gupta R, Singh A. Morphological and morphometric study of the acetabulum of dry human hip bone and its clinical implication in hip arthroplasty. J Anat Soc India 2020;69(4):220.
  • Blake KA, Hartnett‐McCann K. Metric assessment of the pubic bone using known and novel data points for sex estimation. J Forensic Sci., 2018;63(5):1472-8.
  • Sachdeva K, Singla, K, Kalsey G. Role of Pubis In Sexual Dimorphism of Hip Bone-A Morphometric Study In North Indian Population. Int J Anat Res 2020;8(2.1):7430-4.
  • Adhvaryu AV, Patel M, Gohil DV, Patel MM. A Study of Sexual Dimorphism in Ischiopubic Index of Adult Human Hip Bones. Int J Anat Res, 2019;7(2.3):6627-31.
  • Arunkumar K, Delhiraj U, Kumar SS. Morphologic and Morphometric Study of Human Acetabulum and its Clinical Significance. J Clin Diagn Res 2021;15(2):AC16-AC19.
  • Vyas K, Shroff B, Zanzrukiya K. An osseous study of morphological aspect of acetabulum of hip bone. Int J Res Med 2013;2(1):78-82.
  • Parmara G, Ruparelia S, Patel SV, Patel SM, Jethva N. Morphology and morphometry of acetabulum. Int J Biol Med Res 2013;4(1):2924-6.
  • Sreedevi G, Sangam MR. The study of morphology and morphometry of acetabu-lum on dry bones. Int J Anat Res 2017;5(4.2):4558-62.
  • Zeng Y, Wang Y, Zhu Z, Tang T, Dai K, Qiu S. Differences in acetabular morphology related to side and sex in a Chinese population. J Anat 2012;220(3):256-62.
  • Indurjeeth K, Ishwarkumar S, De Gama BZ, Ndlazi Z, Pillay P. Morphometry and morphology of the acetabulum within the black African population of South Africa. Int J Morphol 2019;37(3):971-6.
  • Ukoha UU, Umeasalugo KE, Okafor JI, Ndukwe GU, Nzeakor HC, Ekwunife DO. Morphology and morphometry of dry adult acetabula in Nigeria. Rev Argent Anat Clin 2014;6(3):150-5.
  • Baharuddin MY, Zulkifly AH, Kadir MRA, Saat A, Aziz AA, Lee MH. Morphometric Study of the Acetabular in Malay Population Normal Hips and its Clinical Applications. J Med Sci 2011;11:213-9.
  • Aksu FT, Çeri NG, Arman C, Tetik S. Morphology and morphometry of the acetabulum. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 2006;20(3):143-8.
  • Demir M, Atay E, Güneri B, et al. Morphometric measurements of the hip bone in Turkish adult population. Kobe J Med Sci 2018;64(4):E149-E156.
  • Bağcı Uzun G, Değermenci M, Uçar İ, Arslan A, Nisari M. Morphometrıc evaluatıon of acetabulum. J Surg Med 2020;4(7):555-7.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

A. Kürşad AÇIKGÖZ> (Sorumlu Yazar)
ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, TEMEL TIP BİLİMLERİ BÖLÜMÜ, ANATOMİ ANABİLİM DALI
0000-0002-7895-1055
Türkiye


Memduha Gülhal BOZKIR>
ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ, TEMEL TIP BİLİMLERİ BÖLÜMÜ, ANATOMİ ANABİLİM DALI
0000-0003-4164-4227
Türkiye

Erken Görünüm Tarihi 11 Temmuz 2022
Yayımlanma Tarihi 30 Eylül 2022
Kabul Tarihi 19 Ağustos 2022
Yayınlandığı Sayı Yıl 2022, Cilt 12, Sayı 5

Kaynak Göster

AMA Açıkgöz A. K. , Bozkır M. G. The Importance of Morphometric Measurements of Adult Human Dry Hip Bone in Acetabular Reconstruction. J Contemp Med. 2022; 12(5): 685-691.