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股骨近端形态及其与解剖预塑形钢板设计的相关性:一项针对中国人群的研究。

Proximal femoral morphology and the relevance to design of anatomically precontoured plates: a study of the Chinese population.

作者信息

Lin Kun-Jhih, Wei Hung-Wen, Lin Kang-Ping, Tsai Cheng-Lun, Lee Pei-Yuan

机构信息

Translation Technology Center for Medical Device, Chung Yuan Christian University, Zhongli 32023, Taiwan.

Translation Technology Center for Medical Device, Chung Yuan Christian University, Zhongli 32023, Taiwan ; Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei 11221, Taiwan.

出版信息

ScientificWorldJournal. 2014;2014:106941. doi: 10.1155/2014/106941. Epub 2014 Nov 3.

DOI:10.1155/2014/106941
PMID:25530989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4235604/
Abstract

Adequately shaped femoral plate is critical for the fixation of fracture in the pertrochanteric regions. Lateral aspect of greater trochanter is an important region where the proximal femoral plate anchored. However, little is known regarding the morphology of greater trochanter. The objective of this study was to measure main dimensions of greater trochanter and other regions in the proximal end of the femur to provide an anatomical basis for the design of the proximal femoral plate. Anthropometric data on the proximal femur were performed utilizing three-dimensional computational modeling. Computed tomography images of healthy femurs in 53 women and 47 men were contributed to three-dimensional femur modeling. All data were compared between male and female femora. The results showed that mean values for male group were found to be greater in most of measured femoral dimensions. Oppositely, females demonstrated higher neck-shaft angle on anteroposterior view and femoral anteversion angle. The anthropometric data can be used for the anatomical shape design of femoral plates for osteosynthesis of fractures in the trochanteric regions. A distinct plate design may be necessary to accommodate differences between the genders.

摘要

形状合适的股骨钢板对于转子周围区域骨折的固定至关重要。大转子外侧是股骨近端钢板锚固的重要区域。然而,关于大转子的形态学知之甚少。本研究的目的是测量大转子及股骨近端其他区域的主要尺寸,为股骨近端钢板的设计提供解剖学依据。利用三维计算模型获取股骨近端的人体测量数据。53名女性和47名男性健康股骨的计算机断层扫描图像用于构建三维股骨模型。所有数据在男性和女性股骨之间进行比较。结果显示,在大多数测量的股骨尺寸中,男性组的平均值更大。相反,女性在前后位视图上的颈干角和股骨前倾角更高。这些人体测量数据可用于转子周围区域骨折骨固定用股骨钢板的解剖形状设计。可能需要一种独特的钢板设计来适应性别差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9def/4235604/7c06c5e2a836/TSWJ2014-106941.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9def/4235604/7c06c5e2a836/TSWJ2014-106941.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9def/4235604/7c06c5e2a836/TSWJ2014-106941.001.jpg

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