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利用计算机断层扫描对南印度人群髋关节进行人体测量分析。

Anthropometric analysis of the hip joint in South Indian population using computed tomography.

作者信息

Sengodan Vetrivel Chezian, Sinmayanantham Elangovan, Kumar J Saravana

机构信息

Department of Orthopaedics, Coimbatore Medical College Hospital, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Orthop. 2017 Mar-Apr;51(2):155-161. doi: 10.4103/0019-5413.201709.

DOI:10.4103/0019-5413.201709
PMID:28400660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5361465/
Abstract

BACKGROUND

Proximal femur has a significant functional modification on erect bipedal posture. Various proximal femoral parameters were analyzed in Western literature. This information was utilized in prosthetic designing. Implants designed for Western people are used in Indian patients undergoing hip surgeries such as internal fixation and replacement arthroplasty.

MATERIALS AND METHODS

The study was done among 200 individuals (400 hips) with a normal hip joint after ethical committee clearance. Computed tomography scanning of proximal femur was done. Neck-shaft angle (NSA), neck width (NW), head diameter (HD), acetabular angle (AA) of sharp, horizontal offset (HO), vertical offset (VO), medullary canal diameter at the level of lesser trochanter (MD), and acetabular version (AV) were measured. These parameters were tabulated and compared with various populations and statistically analyzed.

RESULTS

The mean values were NSA 135°, NW 27 mm, femoral HD (HD) 42.5 mm, AA of sharp 35.5°, HO 37 mm, VO 46 mm, MD20 mm, and AV 18.64°. The values differ when compared with Western population. This study results differed when compared with other Indian studies done in Northern and Northeast Indian population. Significant differences noted in the parameters between sexes and between the sides of the hip joint.

CONCLUSION

This study indicates that there are significant differences in anthropometric parameters of proximal femur among the South Indian population compared with Western population. Even within the Indian population, the anthropometric parameters vary region to region.

摘要

背景

股骨近端对直立双足姿势有显著的功能适应性改变。西方文献中分析了各种股骨近端参数。这些信息被用于假体设计。为西方人设计的植入物被用于接受髋关节手术（如内固定和置换关节成形术）的印度患者。

材料与方法

在伦理委员会批准后，对200名髋关节正常的个体（400个髋关节）进行了研究。对股骨近端进行了计算机断层扫描。测量了颈干角（NSA）、颈宽（NW）、股骨头直径（HD）、锐利髋臼角（AA）、水平偏移（HO）、垂直偏移（VO）、小转子水平的髓腔直径（MD）和髋臼旋转角（AV）。将这些参数制成表格，并与不同人群进行比较，然后进行统计学分析。

结果

平均值为NSA 135°、NW 27mm、股骨头直径（HD）42.5mm、锐利AA 35.5°、HO 37mm、VO 46mm、MD 20mm、AV 18.64°。与西方人群相比，这些值有所不同。与在印度北部和东北部人群中进行的其他印度研究相比，本研究结果也有所不同。在性别之间以及髋关节两侧的参数中发现了显著差异。

结论

本研究表明，与西方人群相比，南印度人群股骨近端的人体测量参数存在显著差异。即使在印度人群内部，人体测量参数也因地区而异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ae/5361465/190c22faf4c3/IJOrtho-51-155-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ae/5361465/528578327e9a/IJOrtho-51-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ae/5361465/9a3fb1d716b7/IJOrtho-51-155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ae/5361465/190c22faf4c3/IJOrtho-51-155-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ae/5361465/528578327e9a/IJOrtho-51-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ae/5361465/9a3fb1d716b7/IJOrtho-51-155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09ae/5361465/190c22faf4c3/IJOrtho-51-155-g003.jpg

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