Femoral offset: Anatomical concept, definition, assessment, implications for preoperative templating and hip arthroplasty

Lecerf, G.; Fessy, Michel‐Henri; Philippot, Rémi; Massin, P.; Giraud, Frédérique; Flécher, Xavier; Girard, Julien; Mertl, P.; Marchetti, E.; Stindel, Éric

doi:10.1016/j.otsr.2009.03.010

Cited by 356 publications

(283 citation statements)

References 19 publications

Supporting

Mentioning

243

Contrasting

Unclassified

Order By: Relevance

“…Offset and leg length restoration are important goals of the revision procedure and likely play a large role in the functional outcome of the procedure [12]. Very little information is available in the published literature regarding these two issues in the modular revision situation.…”

Section: Discussionmentioning

confidence: 99%

Modular Femoral Stems for Revision Total Hip Arthroplasty

Restrepo

Mashadi

Parvızı

et al. 2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Modular Femoral Stems for Revision Total Hip Arthroplasty

Restrepo

Mashadi

Parvızı

et al. 2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…In 150 healthy patients, Lecerf et al (2009) obtained an average FNA of 129º (± 6º). Likewise, Umer et al (2010) obtained similar results in the Pakistani population, where the femoral neck angle was on average 130.3mm (± 6.1 mm).…”

Section: Discussionmentioning

confidence: 99%

Proximal Femoral Epiphysis Anatomy in Chilean Population: Orthopedic and Forensic Aspects

Osorio¹,

Schorwer²,

Coronado

et al. 2012

Int. J. Morphol.

View full text Add to dashboard Cite

SUMMARY:From a biomechanical standpoint, bone geometry and density are factors correlated to the bone resistance of the femur when supporting body weight, with geometric parameters like the diameter of the femoral head and neck, the length of the femoral neck, and the femoral neck angle as determinant factors in the incidence of hip fractures, which increase in frequency and seriousness in osteoporotic patients. In Chile, morphometric data that contributes to relating the anatomy of the proximal epiphysis of the femur as an associated factor in hip fractures does not exist; likewise, there are no anthropometric indexes that may contribute to the forensic sciences. The purpose of this study is to establish average measurements of the proximal epiphysis of the femur in the adult Chilean population. Descriptive Study. The proximal epiphyses of 81 dry adult femurs were analyzed (44 right and 37 left bones), measuring the following parameters: length of the femoral neck (LN), femoral neck angle (FNA), circumference of the femoral head (CH) and circumference of the femoral neck (CN). The statistical relationship between the measurements and the side of each sample was analyzed (t-test p=0.05). The average lengths were LN= 3.59cm (±0.43 cm); FNA= 124.17º (±6.37º), CH= 14.34 cm (±1.27 cm) and CN= 9.7 cm (±0.87 cm). No significant differences between the left and right sides were found. Average numbers were obtained for the anatomy of the proximal femoral epiphysis from a sample in the Chilean population. With the data obtained, we propose to carry out anatomoclinical, epidemiologic and forensic studies in this population.

show abstract

“…The abductor lever arm was determined as the perpendicular distance from a line tangential to the greater trochanter to the center of rotation of the femoral head. The tangential line corresponded to the abductor shadow [23], and the gluteus medius activation angle was delimited by the line tangential to the greater trochanter and the line running from the insertion point of the gluteus medius to the global offset laterally [24]. These parameters were measured on a magnified scout view of CT (shown in Figure 1A).…”

Section: Methodsmentioning

confidence: 99%

Changes of gluteus medius muscle in the adult patients with unilateral developmental dysplasia of the hip

Liu

Wen

Tong

et al. 2012

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundThe gluteus medius muscle is essential for gait and hip stability. Changes that occur in the gluteus medius muscles in patients with developmental dysplasia of the hip (DDH) are not well understood. A better understanding of DDH related changes will have positive repercussions toward hip soft tissue reconstruction.Methods19 adult patients with unilateral DDH scheduled for total hip arthroplasty were assessed for: cross-sectional area (CSA), radiological density (RD) and the length of gluteus medius using computed tomograhpy(CT) (scanned before THA). Hip abductor moment arm and gluteus medius activation angle were also measured via hip anteroposterior radiographs.ResultsBoth CSA and RD of gluteus medius muscle were significantly reduced (p < 0.05) in the affected hip compared to the control. In the affected hip, the length of the gluteus medius muscle was reduced by 8-11 % (p < 0.05) while the gluteus medius activation angle was significantly increased (p < 0.05) and the hip abductor moment arm was decreased (p < 0.05).ConclusionsThe gluteus medius showed substantial loss of CSA, RD as well as decreased length in patients with DDH in the affected hip. These changes should be considered in both hip reconstruction and postoperative rehabilitation training in patients with DDH.

show abstract

Femoral offset: Anatomical concept, definition, assessment, implications for preoperative templating and hip arthroplasty

Cited by 356 publications

References 19 publications

Modular Femoral Stems for Revision Total Hip Arthroplasty

Modular Femoral Stems for Revision Total Hip Arthroplasty

Proximal Femoral Epiphysis Anatomy in Chilean Population: Orthopedic and Forensic Aspects

Changes of gluteus medius muscle in the adult patients with unilateral developmental dysplasia of the hip

Contact Info

Product

Resources

About