Morphometric Study of Proximal end of Femur of Nepalese People

Mukhia, Rajeev; Poudel, Phanindra Prasad; Bhattarai, Chacchu; Timsina, Sidharth

doi:10.3126/njms.v4i1.24119

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…In a Hong Kong study, males had a mean femoral length of 45.1 cm, and females had 43.7 cm (Hoaglund & Low, 1980), both exceeding Sri Lankan values(Right-42.8(SD±2.64), ). Conversely, a study in Nepal reported a lower mean length of 42.0 ± 2.81 cm, indicating regional variations in body proportions (Mukhia et al, 2019).…”

Section: Discussionmentioning

confidence: 86%

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Anatomical Diversity in Femur bones: Understanding the Morphological Variability for Surgical and Prosthetic Applications

Edirisinghe,

De-Silva,

Dissanayake

et al. 2024

Int. J. Morphol.

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The femur, the body's longest bone, plays a critical role in orthopaedics and radiology. Understanding its anatomy, particularly the neck-shaft angle (NSA), is vital for diagnosing bone issues and designing hip implants. While some Asian populations' femur measurements have been studied, there is a research gap concerning Sri Lankans. This study aimed to fill this gap by examining the proximal femur's anatomy in the Sri Lankan population. We analysed 45 adult human femurs (26 right, 19 left) of unknown sex, ethically sourced from the University of Sri Jayewardenepura. Femurs with fractures or pathologies were excluded. Precise measurements were recorded using digital vernier callipers, with millimetre accuracy. Parameters included mean femoral length, vertical and transverse femoral head diameters, neck axis and neck length. Each measurement was taken three times to minimize subjectivity. Right femurs had a mean length of 42.8 mm (SD±2.64), while left femurs measured 43.53 mm (SD±3.27). Mean NSA was 125.78º (SD±4.45) for left femurs and 127.59º (SD±2.06) for right. Mean femoral head diameters were 4.09mm (SD±0.30) (right) and 4.12mm(SD±0.31) (left). Mean anterior neck lengths of the right and left were 2.61(SD±0.54) and 2.71(SD±0.50) respectively. Comparing our findings with other Asian populations highlighted significant variations in femur measurements. These discrepancies emphasize the need for population-specific data for orthopaedic interventions and raise questions about the suitability of imported prosthetics. Differences in femur length, neck length, and NSA between sides suggest potential challenges in using implants designed for one side on the other. This study underscores the necessity of population-specific data in orthopaedics, as femur measurements differ even among Asian populations. Further research and statistical analysis are essential for tailoring orthopaedic solutions to individual populations. The findings also suggest a potential need for locally manufactured prosthetics to better suit the Sri Lankan population.

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Section: Discussionmentioning

confidence: 86%

“…The Nepalese study found angles of 122º±7.71 and 131.3º±5.17 for right and left femurs (Mukhia et al, 2019), while a Pakistani study recorded 130.3º±6.1 (Umer et al, 2010). These figures differed from our study , Left-127.59(SD±2.06)) , even within the same Asian population, highlighting potential limb-specific differences.…”

Section: Discussionmentioning

confidence: 98%

Anatomical Diversity in Femur bones: Understanding the Morphological Variability for Surgical and Prosthetic Applications

Edirisinghe,

De-Silva,

Dissanayake

et al. 2024

Int. J. Morphol.

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“…It was 13.10±0.88 cm for right femurs and 13±0.92 cm for left femurs. 7 A similar cadaveric study from India reported mean diameter of femoral head to be 4.19±0.19 cm. 12 In a cross-sectional study, Riad et al aimed to measure the femoral head diameter radiologically and to find out male-female variation and relationship with the stature in Bangladeshi population.…”

Section: Discussionmentioning

confidence: 90%

“…Mukhia and colleagues assessed the morphometric parameters of 75 adult cadaveric femurs. 7 However, the age group of the sample ranged from 30 to 60 years. Hip arthroplasties usually happen in people aged 50 years or more.…”

Section: Introductionmentioning

confidence: 99%

Femoral head diameters in Nepalese patients undergoing hemiarthroplasty

Gupta

Chaurasia

Jha³

2021

Int J Res Orthop

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Background: Sizing of the femoral head is important for determining the appropriate size of implants to be used for a patient undergoing hip arthroplasty. The present study aimed to determine the mean diameter of femoral head in Nepalese population who underwent hemiarthroplasty in our department.Methods: We retrospectively reviewed the medical records of patients who underwent hemiarthroplasty from December 2016 till December 2020. We included patients aged more than 50 years who underwent hemiarthroplasty. The diameter of the femoral head was measured intraoperatively using standard fully circular templates. For radiological measurements, X-ray of pelvis with hips anteroposterior view were included.Results: A total of 600 femoral heads were evaluated, 400 of women and 200 of men. Of these cases, the femoral head diameter were evaluated based on x-ray pelvis in 500 cases and rest of the 100 cases were evaluated intraoperatively. The mean age of the patients in our sample was 75.2±9.4 (range 50–90) years. Overall, the mean femoral head diameter (with intact articular cartilage) was 44.9±3.2 (range 39–53 mm) mm. Among the male patients, mean femoral head diameter was 47.7±2.8 mm, which was found to be significantly higher than that of female patients, who had a mean femoral head diameter of 43.7±2.4 mm, p value <0.05.Conclusions: Further studies are needed in other geographical locations, so that reference values could be established for specific regions.

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“…Few studies evaluated the morphometry of the proximal femur in Nepal. 11,12 Hence, the primary objective of this study was to measure the morphometry of proximal femur and the secondary objective was to determine the association of the morphometric parameters of proximal femur with gender and body mass index (BMI). patients with unilateral hip fracture presenting to the Department of Orthopedics between 1st Jan 2017 to 30th June 2017.…”

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confidence: 99%

Morphometric Parameters of the Proximal Femur in Nepalese Population: A Cross-sectional Study

Pokharel

Pant²,

Chaudhary

et al. 2020

JBPKIHS

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Background: Most of the proximal femur fractures are managed surgically by internal fiation with a variety of implants. Improperly designed or ill-fited implant may lead to a failure of fiation, breakage of implant and nonunion, thus increasing the morbidity and the cost of treatment. This study was conducted to evaluate the radiographic morphometry of the proximal femur which may be helpful in designing the implants for the Nepalese population. Methods: In this cross-sectional study, 84 patients aged 18 years and above with traumatic unilateral hip fracture were enrolled. Anthropometric measurements were recorded. The postoperative check X-ray in the antero-posterior view of the pelvis and bilateral hip were assessed. Various morphometric parameters of the proximal femur were measured and recorded in the radiograph of the unaffcted limb using a digital caliper. Results: Out of 84 patients, 47 were male. The mean ± SD femoral neck width, femoral neck length, femoral axis length, cervico-diaphyseal angle, acetabular tear-drop distance, and great trochanter-pubic symphysis distance were 36.10 ± 5.67 mm, 28.29 ± 4.18 mm, 104.51 ± 9.56 mm, 130.35 ± 8.67°, 32.56 ± 11.05 mm, and 163.07 ± 10.71 mm respectively. The femoral neck width was found to be signifiantly larger in males (39.08 ± 3.06 mm) than in females (32.32 ± 5.99 mm, p < 0.001). Conclusion: This study determined the radiographic measurement of the proximal femur and found that the femoral neck width of the males was larger than that of the females.

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Morphometric Study of Proximal end of Femur of Nepalese People

Cited by 7 publications

References 8 publications

Anatomical Diversity in Femur bones: Understanding the Morphological Variability for Surgical and Prosthetic Applications

Anatomical Diversity in Femur bones: Understanding the Morphological Variability for Surgical and Prosthetic Applications

Femoral head diameters in Nepalese patients undergoing hemiarthroplasty

Morphometric Parameters of the Proximal Femur in Nepalese Population: A Cross-sectional Study

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