Proximal Femoral Geometry Analysis of Igbos of South East Nigeria and its Clinical Application in Total Hip Replacement and Hip Surgeries

Katchy, Amechi Uchenna; Nto, Nto Johnson; Agu, AU; Ikele, IT; Chime, SC; Ugwu, AU

doi:10.4103/njcp.njcp_389_20

“…A previous study, where two methods were used to determine the average anteversion angles documented 20.5° and 21.3°. [ 14 ] Katchy et al [ 15 ] documented anteversion angle of 19.04° in south-eastern Nigerians. The suggested values of between 15° and 20° of internal rotation would be sufficient to correct anteversion in an average Nigerian.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the proximal femur using the digital photographs: Does change in proximal femur position due to anteversion affect the measurement of the size of the femoral head diameter?

Akinmokun,

Edem,

Adeoye

2024

JWAS

0

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Background: A plain pelvic radiograph is usually conducted with the lower limbs in internal rotation. This is to correct the anteversion of the femur. However, in the fracture neck of the femur, internal rotation of the fractured limb is avoided, because it would be painful. We examined the effect of correction of anteversion or otherwise on the diameter of the head of the femur using imaging. Objectives: This study aimed to determine if there was a significant difference between the femoral head diameter at two different positions, at the normal anatomical position (without correcting the anteversion) and at the corrected anteversion position. It also aimed to document the correlation and the statistical significance between the differences in the size of the diameter at these two different positions with the anteversion angles of the femoral bone. Materials and Methods: Two sets of digital photographs of the proximal part of 55 non-sexed, non-paired femoral bones were taken. Images obtained were at two positions: normal anatomical (with anteversion uncorrected) and anteversion corrected positions. The diameters of the head of the femur were documented at these two different positions. The anteversion angles and actual femoral head (AFH) diameters were also measured and documented. Results: The femoral head diameters at anatomical positions were persistently larger than those measured after the anteversion was corrected, except in three femoral bones (5%) where no differences were observed. The difference in the two measurements was statistically significant to the anteversion angle of the femoral bone. (P = 0.0005). The means of the two sets of measurements were statistically different from each other. Pairwise correlation showed that both were strongly associated with the AFH diameter but the measurements from images with corrected anteversion had a higher value (0.8166) than the measurements from normal anatomical position (0.7526). Conclusion: The correction of femoral anteversion produced femoral head size measurements that were closer to AFH diameters compared to those without the correction of the femoral anteversion. Femoral anteversion should always be corrected as per protocol.

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Effect of Rehabilitation Nursing under the Guidance of the Health Action Process Approach Model on Perioperative Nursing Effect of Artificial Hip Arthroplasty: Effect on Promoting Quality of Life and Postoperative Rehabilitation

Meng¹,

Yu²

2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the influence of rehabilitation nursing under the guidance of Health Action Process Approach (HAPA) model on the perioperative nursing effect of artificial hip replacement and to analyze the effect of this nursing model on the quality of life and postoperative rehabilitation of patients undergoing artificial hip replacement. Methods. A total of 200 patients with hip arthroplasty treated in our hospital from January 2019 to July 2021 were enrolled. The patients were randomly assigned into the control group and study group. The former received routine nursing, and the latter received rehabilitation nursing under the guidance of the HAPA model. Nursing satisfaction, pain score, Harris hip function score, timed stand-up-walk test, MBI score, and quality of life score were compared. Results. First of all, we compared the nursing satisfaction. In the study group, 86 cases were very satisfied, 8 cases were satisfied, and 6 cases were general; the satisfaction rate was 100%. In the control group, 48 cases were very satisfied, 22 cases were satisfied, 12 cases were general, and 18 cases were dissatisfied; the satisfaction rate was 82.0%. The nursing satisfaction in the study group was higher compared to that in the control group ( P < 0.05 ). Secondly, we compared the pain scores. Before nursing, there exhibited no significant difference ( P > 0.05 ). After nursing, the pain score of the two groups increased. Moreover, the pain score of the study group at discharge and 1 month, 3 months, and 6 months after operation was lower compared to that of the control group ( P < 0.05 ). Before nursing, there exhibited no significant difference in the Harris hip joint function score ( P > 0.05 ). After nursing, the Harris hip function score increased. Furthermore, the Harris hip function score of the study group at discharge and 1 month, 3 months, and 6 months after operation was higher compared to that of the control group ( P < 0.05 ). In terms of the timed stand-up-walking test, there exhibited no significant difference before nursing ( P > 0.05 ). After nursing, the time of the timed stand-up-walk test in both groups decreased. And the timed stand-up-walk test at discharge and 1 month, 3 months, and 6 months after operation in the study group was lower compared to that in the control group ( P < 0.05 ). Compared with the MBI scores, there exhibited no significant difference before nursing ( P > 0.05 ). After nursing, the MBI scores increased. Of note, the MBI scores of the study group at discharge and 1 month, 3 months, and 6 months after operation were higher compared to those of the control group ( P < 0.05 ). Finally, we compared the scores of life quality. Before nursing, there exhibited no significant difference ( P > 0.05 ). After nursing, the scores of life quality decreased. The scores of physiological function, psychological function, social function, and health self-cognition in the study group were lower compared to those in the control group ( P < 0.05 ). Conclusion. The perioperative rehabilitation nursing program of artificial hip replacement for the elderly based on the HAPA model is feasible, which can effectively enhance the functional recovery of hip joint, promote the ability of self-care of daily life, relieve pain and anxiety, and help to achieve dynamic balance and gait stability in the early stage. The rehabilitation program is better than routine nursing. As a new social cognitive model, the HAPA model is applied to the rehabilitation nursing environment of hip replacement from the aspect of social cognitive behavior, which can help to enhance the rehabilitation behavior of elderly patients, playing an important role in the rehabilitation effect of perioperative nursing.

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The relationship and clinical significance of femoral neck shaft angle with other osteometric measurements in dry femoral bones

Acar

¹

,

Digilli

²

2021

Antropoloji

0

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In this study, we aimed to provide an extended morphometric dataset regarding proximal and distal femoral geometry for anthropologists and orthopedists. Femoral morphometry was used for estimation of sex and age in forensic anthropology.Especially it is important in hip and knee arthroplasty from the surgical point of view. We studied a group of 120 (60 right, 60 left) dry femoral bones. 15 Linear and one angular anthropometric parameter were evaluated by using a digital caliper and goniometer. Measurement parameters; the femoral length, the length and width of femoral shaft, the circumference and vertical diameter of the femoral head, the circumference, width, anterior and axis lengths of the femoral neck, the length of intertrochanteric line, neck-shaft angle, the width, height and index of intercondylar notch, the width of medial and lateral condyles, and bicondylar width. Also, the femurs were subdivided into three groups according to the shape and index of intercondylar notch. There was no significant difference between the measurement values with respect to laterality (p>0.05). Femoral neck-shaft angle showed a significant negative correlation with the anterior and axis lengths of the femoral neck (r=-0.255, p=0.005; r=-0.190, p=0.038). Proximal femoral parameters except neck-shaft angle showed a strong positive correlation with each other. There was a positive correlation between the parameters of distal femur except for the width of medial condyle. We think that the obtained morphometric data can be used as a reference database for future anthropometric studies and may be useful for surgeons in terms of the design of hip and knee prostheses.

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Proximal Femoral Geometry Analysis of Igbos of South East Nigeria and its Clinical Application in Total Hip Replacement and Hip Surgeries

Cited by 3 publications

References 37 publications

Evaluation of the proximal femur using the digital photographs: Does change in proximal femur position due to anteversion affect the measurement of the size of the femoral head diameter?

Evaluation of the proximal femur using the digital photographs: Does change in proximal femur position due to anteversion affect the measurement of the size of the femoral head diameter?

Effect of Rehabilitation Nursing under the Guidance of the Health Action Process Approach Model on Perioperative Nursing Effect of Artificial Hip Arthroplasty: Effect on Promoting Quality of Life and Postoperative Rehabilitation

The relationship and clinical significance of femoral neck shaft angle with other osteometric measurements in dry femoral bones

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