股骨近段髓腔解剖参数测量与不同类型人工股骨假体的选择

Abstract

Abstract:

Objective　Through the study of the X-ray measurement of the anatomical parameters of 414 proximal femoral medullary cavity to provide evidence to the selection of geometric types and design of artificial femoral prosthesis.　Methods　Randomly select the X-ray DICOM data of proximal femoral pre-operatively of 414 cases which has undergone THA from March 2005 to December 2008 in First Affiliated Hospital of Suzhou University , measure 10 parameters of diameter and five morphologic parameters of the proximal femoral medullary cavity with DICOM VIIEWER software, and analyze the correlation among various parameters of proximal femoral and the correlation with gender and age.　Results　(1)There was significant positive correlation between the factor of age (female) with the internal diameter of isthmus. (2)MCFI mainly in 1.8～2.4), possessed 68.1% of all the test people. (3)According to Nobel'classification of proximal femoral medullary cavity, chimney-type (CFI<3.0) occupied 13.0%, the normal type (3.04.7) occupied 14.5%. (4)MCFI and CFI showed strong positive correlation, but there was no significant correlation between MCFI and DCFI; CFI showed strong positive correlation with DCFI、and the opening angle of distal femoral ; CFI showed strong positive correlation with internal diameter of isthmus; DCFI had significant correlation with the opening angle of distal femoral medullary cavity.　Conclusion　(1)There was significant variation in the shape and size of proximal femoral medullary cavity, and there was diference between Chinese and Caucasian to a certain degree. (2)MCFI( metaphyseal canal flare index) and CFI(canal flare index) and DCFI(distal canal flare index) had different emphases on describing the morphological characteristics of proximal femoral medullary cavity, and the three index combined with the parameters of diameter of proximal femoral medullary cavity could describe the shape of medullary cavity more accurately.

Key words: Shape of femoral medullary cavity, Radiograph, Noble'classification, Measurement, MCFI'classification

CLC Number:

LIU Hong-Wei, SUN Jun-Ying, ZHANG Yun-Kun, YU Zhong-Jie, WANG Yu-Ji, SUN Rong-Bin. The measurement of proximal femoral medullary cavity and the selection of different types of femoral prosthesis[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(1): 67-71.

References

[1]Laine HJ, Puolakka TJ, Moilanen T, et al. The effects of cementless femoral stem shape and proximal surface texture on“fit and fill”，characteristics and on bone remodeling
[J]. Int Orthop, 2000, 24(4):184-190.

[2] Langhans M，Hofmmann D，Ecke H，et a1．Effect of form elasticity of the prosthesis shaft in response to stress of the proximal femur
[J]. Unfallchirurgie,1992, 18(5):266-273．

[3] 沈慧勇，丁悦，刘尚礼，等.股骨上段的测量与股骨假体设计
[J].中国临床解剖学杂志，1999 ,17(2):14 8-149.

[4] 汪伟，王岩，崔建，正常股骨临床CT测量及其临床意义
[J]，中国临床解剖学杂志，2003:21(2)125-128.

[5] Laine HJ, Kontola K, Lehto M U K, et al. Image processing for femoral endosteal anatomy detection:description and testing of a computed tomography base program
[J]. Phy Med Biol, 1997, 42(4):673-689.

[6] Mills H.J et al.The relationship between proximal femoral anatomy and ostoar-throsis of the hip
[J]. Clin Arthop, 1993,288:205.

[7] 白波，董伟强．中国华南地区髋关节的测量参数及临床意义
[J]．中国临床解剖学杂志，2004，22(6)：592-594．

[8] Eckrich SG, Noble PC, Tullos HS. Effect of rotation on the radiographic appearance of the femoral canal
[J].J Arthroplasty,1994, 9(4):419-426.

[9] 丁悦,刘尚礼,马若凡,等.国人股骨假体设计的解剖学基础
[J].中国临床解剖学杂志, 2003, 21(4):341-343.

[10] 刘勤，王慧娟，李秀平,等．中国人股骨近端参数统计
[J]．解剖与临床，2005，10(1)：25-27．

[11] Nobel PC, Alexander JW, Lindahl LJ, et al. The anatomic basis of femoral component design
[J].Clin Orthop Relat Res,1988, (235):148-165.

[12]Massin P，GeaisL，Astoin E，et al. The anatomic basis for the concept of lateralized femoral stems:a frontal Plane radiographic study of the proximal femur
[J].J Arihroplasty, 2000,15(1):93-101.

[13] 王彩梅,周学玉,贺靠团. 国人生物固定型股骨柄假体几何设计系统方法
[J].生物材料与临床研究，2006,3(4)：48-53.

[14] Laine HJ，Lehto MU, Moilanen T. Diversity of Proximal femoral medullary canal
[J].J Arthroplasty, 2000, 15(1):86-92.

[15] 魏波，李光灿，梁捷予，等．股骨近段解剖学参数分析及对内固定设计的指导意义
[J]．中国矫形外科杂志，2005，13(6)：436-438．

[16] 薛文东,戴克戎,汤亭亭,等.中国人股骨近段几何形态的测量和分类
[J].生物医学工程学杂志, 2002, 19(1):84-88.

The measurement of proximal femoral medullary cavity and the selection of different types of femoral prosthesis

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