Öz
Femur (uyluk kemiği), kalça ve diz arasında bulunur. Vücudun en ağır, en uzun ve en güçlü kemiğidir. Yaş ilerledikçe osteoporoz gelişmekte ve proksimal femur kırıkları görülebilmektedir. Günümüzde kalça kırıkları çok görülen vakalar arasındadır. Bölgeye yönelik cerrahi girişimler oldukça fazladır. Çalışmamızda kuru kemik üzerinde caliper ile ölçüm yapılmış olup proksimal femur morfometrisi sekiz parametrede incelenmiştir. Caput femoris çapı sağ femurlarda ortalama 42.75±6.14 mm, sol femurlarda ortalama 43.83±4.03 mm olarak bulundu. Linea intertrochanterica uzunluğu sağ femurlarda ortalama 56.78±5.22 mm, sol femurlarda ortalama 57.65±9.97 mm olarak ölçüldü. Sonuçlar literatürle benzerlik taşımaktadır. Yapılan diğer çalışmalarda proksimal femur ile ilgili bazı parametrelerin standaizasyonu olmadığı görüldü. Çalışmamızın kuru kemik çalışmalarında elde edilen değerlerin standarize edilmesinsde önemli katkısı olacağı düşüncesindeyiz. Ayrıca proksimal femura yapılacak cerrahi girişimlerde caput femoris çapı ve collum femoris uzunluğu önemli parametrelerdir. Özellikle collum femorisin uzunluğu bölgede gerçekleşecek olan cerrahi müdahalede femoral artroplasti aparatının tasarımı, boyutu ve tipi ile direk ilişkilidir. Bu bakımdan literatüre katkı sağlayacağı kanısındayız.
Anahtar Kelimeler
Destekleyen Kurum
Herhangi bir destekleyen kurum yok
Kaynakça
- Referans1. Kuran OJSA, İstanbul, Filiz Kitabevi. Femur anatomisi. 1983:76-9.
- Referans2. Lu Y, Uppal HS. Hip Fractures: Relevant Anatomy, Classification, and Biomechanics of Fracture and Fixation. Geriatric orthopaedic surgery & rehabilitation. 2019;10:2151459319859139.
- Referans3. Bleibler F, Konnopka A, Benzinger P, Rapp K, König HH. The health burden and costs of incident fractures attributable to osteoporosis from 2010 to 2050 in Germany--a demographic simulation model. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2013;24(3):835-47.
- Referans4. Chiu AS, Jean RA, Fleming M, Pei KY. Recurrent Falls Among Elderly Patients and the Impact of Anticoagulation Therapy. World journal of surgery. 2018;42(12):3932-8.
- Referans5. Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, et al. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2012;23(3):949-55.
- Referans6. Seher Yılmaz DÜ, Adem Tokpınar. Morphometric Measurements on Lumbal Vertebras and Its Importance Journal of US-China Medical Science. 2020;17:60-6.
- Referans7. yilmaz s. Sakrum KemİĞİnİn Morfometrİk DeĞerlendİrİlmesİ. Bozok Tıp Dergisi. 2018;8:13-7.
- Referans8. Yilmaz S. Analysis of Average Index Values of Mandible. Eurasian Journal of Medical Investigation. 2019;3(3):189-95.
- Referans9. Yİlmaz S, Tokpinar A, TaŞTan M, AteŞ Ş, ÜNalmiŞ D, Patat D. Humerus KemİĞİ Üzerİndekİ Anatomİk Yapilarin Morfometrİk Olarak İncelenmesİ. Bozok Tıp Dergisi. 2020;10:125-31.
- Referans10. Unalmis D, Acer N, Yilmaz S, Tokpinar A, Dogan S, Demir H. The Calculation of the Femoral Condyle Cartilage Volume and Surface Area in Patients with Osteoarthritis. Erciyes Medical Journal. 2020;42:178+.
- Referans11. Tokpınar A, Ülger H, Yılmaz S, Acer N, Ertekin T, Görkem SB, et al. Examination of ınclinations in spine at childhood and adolescence stage. Folia morphologica. 2018.
- Referans12. Seher Yilmaz AT, Niyazi Acer, Serap Doğan. Morphometric Investigation of the Sacral Bone in MR Images. Journal of US-China Medical Science. 2019;16:179-85.
- Referans13. Atilla B, Oznur A, Cağlar O, Tokgözoğlu M, Alpaslan M. [Osteometry of the femora in Turkish individuals: a morphometric study in 114 cadaveric femora as an anatomic basis of femoral component design]. Acta orthopaedica et traumatologica turcica. 2007;41(1):64-8.
- Referans14. Gregory JS, Testi D, Stewart A, Undrill PE, Reid DM, Aspden RM. A method for assessment of the shape of the proximal femur and its relationship to osteoporotic hip fracture. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2004;15(1):5-11.
- Referans15. Le Bras A, Laporte S, Bousson V, Mitton D, De Guise JA, Laredo JD, et al. 3D reconstruction of the proximal femur with low-dose digital stereoradiography. Computer aided surgery : official journal of the International Society for Computer Aided Surgery. 2004;9(3):51-7.
- Referans16. İyem C. Proksimal Femurun Morfolojik ve Morfometrik Değerlendirilmesi. 2008.
- Referans17. Verma M, Joshi S, Tuli A, Raheja S, Jain P, Srivastava P. Morphometry of Proximal Femur in Indian Population. Journal of clinical and diagnostic research : JCDR. 2017;11(2):Ac01-ac4.
- Referans18. Sproul RC, Reynolds HM, Lotz JC, Ries MD. Relationship between femoral head size and distance to lesser trochanter. Clinical orthopaedics and related research. 2007;461:122-4.
- Referans19. Hoaglund FT, Low WD. Anatomy of the femoral neck and head, with comparative data from Caucasians and Hong Kong Chinese. Clinical orthopaedics and related research. 1980(152):10-6.
- Referans20. Isaac B, Vettivel S, Prasad R, Jeyaseelan L, Chandi G. Prediction of the femoral neck-shaft angle from the length of the femoral neck. Clinical anatomy (New York, NY). 1997;10(5):318-23.
Öz
It is located between the femur, hip and knee. It is the heaviest, longest and strongest bone in the body. As the age progresses, osteoporosis develops and proximal femur fractures can be seen. Today, hip fractures are among the most common cases. Surgical interventions for the region are quite common. In our study, measurements were made on dry bone with a caliper and proximal femur morphometry was examined in eight parameters. The mean head of femoris diameter was found to be 42.75 ± 6.14 mm in the right femurs and 43.83 ± 4.03 mm in the left femurs. Intertrochanteric line length was measured as 56.78 ± 5.22 mm in the right femurs and 57.65 ± 9.97 mm in the left femurs. The results are similar to the literature. In other studies, it was observed that some parameters related to the proximal femur were not standardized. We think that our study will have an important contribution in standardizing the values obtained in dry bone studies. In addition, head to femoris diameter and neck of femoris length are important parameters in surgical interventions to be performed on the proximal femur. In particular, the length of the neck of femoris is directly related to the design, size and type of the femoral arthroplasty apparatus in surgical intervention in the region. In this respect, we believe that it will contribute to the literature.
Anahtar Kelimeler
Kaynakça
- Referans1. Kuran OJSA, İstanbul, Filiz Kitabevi. Femur anatomisi. 1983:76-9.
- Referans2. Lu Y, Uppal HS. Hip Fractures: Relevant Anatomy, Classification, and Biomechanics of Fracture and Fixation. Geriatric orthopaedic surgery & rehabilitation. 2019;10:2151459319859139.
- Referans3. Bleibler F, Konnopka A, Benzinger P, Rapp K, König HH. The health burden and costs of incident fractures attributable to osteoporosis from 2010 to 2050 in Germany--a demographic simulation model. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2013;24(3):835-47.
- Referans4. Chiu AS, Jean RA, Fleming M, Pei KY. Recurrent Falls Among Elderly Patients and the Impact of Anticoagulation Therapy. World journal of surgery. 2018;42(12):3932-8.
- Referans5. Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, et al. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2012;23(3):949-55.
- Referans6. Seher Yılmaz DÜ, Adem Tokpınar. Morphometric Measurements on Lumbal Vertebras and Its Importance Journal of US-China Medical Science. 2020;17:60-6.
- Referans7. yilmaz s. Sakrum KemİĞİnİn Morfometrİk DeĞerlendİrİlmesİ. Bozok Tıp Dergisi. 2018;8:13-7.
- Referans8. Yilmaz S. Analysis of Average Index Values of Mandible. Eurasian Journal of Medical Investigation. 2019;3(3):189-95.
- Referans9. Yİlmaz S, Tokpinar A, TaŞTan M, AteŞ Ş, ÜNalmiŞ D, Patat D. Humerus KemİĞİ Üzerİndekİ Anatomİk Yapilarin Morfometrİk Olarak İncelenmesİ. Bozok Tıp Dergisi. 2020;10:125-31.
- Referans10. Unalmis D, Acer N, Yilmaz S, Tokpinar A, Dogan S, Demir H. The Calculation of the Femoral Condyle Cartilage Volume and Surface Area in Patients with Osteoarthritis. Erciyes Medical Journal. 2020;42:178+.
- Referans11. Tokpınar A, Ülger H, Yılmaz S, Acer N, Ertekin T, Görkem SB, et al. Examination of ınclinations in spine at childhood and adolescence stage. Folia morphologica. 2018.
- Referans12. Seher Yilmaz AT, Niyazi Acer, Serap Doğan. Morphometric Investigation of the Sacral Bone in MR Images. Journal of US-China Medical Science. 2019;16:179-85.
- Referans13. Atilla B, Oznur A, Cağlar O, Tokgözoğlu M, Alpaslan M. [Osteometry of the femora in Turkish individuals: a morphometric study in 114 cadaveric femora as an anatomic basis of femoral component design]. Acta orthopaedica et traumatologica turcica. 2007;41(1):64-8.
- Referans14. Gregory JS, Testi D, Stewart A, Undrill PE, Reid DM, Aspden RM. A method for assessment of the shape of the proximal femur and its relationship to osteoporotic hip fracture. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2004;15(1):5-11.
- Referans15. Le Bras A, Laporte S, Bousson V, Mitton D, De Guise JA, Laredo JD, et al. 3D reconstruction of the proximal femur with low-dose digital stereoradiography. Computer aided surgery : official journal of the International Society for Computer Aided Surgery. 2004;9(3):51-7.
- Referans16. İyem C. Proksimal Femurun Morfolojik ve Morfometrik Değerlendirilmesi. 2008.
- Referans17. Verma M, Joshi S, Tuli A, Raheja S, Jain P, Srivastava P. Morphometry of Proximal Femur in Indian Population. Journal of clinical and diagnostic research : JCDR. 2017;11(2):Ac01-ac4.
- Referans18. Sproul RC, Reynolds HM, Lotz JC, Ries MD. Relationship between femoral head size and distance to lesser trochanter. Clinical orthopaedics and related research. 2007;461:122-4.
- Referans19. Hoaglund FT, Low WD. Anatomy of the femoral neck and head, with comparative data from Caucasians and Hong Kong Chinese. Clinical orthopaedics and related research. 1980(152):10-6.
- Referans20. Isaac B, Vettivel S, Prasad R, Jeyaseelan L, Chandi G. Prediction of the femoral neck-shaft angle from the length of the femoral neck. Clinical anatomy (New York, NY). 1997;10(5):318-23.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Aralık 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 1 Sayı: 3 |
