Araştırma Makalesi
BibTex RIS Kaynak Göster

Yıl 2025, EARLY ONLINE, 1 - 13

Ayşe Gül Kabakcı , Ömer Sunkar Biçer , Memduha Gülhal Bozkır

https://doi.org/10.18621/eurj.1700331

Öz

Kaynakça

  • 1. Huo MH, Parvizi J, Bal BS, Mont MA. What's new in total hip arthroplasty. J Bone Joint Surg Am. 2009;91(10):2522-2534. doi: 10.2106/JBJS.I.00801.
  • 2. Bostan B, Sen C, Güneş T, Erdem M, Aytekin K, Erkorkmaz U. [Total hip arthroplasty using the anterolateral minimally invasive approach]. Acta Orthop Traumatol Turc. 2009;43(6):464-471. doi: 10.3944/AOTT.2009.464. [Article in Turkish]
  • 3. Hochreiter J, Hejkrlik W, Emmanuel K, Hitzl W, Ortmaier R. Blood loss and transfusion rate in short stem hip arthroplasty. A comparative study. Int Orthop. 2017;41(7):1347-1353. doi: 10.1007/s00264-016-3365-2.
  • 4. Zha GC, Zhu XR, Wang L, Li HW. Tranexamic acid reduces blood loss in primary total hip arthroplasty performed using the direct anterior approach: a one-center retrospective observational study. J Orthop Traumatol. 2022;23(1):12. doi: 10.1186/s10195-022-00638-7.
  • 5. Zhai H, Huang J, Li L, et al. Deep learning-based workflow for hip joint morphometric parameter measurement from CT images. Phys Med Biol. 2023;68(22). doi: 10.1088/1361-6560/ad04aa.
  • 6. Sugano N, Noble PC, Kamaric E, Salama JK, Ochi T, Tullos HS. The morphology of the femur in developmental dysplasia of the hip. J Bone Joint Surg Br. 1998;80(4):711-719. doi: 10.1302/0301-620x.80b4.8319.
  • 7. Verma M, Joshi S, Tuli A, Raheja S, Jain P, Srivastava P. Morphometry of Proximal Femur in Indian Population. J Clin Diagn Res. 2017;11(2):AC01-AC04. doi: 10.7860/JCDR/2017/23955.9210.
  • 8. Solomon LB, Howie DW, Henneberg M. The variability of the volume of os coxae and linear pelvic morphometry. Considerations for total hip arthroplasty. J Arthroplasty. 2014;29(4):769-776. doi: 10.1016/j.arth.2013.08.015.
  • 9. Zeckey C, Bogusch M, Borkovec M, et al. Radiographic cortical thickness parameters as predictors of rotational alignment in proximal femur fractures: A cadaveric study. J Orthop Res. 2019;37(1):69-76. doi:10.1002/jor.24166.
  • 10. Zhou X, Ji H, Guo J, Yang Y, Cai P, Zhang X. Modified osteotomy of posterolateral overhanging part of the trochanter via posterior approach for hip arthroplasty: an anatomical study. BMC Musculoskelet Disord. 2020;21(1):119. doi: 10.1186/s12891-020-3088-9.
  • 11. Yee A, Padovano WM, Rowe AG, et al. The Effect of Surgical Video on Resident Performance of Carpal Tunnel Release: A Cadaveric Simulation-Based, Prospective, Randomized, Blinded Pilot Study. Plast Reconstr Surg. 2020;145(6):1455-1463. doi: 10.1097/PRS.0000000000006817.
  • 12. Zucal I, Feder AL, Kyaw T, et al. An Innovative Simulation Model for Microvascular Training. Plast Reconstr Surg. 2022;150(1):189e-193e. doi: 10.1097/PRS.0000000000009209.
  • 13. Zhang L, Huang T, Li C, et al. Race and Gender Differences in Anterior Cruciate Ligament Femoral Footprint Location and Orientation: A 3D-MRI Study. Orthop Surg. 2024;16(1):216-226. doi: 10.1111/os.13918.
  • 14. Austin MS, Hozack WJ, Sharkey PF, Rothman RH. Stability and leg length equality in total hip arthroplasty. J Arthroplasty. 2003;18(3 Suppl 1):88-90. doi: 10.1054/arth.2003.50073.
  • 15. Vanrusselt J, Vansevenant M, Vanderschueren G, Vanhoenacker F. Postoperative radiograph of the hip arthroplasty: what the radiologist should know. Insights Imaging. 2015;6(6):591-600. doi: 10.1007/s13244-015-0438-5.
  • 16. Cantrell WA, Samuel LT, Sultan AA, Acuña AJ, Kamath AF. Operative Times Have Remained Stable for Total Hip Arthroplasty for >15 Years: Systematic Review of 630,675 Procedures. JB JS Open Access. 2019;4(4):e0047. doi: 10.2106/JBJS.OA.19.00047.
  • 17. Heinz T, Vasilev H, Anderson PM, et al. The Direct Anterior Approach (DAA) as a Standard Approach for Total Hip Arthroplasty (THA) in Coxa Profunda and Protrusio Acetabuli? A Radiographic Analysis of 188 Cases. J Clin Med. 2023;12(12):3941. doi: 10.3390/jcm12123941.
  • 18. Yiasemidou M, Gkaragkani E, Glassman D, Biyani CS. Cadaveric simulation: a review of reviews. Ir J Med Sci. 2018;187(3):827-833. doi: 10.1007/s11845-017-1704-y.
  • 19. James HK, Chapman AW, Pattison GTR, Griffin DR, Fisher JD. Systematic review of the current status of cadaveric simulation for surgical training. Br J Surg. 2019;106(13):1726-1734. doi: 10.1002/bjs.11325.
  • 20. Hughes JL, Katsogridakis E, Junaid-Siddiqi A, et al. The development of cadaveric simulation for core surgical trainees. Bull R Coll Surg Eng. 2019;101(1):38-43. doi: 10.1308/rcsbull.2019.38.
  • 21. Selçuk İ, Tatar İ, Huri E. The effect of cadaveric hands-on training model on surgical skills and confidence for transobturator tape surgery. J Turk Ger Gynecol Assoc. 2019;20(4):243-246. doi: 10.4274/jtgga.galenos.2018.2018.0043.

Morphometric analysis of anatomical reference points in hip surgery: A study on cadaveric and radiographic images

Yıl 2025, EARLY ONLINE, 1 - 13

Ayşe Gül Kabakcı , Ömer Sunkar Biçer , Memduha Gülhal Bozkır

https://doi.org/10.18621/eurj.1700331

Öz

Objectives: This study aims to evaluate the accuracy of morphometric measurements obtained from cadavers and anteroposterior (AP) pelvic radiographs.

Methods: A total of 15 cadavers from the anatomical collection of Cukurova University and 217 AP pelvic radiographs from individuals aged 65-80 years with no orthopedic conditions were analyzed. Morphometric measurements were taken from cadavers using Kirschner wires placed at anatomical reference points: the spina iliaca anterior superior (SIAS), the highest point of the crista iliaca (CI), and the trochanter major (TM). Distances were measured with a non-elastic tape, and angular measurements were conducted using ImageJ software. These were compared with radiographic data analyzed via the PACS system. Statistical analysis was performed using SPSS 20 with One-Way ANOVA to assess group differences.

Results: The mean age was 70.98±4.70 years for radiograph individuals and 80.36±5.13 years for cadavers. Significant differences were found between cadaveric, dissected cadaver, and radiological measurements. The SIAS-TM distance was longest in cadavers (113.82±7.46 mm) and shortest in radiographs (92.73±14.36 mm). The CI-TM distance was greatest in radiographs (147.81±12.02 mm), while the SIAS-CI distance was longest in cadavers (78.95±6.48 mm). Differences in SIAS-TM (P<0.001), CI-TM (P=0.007), and SIAS-CI (P=0.029) distances were statistically significant. Angular measurements also varied, with radiographs showing higher SIAS angles and cadavers showing greater TM and CI angles, especially on the right side.

Conclusions: The study reveals notable discrepancies between cadaveric and radiological morphometric measurements. These cadaver-based findings may serve as valuable resources for surgical training and anatomical education, especially in hip arthroplasty planning.

Anahtar Kelimeler

Arthroplasty cadaver hip morphometry radiography

Etik Beyan

Ethical approval was approved by the Non-Invasive Clinical Research Ethics Committee of Cukurova University Faculty of Medicine on November 8, 2024 (Decision No: 149/7).

Kaynakça

  • 1. Huo MH, Parvizi J, Bal BS, Mont MA. What's new in total hip arthroplasty. J Bone Joint Surg Am. 2009;91(10):2522-2534. doi: 10.2106/JBJS.I.00801.
  • 2. Bostan B, Sen C, Güneş T, Erdem M, Aytekin K, Erkorkmaz U. [Total hip arthroplasty using the anterolateral minimally invasive approach]. Acta Orthop Traumatol Turc. 2009;43(6):464-471. doi: 10.3944/AOTT.2009.464. [Article in Turkish]
  • 3. Hochreiter J, Hejkrlik W, Emmanuel K, Hitzl W, Ortmaier R. Blood loss and transfusion rate in short stem hip arthroplasty. A comparative study. Int Orthop. 2017;41(7):1347-1353. doi: 10.1007/s00264-016-3365-2.
  • 4. Zha GC, Zhu XR, Wang L, Li HW. Tranexamic acid reduces blood loss in primary total hip arthroplasty performed using the direct anterior approach: a one-center retrospective observational study. J Orthop Traumatol. 2022;23(1):12. doi: 10.1186/s10195-022-00638-7.
  • 5. Zhai H, Huang J, Li L, et al. Deep learning-based workflow for hip joint morphometric parameter measurement from CT images. Phys Med Biol. 2023;68(22). doi: 10.1088/1361-6560/ad04aa.
  • 6. Sugano N, Noble PC, Kamaric E, Salama JK, Ochi T, Tullos HS. The morphology of the femur in developmental dysplasia of the hip. J Bone Joint Surg Br. 1998;80(4):711-719. doi: 10.1302/0301-620x.80b4.8319.
  • 7. Verma M, Joshi S, Tuli A, Raheja S, Jain P, Srivastava P. Morphometry of Proximal Femur in Indian Population. J Clin Diagn Res. 2017;11(2):AC01-AC04. doi: 10.7860/JCDR/2017/23955.9210.
  • 8. Solomon LB, Howie DW, Henneberg M. The variability of the volume of os coxae and linear pelvic morphometry. Considerations for total hip arthroplasty. J Arthroplasty. 2014;29(4):769-776. doi: 10.1016/j.arth.2013.08.015.
  • 9. Zeckey C, Bogusch M, Borkovec M, et al. Radiographic cortical thickness parameters as predictors of rotational alignment in proximal femur fractures: A cadaveric study. J Orthop Res. 2019;37(1):69-76. doi:10.1002/jor.24166.
  • 10. Zhou X, Ji H, Guo J, Yang Y, Cai P, Zhang X. Modified osteotomy of posterolateral overhanging part of the trochanter via posterior approach for hip arthroplasty: an anatomical study. BMC Musculoskelet Disord. 2020;21(1):119. doi: 10.1186/s12891-020-3088-9.
  • 11. Yee A, Padovano WM, Rowe AG, et al. The Effect of Surgical Video on Resident Performance of Carpal Tunnel Release: A Cadaveric Simulation-Based, Prospective, Randomized, Blinded Pilot Study. Plast Reconstr Surg. 2020;145(6):1455-1463. doi: 10.1097/PRS.0000000000006817.
  • 12. Zucal I, Feder AL, Kyaw T, et al. An Innovative Simulation Model for Microvascular Training. Plast Reconstr Surg. 2022;150(1):189e-193e. doi: 10.1097/PRS.0000000000009209.
  • 13. Zhang L, Huang T, Li C, et al. Race and Gender Differences in Anterior Cruciate Ligament Femoral Footprint Location and Orientation: A 3D-MRI Study. Orthop Surg. 2024;16(1):216-226. doi: 10.1111/os.13918.
  • 14. Austin MS, Hozack WJ, Sharkey PF, Rothman RH. Stability and leg length equality in total hip arthroplasty. J Arthroplasty. 2003;18(3 Suppl 1):88-90. doi: 10.1054/arth.2003.50073.
  • 15. Vanrusselt J, Vansevenant M, Vanderschueren G, Vanhoenacker F. Postoperative radiograph of the hip arthroplasty: what the radiologist should know. Insights Imaging. 2015;6(6):591-600. doi: 10.1007/s13244-015-0438-5.
  • 16. Cantrell WA, Samuel LT, Sultan AA, Acuña AJ, Kamath AF. Operative Times Have Remained Stable for Total Hip Arthroplasty for >15 Years: Systematic Review of 630,675 Procedures. JB JS Open Access. 2019;4(4):e0047. doi: 10.2106/JBJS.OA.19.00047.
  • 17. Heinz T, Vasilev H, Anderson PM, et al. The Direct Anterior Approach (DAA) as a Standard Approach for Total Hip Arthroplasty (THA) in Coxa Profunda and Protrusio Acetabuli? A Radiographic Analysis of 188 Cases. J Clin Med. 2023;12(12):3941. doi: 10.3390/jcm12123941.
  • 18. Yiasemidou M, Gkaragkani E, Glassman D, Biyani CS. Cadaveric simulation: a review of reviews. Ir J Med Sci. 2018;187(3):827-833. doi: 10.1007/s11845-017-1704-y.
  • 19. James HK, Chapman AW, Pattison GTR, Griffin DR, Fisher JD. Systematic review of the current status of cadaveric simulation for surgical training. Br J Surg. 2019;106(13):1726-1734. doi: 10.1002/bjs.11325.
  • 20. Hughes JL, Katsogridakis E, Junaid-Siddiqi A, et al. The development of cadaveric simulation for core surgical trainees. Bull R Coll Surg Eng. 2019;101(1):38-43. doi: 10.1308/rcsbull.2019.38.
  • 21. Selçuk İ, Tatar İ, Huri E. The effect of cadaveric hands-on training model on surgical skills and confidence for transobturator tape surgery. J Turk Ger Gynecol Assoc. 2019;20(4):243-246. doi: 10.4274/jtgga.galenos.2018.2018.0043.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Anatomi
Bölüm Original Article
Yazarlar

Ayşe Gül Kabakcı 0000-0001-7144-8759

Ömer Sunkar Biçer 0000-0002-1085-3141

Memduha Gülhal Bozkır 0000-0003-4164-4227

Erken Görünüm Tarihi 15 Temmuz 2025
Yayımlanma Tarihi
Gönderilme Tarihi 15 Mayıs 2025
Kabul Tarihi 27 Haziran 2025
Yayımlandığı Sayı Yıl 2025 EARLY ONLINE

Kaynak Göster

AMA Kabakcı AG, Biçer ÖS, Bozkır MG. Morphometric analysis of anatomical reference points in hip surgery: A study on cadaveric and radiographic images. Eur Res J. Published online 01 Temmuz 2025:1-13. doi:10.18621/eurj.1700331

e-ISSN: 2149-3189 


The European Research Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

by-nc-nd.png

2025