Evaluation of Neck-shaft Angle and Anteversion in Dry Femora of Adult Indian Population: A Descriptive Analysis

Aims and background: Proximal femoral angles, specifically the neck-shaft angle (NSA) and anteversion (AV), are pivotal factors in understanding hip joint biomechanics, the changes in different hip pathologies and guiding various orthopedic interventions. Our study aims to evaluate these angles in t...

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Main Authors: Akash Hosthota, Manikandan Thandapani, N Deen M Ismail, Aravind J Devendrappa, Mohammed Shahid
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2024-06-01
Series:Journal of Orthopedics and Joint Surgery
Subjects:
Online Access:https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1152
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author Akash Hosthota
Manikandan Thandapani
N Deen M Ismail
Aravind J Devendrappa
Mohammed Shahid
author_facet Akash Hosthota
Manikandan Thandapani
N Deen M Ismail
Aravind J Devendrappa
Mohammed Shahid
author_sort Akash Hosthota
collection DOAJ
description Aims and background: Proximal femoral angles, specifically the neck-shaft angle (NSA) and anteversion (AV), are pivotal factors in understanding hip joint biomechanics, the changes in different hip pathologies and guiding various orthopedic interventions. Our study aims to evaluate these angles in the subcontinent of India. Materials and methods: A total of 50 dry samples of femora were selected at the Anatomy Department, Madras Medical College. Inclusion and exclusion criteria were established based on the study design. The AV and NSA were measured using three methods—direct measurement, biplanar radiography, and axial computed tomography (CT). Comparative analyzes were performed to assess the precision of these measurement techniques. Results: Our study revealed that the X-ray method was the most accurate in measuring the NSA among the three techniques. The measurements of AV were more accurate using the X-ray method than the CT method. Additionally, a prevalence of 20% for retroversion was identified in the Indian population, signifying a higher occurrence compared to prior studies. Conclusion: These findings underscore the critical importance of precise angle measurements in orthopedic hip procedures. The study's data supports informed preoperative planning and the enhancement of orthopedic interventions, particularly in the Indian population. Clinical significance: The study's findings on AV and NSA in the adult Indian population provide significant insights for orthopedic interventions, emphasizing the need for accurate measurements to enhance preoperative planning and optimize surgical outcomes.
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spelling doaj-art-19f788219fd749aa921758c839df61f32025-02-07T11:18:35ZengJaypee Brothers Medical PublisherJournal of Orthopedics and Joint Surgery2582-78632024-06-016210310810.5005/jojs-10079-11524Evaluation of Neck-shaft Angle and Anteversion in Dry Femora of Adult Indian Population: A Descriptive AnalysisAkash Hosthota0https://orcid.org/0009-0004-6674-9601Manikandan Thandapani1https://orcid.org/0009-0006-3065-7910N Deen M Ismail2https://orcid.org/0009-0003-2098-3905Aravind J Devendrappa3https://orcid.org/0009-0009-2835-5691Mohammed Shahid4https://orcid.org/0000-0002-1712-4865Department of Orthopaedics, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, IndiaDepartment of Orthopaedics, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, IndiaDepartment of Orthopaedics, Madras Medical College, Chennai, Tamil Nadu, IndiaDepartment of Orthopaedics, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, IndiaMohammed Shahid, Department of Orthopaedics, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India, Phone: +91 9008143663Aims and background: Proximal femoral angles, specifically the neck-shaft angle (NSA) and anteversion (AV), are pivotal factors in understanding hip joint biomechanics, the changes in different hip pathologies and guiding various orthopedic interventions. Our study aims to evaluate these angles in the subcontinent of India. Materials and methods: A total of 50 dry samples of femora were selected at the Anatomy Department, Madras Medical College. Inclusion and exclusion criteria were established based on the study design. The AV and NSA were measured using three methods—direct measurement, biplanar radiography, and axial computed tomography (CT). Comparative analyzes were performed to assess the precision of these measurement techniques. Results: Our study revealed that the X-ray method was the most accurate in measuring the NSA among the three techniques. The measurements of AV were more accurate using the X-ray method than the CT method. Additionally, a prevalence of 20% for retroversion was identified in the Indian population, signifying a higher occurrence compared to prior studies. Conclusion: These findings underscore the critical importance of precise angle measurements in orthopedic hip procedures. The study's data supports informed preoperative planning and the enhancement of orthopedic interventions, particularly in the Indian population. Clinical significance: The study's findings on AV and NSA in the adult Indian population provide significant insights for orthopedic interventions, emphasizing the need for accurate measurements to enhance preoperative planning and optimize surgical outcomes.https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1152anteversionaxial computed tomographybiplanar radiographyneck-shaft angleproximal femoral angles.
spellingShingle Akash Hosthota
Manikandan Thandapani
N Deen M Ismail
Aravind J Devendrappa
Mohammed Shahid
Evaluation of Neck-shaft Angle and Anteversion in Dry Femora of Adult Indian Population: A Descriptive Analysis
Journal of Orthopedics and Joint Surgery
anteversion
axial computed tomography
biplanar radiography
neck-shaft angle
proximal femoral angles.
title Evaluation of Neck-shaft Angle and Anteversion in Dry Femora of Adult Indian Population: A Descriptive Analysis
title_full Evaluation of Neck-shaft Angle and Anteversion in Dry Femora of Adult Indian Population: A Descriptive Analysis
title_fullStr Evaluation of Neck-shaft Angle and Anteversion in Dry Femora of Adult Indian Population: A Descriptive Analysis
title_full_unstemmed Evaluation of Neck-shaft Angle and Anteversion in Dry Femora of Adult Indian Population: A Descriptive Analysis
title_short Evaluation of Neck-shaft Angle and Anteversion in Dry Femora of Adult Indian Population: A Descriptive Analysis
title_sort evaluation of neck shaft angle and anteversion in dry femora of adult indian population a descriptive analysis
topic anteversion
axial computed tomography
biplanar radiography
neck-shaft angle
proximal femoral angles.
url https://www.jojs.in/doi/JOJS/pdf/10.5005/jojs-10079-1152
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