To promote the development of an optimally functional total hip prosthesis for medium and large dog breeds, accurate measurements of the normal anatomy of the proximal femur and acetabular retroversion are essential. The aim of the current study was to obtain precise normal values of the femoral anteversion angle using computed tomography on cadavers of mature dogs with normal hip joints of both medium and large breeds. Based on the length of their femora 58 dogs were allocated either to group I: ≤195 mm or group II: >195 mm. In the study the femoral anteversion angle (FAA) was measured on each femur using multi-slice spiral computed tomography (CT). The data were processed as multi-planar and three-dimensional reconstructions using Advantage Workstation software. The CT measurements showed that the mean ± standard deviation (SD) FAA of group I was 31.34 ± 5.47° and in group II it was 31.02 ± 4.95°. There were no significant mean difference associations between the length of the femur and the femoral neck angle in either group ( > 0.05). The data suggest that a prosthesis FAA of 31 degrees would be suitable for a wide range of dog sizes.
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http://dx.doi.org/10.3389/fvets.2021.540406 | DOI Listing |
J Arthroplasty
January 2025
Stryker, Mahwah, NJ, USA. Electronic address:
Background: The ideal anteversion at which the acetabular and femoral components for a total hip arthroplasty (THA) should be implanted is still a subject of debate. One alignment philosophy being explored is restoration of individual constitutional femoral and acetabular anteversion. This study aimed to measure combined anteversion in a healthy hip population and understand the expected phenotypes and ranges for constitutional hip alignment.
View Article and Find Full Text PDFJ Arthroplasty
January 2025
Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, Indiana; Indiana Joint Replacement Institute, Indianapolis, Indiana. Electronic address:
Background: Use of jumbo femoral heads (≥ 40 mm) in total hip arthroplasty (THA) decreases postoperative dislocation, however, may leave patients more susceptible to groin pain. Limited data exist for the effect of jumbo femoral heads and acetabular cup position on modern patient-reported outcome measures (PROMs). This study evaluated the effect of jumbo femoral heads and acetabular cup position on PROMs after primary THA.
View Article and Find Full Text PDFHip Int
January 2025
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Introduction: Total hip arthroplasty (THA) is widely used for active, elderly patients with femoral neck fractures (FNF). Compared to THA for osteoarthritis, THA for FNF is associated with a higher incidence of dislocation and reoperation. Robotic assistance may improve component positioning and leg-length restoration in THA, but its use in FNF has not been described.
View Article and Find Full Text PDFKnee Surg Sports Traumatol Arthrosc
January 2025
Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, University Medicine Greifswald, Greifswald, Germany.
Purpose: The dynamic alignment of the lumbar spine, pelvis and femur is increasingly studied in hip preservation surgery. However, the interaction between lumbopelvic alignment, acetabular and femoral morphology and its influence on patients' preoperative symptom burden remains poorly understood. The aim of this study was to evaluate whether lumbopelvic malalignment affects osseous hip morphology and exacerbates preoperative patient-reported joint functionality in patients undergoing periacetabular osteotomy (PAO).
View Article and Find Full Text PDFJ Orthop Res
January 2025
Australian Centre for Precision Health and Technology (PRECISE), Griffith University, Gold Coast, Australia.
Effective surgical planning is crucial for maximizing patient outcomes following complex orthopedic procedures such as proximal femoral osteotomy. In silico simulations can be used to assess how surgical variations in proximal femur geometry, such as femur neck-shaft and anteversion angles, affect postoperative system mechanics. This study investigated the sensitivity of femur mechanics to postoperative neck-shaft angles, anteversion angles, and osteotomy contact areas using patient-specific finite element analysis informed by neuromusculoskeletal models.
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