A Prospective Radiological study of Proximal Femoral Geometry and its relationship in Hip fractures in South Indian Population

Ashok Kumar, M (2015) A Prospective Radiological study of Proximal Femoral Geometry and its relationship in Hip fractures in South Indian Population. Masters thesis, Stanley Medical College, Chennai.

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Abstract

INTRODUCTION: Only a few studies have tested the ability of proximal femur geometry parameters to discriminate between cervical hip fractures and those of the trochanter. The main objective of this study is to evaluate the geometrical difference between these two fracture types by measuring the parameters like Femoral Neck Length (FNL), Hip Axis Length (HAL), Neck Shaft Angle(NSA). MATERIALS AND METHODS: A prospective analysis was made in our hospital population of 118 patients with hip fractures (cervical fractures-58, trochanteric fractures- 60). Study was conducted during 2013 January to 2014 August. FNL, HAL, NSA were measured from pelvic Xrays (digital) by using an advanced computer software. RESULTS: A significant difference was found between cervical and trochanteric fractures in HAL, especially in patients of 31- 60 years. Patients with higher HAL sustained cervical fractures. No significant difference in NSA and FNL measurements between these two patient groups. CONCLUSION: The difference in the pathogenesis of cervical and trochanteric fractures can be explained by HAL and no significant difference in FNL, NSA of these patients could be appreciated in our study. A much higher standardized measurement setup is needed for evaluating the role of hip geometry in fracture patients.

Item Type: Thesis (Masters)
Uncontrolled Keywords: bone geometry ; hip fractures ; population based ; radiography.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 25 Sep 2017 01:22
Last Modified: 25 Sep 2017 01:24
URI: http://repository-tnmgrmu.ac.in/id/eprint/3309

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