Research progress on biomechanics of abnormal femoral anteversion

doi:10.3877/ cma.j.issn.1674-134X.2024.06.012

Abstract

Abstract:

Femoral anteversion （FA） is an angle that describes the rotation or torsionof the proximal femur relative to posterior condyle line. Abnormal FA has a great influence on the kinematics and dynamics of the joints of the lower limbs.There are great differences in FA among individuals， and the measurement methods have not yet been unified. At present， the most commonly adopted normal value of FA ranges from 5°to 20°. Abnormal FA， including excessive anteversion and relative retroversion， could change the mechanical environment of the hip joint， and contribute to the occurrence and development of developmental dysplasia of hip and femoroacetabular impingement. Abnormal FA leads to alteration of the movement pattern， which could subsequently cause damage of the acetabular cartilage， labrum and even bone. Accurate measurement and meticulous evaluation of FA are helpful to formulate personalized preoperative planning， thereby further improving the efficacy of hip joint preserving operation.

Key words: Joint instability, Hip joint, Femur, Developmental dysplasia of hip, Femoroacetabular impingement

Yinxi Chen, Hui Li. Research progress on biomechanics of abnormal femoral anteversion[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(06): 778-784.

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序号	作者	CT切片方向	单层/叠加图像	股骨颈轴参考线的定位
1	Weiner等人^［19］	轴斜位	单层	取股骨颈腹侧皮质和背侧皮质相互平行的层面，股骨颈轴位两侧皮质的中线。
2	Reikeras等人^［13］	轴向	叠层	在股骨颈前后骨皮质平行的层面取中点与股骨头中心连线。
3	Murphy等人^［18］	轴向	叠层	在小转子正上方取股骨颈基底部中心与股骨头中心连线。
4	Hernandez等人^［15］	轴向	单层	取股骨头、股骨颈峡部、大转子上缘并存的层面，连接股骨头中心和股骨颈中点。
5	Lee等人^［17］	轴向	单层	在大转子最上端与股骨颈交界处取与股骨头中心的连线。
6	Jarrett等人^［20］	轴斜位	单层	在单层图像上取股骨颈中心和股骨头中心的连线。
7	Tomczak等人^［21］	轴向	叠层	在股骨颈基底部取大转子中心与股骨头中心连线。

序号	作者	CT切片方向	单层/叠加图像	股骨颈轴参考线的定位
1	Weiner等人^［19］	轴斜位	单层	取股骨颈腹侧皮质和背侧皮质相互平行的层面，股骨颈轴位两侧皮质的中线。
2	Reikeras等人^［13］	轴向	叠层	在股骨颈前后骨皮质平行的层面取中点与股骨头中心连线。
3	Murphy等人^［18］	轴向	叠层	在小转子正上方取股骨颈基底部中心与股骨头中心连线。
4	Hernandez等人^［15］	轴向	单层	取股骨头、股骨颈峡部、大转子上缘并存的层面，连接股骨头中心和股骨颈中点。
5	Lee等人^［17］	轴向	单层	在大转子最上端与股骨颈交界处取与股骨头中心的连线。
6	Jarrett等人^［20］	轴斜位	单层	在单层图像上取股骨颈中心和股骨头中心的连线。
7	Tomczak等人^［21］	轴向	叠层	在股骨颈基底部取大转子中心与股骨头中心连线。

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