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- ItemAcesso aberto (Open Access)Anatomia radiográfica da região proximal do fêmur: correlação com a ocorrência de fraturas(Sociedade Brasileira de Ortopedia e Traumatologia, 2012-01-01) Pires, Robinson Esteves Santos; Prata, Eric Fontes; Gibram, Athos Vilela; Santos, Leandro Emilio Nascimento; Lourenço, Paulo Roberto Barbosa de Toledo; Belloti, Joao Carlos [UNIFESP]; Universidade Federal de Minas Gerais; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: To evaluate the correlation between radiographic parameters of the proximal femur anatomy and fractures. METHODS: Three hundred and five digital x-rays of the pelvis were analyzed in the anteroposterior view. Of these x-rays, twenty-seven showed femoral neck or transtrochanteric fractures. The anatomical parameters analyzed were: femoral neck width (FNW), femoral neck length (FNL), femoral axis length (FAL), cervicodiaphyseal angle (CDA), acetabular tear-drop distance (ATD) and great trochanter-pubic symphysis distance (GTPSD). The analysis was performed by comparing the results of the x-rays with and without proximal femoral fracture, to establish a correlation between them. RESULTS: No differences were found between the anatomical parameters of the groups with and without proximal femoral fracture. CONCLUSION: There was no association between anatomical changes in the proximal femur and greater susceptibility to fractures. Level of evidence IV, Cross-sectional Study.
- ItemSomente MetadadadosThe correct implant choice for transtrochanteric fracture in Brazil(Atha Comunicacao & Editora, 2016) Torquato, Diogo Fernandes [UNIFESP]; Bordini, Andre Figueiredo [UNIFESP]; Ferreira, Gustavo [UNIFESP]; Takata, Edmilson Takehiro [UNIFESP]; Trigueiro, Gustavo [UNIFESP]; Basile, Ricardo [UNIFESP]Objective: To assess the adequacy to the Brazilian population of orthopedic implants used for treatment of proximal femoral fractures. Methods: The neck-shaft angle of the femur of 101 patients was measured in anteroposterior pelvis radiographs and these measurements were correlated to gender, age, height, weight and ethnicity. In addition, we compared the values of the neck-shaft angle with the angulation of the main implants available in the Brazilian market for the treatment of transtrochanteric fractures. Results: Of the 101 measurements, an average of 130.9 +/- 6.7 degrees was obtained, ranging from 112 degrees to 150 degrees. Correlating these measurements with epidemiological variables, only age was statistically significant. Conclusion: Most of the analyzed population presented anatomical characteristics that allow the proper use of these implants to treat transtrochanteric fractures, as indicated from the analysis of neck-shaft angles. Nonetheless, 4% of individuals did not fit this pattern and would have required alternative implants.