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Can Lateral Offset Be Used as a Predictive Marker for Proximal Femur Disorders?

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Abstract

Purpose

When the lateral offset (LO) changes, the forces acting on the head and neck of the femur change. Increase or decrease in LO can cause instability and possible dislocation of the implant. In addition, when the offset is reduced, more force is needed to balance the pelvis by the abductor muscles, and the force that occurs along the hip joint increases and causes wear and tear. In this study we aimed to investigate whether there is a correlation between LO and proximal femur morphology, and according to the results we aimed to investigate whether the LO can be used as a predictive marker for the risk of femoral neck fractures, osteoarthritis or femoroacetabular impingement.

Methods

Femur length, femur neck length, femoral neck–shaft angle (NSA), anteroposterior (a–p) and superoinferior (s–i) diameters of femoral head and neck, and LO were measured on 82 dry adult femora of unknown age and gender from Turkish population.

Results

There was no statistically significant correlation between the LO and a–p and s–i diameters of femoral head or neck. However, there was found statistically significant correlation between LO and femoral NSA (p < 0.01), femoral neck length (p < 0.05) and femur length (p < 0.01).

Conclusion

High LO values can be used as an indicator for neck fractures, a negative marker for OA, but LO does not appear to be used as an indicator for FAI.

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Acknowledgements

The authors thank to Selcen Yüksel (M.Sc., Ph.D.) Assoc. Prof., Dept. of Biostatistics, for their valuable contributions running the statistical analysis of this study.

Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Department of Anatomy, Medical Faculty, Ankara Yıldırım Beyazıt University, Ankara, Turkey

    Bilge İpek Torun, Ferhat Geneci & Kadir Desdicioğlu

  2. Department of Anatomy, Medical Faculty, Ankara University, Ankara, Turkey

    Simel Kendir

  3. Department of Anatomy, Medical Faculty, Kars Kafkas University, Kars, Turkey

    Muhammed B. Uzuner

  4. Department of Anatomy, School of Dentistry, Ankara University, Ankara, Turkey

    Mert Ocak

  5. Department of Anatomy, Medical Faculty, Ankara Medipol University, Ankara, Turkey

    Burak Bilecenoğlu

  6. Department of Orthopaedics and Traumatology, Medical Faculty, Arel University, Memorial Ataşehir Hospital, Istanbul, Turkey

    Çetin Işık

Authors
  1. Bilge İpek Torun
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  2. Simel Kendir
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  3. Ferhat Geneci
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Correspondence to Bilge İpek Torun.

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Torun, B.İ., Kendir, S., Geneci, F. et al. Can Lateral Offset Be Used as a Predictive Marker for Proximal Femur Disorders?. JOIO 56, 614–620 (2022). https://doi.org/10.1007/s43465-021-00576-2

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  • DOI: https://doi.org/10.1007/s43465-021-00576-2

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