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Acetabular roof arc angles and anatomic biomechanical superior acetabular weight bearing area

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Abstract

Background

Acetabular fracture involves whether superior articular weight bearing area and stability of the hip are assessed by acetabular roof arc angles comprising medial, anterior and posterior. Many previous studies, based on clinical, biomechanics and anatomic superior articular surface of acetabulum showed different degrees of the angles. Anatomic biomechanical superior acetabular weight bearing area (ABSAWBA) of the femoral head can be identifed as radiographic subchondral bone density at superior acetabular dome. The fracture passes through ABSAWBA creating traumatic hip arthritis. Therefore, acetabular roof arc angles of ABSAWBA were studied in order to fnd out that the most appropriate degrees of recommended acetabular roof arc angles in the previous studies had no ABSAWBA involvement.

Materials and Methods

ABSAWBA of femoral head was identifed 68 acetabular fractures and 13 isolated pelvic fractures without unstable pelvic ring injury were enrolled. Acetabular roof arc angle was measured on anteroposterior, obturator and iliac oblique view radiographs of normal contralateral acetabulum using programmatic automation controller digital system and measurement tools.

Results

Average medial, anterior and posterior acetabular roof arc angles of the ABSAWBA of 94 normal acetabulum were 39.09 (7.41), 42.49 (8.15) and 55.26 (10.08) degrees, respectively.

Conclusions

Less than 39°, 42° and 55° of medial, anterior and posterior acetabular roof arc angles involve ABSAWBA of the femoral head. Application of the study results showed that 45°, 45° and 62° from the previous studies are the most appropriate medial, anterior and posterior acetabular roof arc angles without involvement of the ABSAWBA respectively.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand

    Thossart Harnroongroj, Montri Wattanakaewsripetch, Narumol Sudjai & Thos Harnroongroj

Authors
  1. Thossart Harnroongroj
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  2. Montri Wattanakaewsripetch
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  3. Narumol Sudjai
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  4. Thos Harnroongroj
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Correspondence to Thossart Harnroongroj.

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Harnroongroj, T., Wattanakaewsripetch, M., Sudjai, N. et al. Acetabular roof arc angles and anatomic biomechanical superior acetabular weight bearing area. IJOO 48, 484–487 (2014). https://doi.org/10.4103/0019-5413.139858

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  • DOI: https://doi.org/10.4103/0019-5413.139858

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