1. Bleeder's Femur: The Proximal Femoral Morphology in Hemophilic Patients Who Underwent Total Hip Arthroplasty
- Author
-
Yichen Gong, Hai Su, Zhaokai Jin, Haojin Zhou, Lei Chen, Ruinan Chen, Yi Tang, Yichen Lu, Jiali Chen, Guoqian Chen, and Peijian Tong
- Subjects
Differences ,Hemophilia ,Hemophilic Arthritis ,Morphology ,Proximal Femur ,Total Hip Arthroplasty ,Orthopedic surgery ,RD701-811 - Abstract
Introduction Patients with hemophilia (PWH) constantly suffer hemarthrosis, which leads to deformity of the hip joint. Therefore, PWH who are going to receive total hip arthroplasty (THA) should be exclusively treated before the surgery with careful measurement of their proximal femur. Hence, we conducted a retrospective study to explore the anatomical parameters of and differences in the proximal femur in hemophilic patients who underwent THA. Methods The retrospective study comprised data of adult patients who received total hip arthroplasty from 2020 to 2022 in the research center. Patients having a diagnosis of hemophilic arthritis and received THA were included in experimental group, and patients with hip arthritis or femoral head necrosis were taken as control group. Parameters including femoral offset, neck‐shaft angle (NSA), medullary cavity of 20 mm above mid‐lesser trochanter level (T+20), mid‐lesser trochanter level (T), and 20 mm blow it (T−20), and canal flare index (CFI), femoral cortical index (FCI) were measured on X‐ray and CT images with PACS by two independent doctors. Data was analyzed by SPSS 20. Kolmogorov–Smirnov test was used to test data normality. Student's t‐test was performed between PWH and control group. p
- Published
- 2024
- Full Text
- View/download PDF