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HIP
Year : 2004  |  Volume : 38  |  Issue : 3  |  Page : 151-157

Estimation of femoral neck anteversion in adults - A comparison between peroperative, clinical and biplane X-rays methods


University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India

Correspondence Address:
A K Jain
Department of Orthopaedics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi - 110095
India
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Source of Support: None, Conflict of Interest: None


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Background: The accurate estimation of femoral neck anteversion in living subjects has always been difficult with lots of inter- and intra-method variations. The present study was undertaken to define the range of normal femoral neck anteversion in our adult population and to draw the relationship between the peroperative, biplane X-rays and clinical methods. Methods: Femoral neck anteversion was evaluated by the peroperative, biplane X-rays and clinical methods on 31 otherwise healthy and normal adults who underwent closed reduction / open reduction and internal fixation for post traumatic fresh intracapsular fracture of the neck of femur. Results: The mean value obtained by peroperative, biplane Xrays and clinical methods were 10.6 (n=31 hips), 11.7 (n=62 hips) and 13.0 (n=62 hips) respectively. No statistically significant difference was found between the sides and the sexes. The clinical method correlated better with the peroperative method than the X-rays method. Conclusion: The average femoral neck anteversion in our subjects was estimated to be 10.6 (SD 2.2) by the per-operative method, with 83.6% subjects having anteversion between 8.612.6. This is less than most of the western data. Statistical relations have also been drawn between the peroperative, X-ray and the clinical methods.


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