Kielbasinski Podlaszewska, O; Bekvalac, J; Williams, RL; Adds, PJ
(2017)
The innominate tubercle of the femur: Application to anterior surgical approaches to the hip.
Clin Anat, 30 (5).
pp. 578-584.
ISSN 1098-2353
https://doi.org/10.1002/ca.22870
SGUL Authors: Adds, Philip James
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Abstract
INTRODUCTION: There has recently been an increase in popularity of the direct anterior approach (DAA) hip arthroplasty, due to the muscle sparing nature of its interneural intervals, with the innominate tubercle being used as a lateral reference point for the femoral neck osteotomy. However, there is very little information in the literature on this rather enigmatic structure, with no evidence as to whether it is a consistent and reliable marker, or if it varies significantly in the population. MATERIALS AND METHODS: In this study, data were gathered from 79 pairs of adult, post-medieval skeletal femora to investigate the effects of sex, age, femoral side, femoral length, femoral neck length, and femoral neck-shaft angle on the width, length, and height of the innominate tubercle. The sex, age, and date of death of the individuals had been recorded. Statistical analysis included canonical correlation and multivariate multiple regression. RESULTS: We found that there was no statistical significance or correlation between the width, length, or height of the tubercle with respect to any of the variables investigated. CONCLUSIONS: These results suggest that the innominate tubercle does not differ markedly between individuals in the Caucasian population, and, is therefore, a reliable landmark for femoral neck osteotomy during DAA hip arthroplasty. We present what we believe to be a definitive survey of the variability of the innominate tubercle in a Caucasian population. This article is protected by copyright. All rights reserved.
Item Type: | Article | ||||||||
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Additional Information: | This is the peer reviewed version of the following article: Kielbasinski Podlaszewska, O., Bekvalac, J., Williams, R.L. and Adds, P.J. (2017), The innominate tubercle of the femur: Application to anterior surgical approaches to the hip. Clin. Anat., 30: 578–584., which has been published in final form at http://doi.org/10.1002/ca.22870. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. | ||||||||
Keywords: | arthroplasty, direct anterior approach, femoral osteotomy, femur, femur neck, innominate tubercle, Anatomy & Morphology, 1116 Medical Physiology, 1103 Clinical Sciences | ||||||||
SGUL Research Institute / Research Centre: | Academic Structure > Institute of Medical & Biomedical Education (IMBE) Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Biomedical Education (INMEBE) |
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Journal or Publication Title: | Clin Anat | ||||||||
ISSN: | 1098-2353 | ||||||||
Language: | eng | ||||||||
Dates: |
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Publisher License: | Publisher's own licence | ||||||||
PubMed ID: | 28281291 | ||||||||
Go to PubMed abstract | |||||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/108716 | ||||||||
Publisher's version: | https://doi.org/10.1002/ca.22870 |
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