Estimating the optimal entry point of the antegrade femoral nailing:
Previous and novel morphometric measurements

Ilgaz, Hasan Barış; DEMIRY�REK, MEHMET DENIZ; Hayran, Mutlu; Ercakmak Gunes, Burcu; Ciledag, Nazan; Ozsoy, Mehmet Hakan

doi:10.5152/j.aott.2022.21107

Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements

Burcu Erçakmak Güneş, (Hacettepe Üniversitesi Tıp Fakültesi Anatomi Anabilim Dalı, Ankara, Türkiye)

Hasan Barış Ilgaz, (Hacettepe Üniversitesi Tıp Fakültesi Anatomi Anabilim Dalı, Ankara, Türkiye)

Nazan Çiledağ, (Radyoloji Kliniği, Abdurrahman Yurtaslan Onkoloji Hastanesi, Ankara, Türkiye)

Hakan Özsoy, (Ortopedi ve Travmatoloji Kliniği, Memorial Hastanesi, Ankara, Türkiye)

Mutlu Hayran, (Hacettepe Üniversitesi Tıp Fakültesi Önleyici Onkoloji Anabilim Dalı, Ankara, Türkiye)

Deniz Demiryürek (Hacettepe Üniversitesi Tıp Fakültesi Anatomi Anabilim Dalı, Ankara, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

1 0

Yıl: 2022 Cilt: 56 Sayı: 2 Sayfa Aralığı: 81 - 87 Metin Dili: İngilizce DOI: 10.5152/j.aott.2022.21107 İndeks Tarihi: 13-06-2022

Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements

Öz:

Objective: This anatomical study aimed to investigate the possible relationships between the proximal femur parameters and verify the optimal entry point in line with the medullary canal. Methods: Both in single image series and 3D-MPR views, 63 femur bones were evaluated. One-millimeter multidetector computed tomog- raphy scans were collected and assessed by OsiriX-Lite version 8 and Horos v3.3.5. Entry point locations, projected and true femoral neck-shaft, anteversion, and newly defined nail entrance angles were measured. Results: The entry points of 16 femurs were placed at the tip of the greater trochanter, and the remaining 47 femurs were in the tro- chanteric fossa (i.e., piriformis fossa). Thirty-three of the entry points found in the trochanteric fossa were overlapped by the greater trochanter. When the parameters of the right and left sides were compared, it was found that; projected neck angle, nail entrance angle, and the differences between true neck angle and nail entrance angle were found significantly different. The relationship between nail entrance angle and entry point localization was assessed, and the probability of the entry point being at the tip of the greater trochanter is 63 times greater when the NEA is below 90. Conclusion: This study has demonstrated that the ideal entry point for straight nails, which is based on the anatomic axis of the femur, is found mainly at the trochanteric fossa, and the greater trochanter overlapped 70.21% of them.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	Ercakmak Gunes B, Ilgaz H, Ciledag N, Ozsoy M, Hayran M, DEMIRY�REK M (2022). Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. , 81 - 87. 10.5152/j.aott.2022.21107
Chicago	Ercakmak Gunes Burcu,Ilgaz Hasan Barış,Ciledag Nazan,Ozsoy Mehmet Hakan,Hayran Mutlu,DEMIRY�REK MEHMET DENIZ Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. (2022): 81 - 87. 10.5152/j.aott.2022.21107
MLA	Ercakmak Gunes Burcu,Ilgaz Hasan Barış,Ciledag Nazan,Ozsoy Mehmet Hakan,Hayran Mutlu,DEMIRY�REK MEHMET DENIZ Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. , 2022, ss.81 - 87. 10.5152/j.aott.2022.21107
AMA	Ercakmak Gunes B,Ilgaz H,Ciledag N,Ozsoy M,Hayran M,DEMIRY�REK M Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. . 2022; 81 - 87. 10.5152/j.aott.2022.21107
Vancouver	Ercakmak Gunes B,Ilgaz H,Ciledag N,Ozsoy M,Hayran M,DEMIRY�REK M Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. . 2022; 81 - 87. 10.5152/j.aott.2022.21107
IEEE	Ercakmak Gunes B,Ilgaz H,Ciledag N,Ozsoy M,Hayran M,DEMIRY�REK M "Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements." , ss.81 - 87, 2022. 10.5152/j.aott.2022.21107
ISNAD	Ercakmak Gunes, Burcu vd. "Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements". (2022), 81-87. https://doi.org/10.5152/j.aott.2022.21107

APA	Ercakmak Gunes B, Ilgaz H, Ciledag N, Ozsoy M, Hayran M, DEMIRY�REK M (2022). Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. Acta Orthopaedica et Traumatologica Turcica, 56(2), 81 - 87. 10.5152/j.aott.2022.21107
Chicago	Ercakmak Gunes Burcu,Ilgaz Hasan Barış,Ciledag Nazan,Ozsoy Mehmet Hakan,Hayran Mutlu,DEMIRY�REK MEHMET DENIZ Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. Acta Orthopaedica et Traumatologica Turcica 56, no.2 (2022): 81 - 87. 10.5152/j.aott.2022.21107
MLA	Ercakmak Gunes Burcu,Ilgaz Hasan Barış,Ciledag Nazan,Ozsoy Mehmet Hakan,Hayran Mutlu,DEMIRY�REK MEHMET DENIZ Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. Acta Orthopaedica et Traumatologica Turcica, vol.56, no.2, 2022, ss.81 - 87. 10.5152/j.aott.2022.21107
AMA	Ercakmak Gunes B,Ilgaz H,Ciledag N,Ozsoy M,Hayran M,DEMIRY�REK M Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. Acta Orthopaedica et Traumatologica Turcica. 2022; 56(2): 81 - 87. 10.5152/j.aott.2022.21107
Vancouver	Ercakmak Gunes B,Ilgaz H,Ciledag N,Ozsoy M,Hayran M,DEMIRY�REK M Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements. Acta Orthopaedica et Traumatologica Turcica. 2022; 56(2): 81 - 87. 10.5152/j.aott.2022.21107
IEEE	Ercakmak Gunes B,Ilgaz H,Ciledag N,Ozsoy M,Hayran M,DEMIRY�REK M "Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements." Acta Orthopaedica et Traumatologica Turcica, 56, ss.81 - 87, 2022. 10.5152/j.aott.2022.21107
ISNAD	Ercakmak Gunes, Burcu vd. "Estimating the optimal entry point of the antegrade femoral nailing: Previous and novel morphometric measurements". Acta Orthopaedica et Traumatologica Turcica 56/2 (2022), 81-87. https://doi.org/10.5152/j.aott.2022.21107