Thursday, October 4, 2018

Identification of Femoral Reference Lines and Angles in Saggital Plane-Juniper Publishers



In order to determine or exclude the presence of deformation of the long bone, reference lines and angles (RLU) are used. RLS includes anatomical, mechanical axis of bones, joint lines, as well as anatomical and mechanical angles in the frontal and sagittal planes.Anatomy of the femur in the sagittal plane is of great clinical importance. It affects the position of the point of introduction of the intramedullary stem, the design of the femoral components of the revision hip joint endoprostheses. It is known that the diaphysis of the femur has a physiological bend in the sagittal plane. As a result, the anatomical axis of the femur in the sagittal plane looks like a curved line. In the works devoted to the treatment of deformities of the femur, both for planning the correction of deformities in the sagittal plane and for evaluating the anatomical results of treatment, the authors use only the distal anatomical angle of the femur . However, the use of only anatomical articular angles in the sagittal plane allows one to evaluate the physiological flexure of the femur not throughout the entire diaphysis, but only in the proximal and distal parts of the femur. In addition, the study conducted by WM Tang found that the distal third of the femur has a significantly greater curvature than the proximal and middle third of it. 



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