The Geometry of the Proximal Femoral Medullary Canal in German Shepherd and Kangal Dogs

Yıl 2017, Cilt: 43 Sayı: 1, 52 - 60, 01.01.2017

Figen Sevıl-kılımcı , Mehmet Erkut Kara

https://doi.org/10.16988/iuvfd.270288

Öz

    The proximal femur has morphological variability that is related to its functional and biomechanical properties. Therefore, researchers have long been interested in these variations especially associated with the femoral implant design and implantation in total hip arthroplasty. The positions of the femoral head and the geometrical variations in the medullary canal are evaluated in particular to understand the proximal femoral morphology. The position of head or neck of the dog has already been studied in detail. There are incomplete data to evaluate variations in the geometry of the medullary canal of proximal femur in dog. Proximal femoral morphology of the medullary canal has been evaluated only at the coronal plane in dog studies using plain radiography. The morphometric data on the sagittal plane are also need to innovations in femoral implants. The purpose of this study is to indicate the detailed geometric data about proximal femoral canal of dog using three-dimensional morphometric methods to provide a database for the orthopedic studies. The effect of the breed with different pelvic limb conformation was also studied in this study. The cleaned femora from 16 German shepherd and 16 Kangal dogs were used. The three-dimensional images were reconstructed from the computed tomographic images. The femoral length, the anteversion angle and neck angles, the isthmus position and the widths on medio-lateral and cranio-caudal directions of the cross-sections of proximal femur were measured. The cortico-medullary indices, the isthmus position index and the canal flare indices were also calculated to detailed investigation of medullary canal of the proximal femur. According to our study results, it must be considered in stem design that the level of the isthmus might change in response to different conformations of the dog breeds, whilst the flare indices are similar in the dogs. The flare of the medullary canal was firstly evaluated with the cranio-caudal diameters on the three-dimensional images in this study. The cortico-medullary index shows some variation between the dog breeds across the levels and the directions of the cross-sections of the proximal femur. Nowadays, three-dimensional images can be acquired and morphometric measurements can be done easily by tomography in a lot of veterinary clinics. The data from three-dimensional morphometric analysis may contribute to the optimization of the design and preoperative selection of femoral implants by surgeons.

Anahtar Kelimeler

Medullary canal, Femur, Geometry, Dog

Kangal ve Alman Çoban Köpeklerinin Proximal Femur Bölümünde Cavum Medullare’nin Geometrik Özellikleri

Öz

    Proximal femur, fonksiyonel ve biyomekanik özellikleri nedeniyle morfolojik varyasyonlar gösterebilir. Bu varyasyonlar, total kalça protezinin femoral implant uygulamaları ve tasarım çalışmalarında araştırıcılar için önemlidir. Proximal femur’un morfolojik özelliklerine ilişkin olarak, caput femoris pozisyonu ve cavum medullare’nin geometrik varyasyonları öncelikli olarak incelenir. Köpeklerde caput femoris pozisyonuna ilişkin çalışmalar daha çok görülmekle birlikte cavum medullare’nin geometrik özelliklerine ilişkin çalışmalar yetersizdir. Ayrıca bu bölgeye ilişkin morfometrik ölçümler sadece dorsal (coronal) düzlemde yapılmıştır. Yeni femoral implant tasarımları için yapılacak çalışmalar için bölgenin sagittal düzlemde de elde edilmiş morfometrik verilerine ihtiyaç vardır. Bu çalışmada da ortopedik çalışmalar için veri tabanına katkıda bulunmak amacıyla proximal femoral kanalın, bilgisayar ortamında üç boyutlu modelleri kullanılarak detaylı geometrik ve morfometrik verilerin sunulması amaçlanmıştır. Ayrıca, farklı arka bacak konformasyonlardaki iki ırktan elde edilen veriler de karşılaştırılmıştır. Çalışmada 16 adet Kangal ve 16 adet Alman çoban köpeğine ait femur’lar kullanıldı. Bilgisayarlı tomografi kesitleri kullanılarak kemiklerin üç boyutlu modelleri hazırlandı. Bu modellerden femur uzunluğu, anteversiyon açısı, collum femoris açısı, isthmus pozisyonu ve proximal femur bölgesinden alınan kesitlerde medio-lateral ve cranio-caudal çaplar ölçüldü. Ayrıca proximal femoral kanalın detaylı incelenmesi için kesitlerin cortico-medullar oranlar, isthmus pozisyonu oranı ve medullar kanal genişleme oranları hesaplandı. Çalışma sonuçlarına göre medullar kanal genişleme oranları benzerlik gösterse de isthmus mesafesinin köpek ırkları arasında farklılık gösterebileceği dikkati çekti. Köpeklerde, proximal medullar kanalın yukarı doğru açılmasına ilişkin cranio-caudal yönlü hesaplanan oran ilk defa değerlendirilmiştir. Cortico–medullar oranlar bazı seviyelerde veya yönlerde iki ırk arasında farklılık göstermiştir. Günümüzde bir çok klinikte bulunan tomografi cihazları ile kemiklerin üç boyutlu modelleri rahatlıkla elde edilebilir ve morfometrik değerlendirmeler yapılabilir. Bu çalışmada elde edilen morfometrik verilerin, klinisyenlerin uygun femoral implant seçiminde ve yeni tasarımların yapılabilmesinde yardımcı olabileceği düşünülmektedir.

Anahtar Kelimeler

Canalis medullaris, femur, geometri, köpek

Kaynakça

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