Morphological changes of the proximal part of the body of thight bone in patients with coxarthosis

Abstract

U bolesnika s uznapredovalim degenerativnim promjenama zgloba kuka istraživane su morfološke promjene proksimalnog dijela trupa bedrene kosti. Pregledom je obuhvaćeno 454 zgloba kuka bolesnika liječenih u Odjelu za ortopediju Opće bolnice u Osijeku i Klinici za ortopediju Medicinskog fakulteta Sveučilišta u Zagrebu. Većini bolesnika je ugrađena totalna endoproteza. Podaci dobiveni morfometrijskim mjerenjima na radiogramima, te anamncstički i klinički podaci uneseni su u specijalno izrađeni upitnik, a potom su obrađeni pomoću računara. Istraživanjima je dokazano da u bolesnika s koksartrozom i postraničnim šepanjem u kuku dolazi do vertikalizacije rezultirajuće sile optere­ ćenja zgloba kuka, što uzrokuje morfološke promjene trupa bedrene kosti. U radu se daju morfometrijske karakteristike i shematski prikaz »standardnog femura« naše populacije u frontalnoj ravnini u bolesnika s koksartrozom.Morphological changes of the proximal part of the body of thigh bone in patients with advanced degenerative changes of the hip were observed. As an effect of the degenerative disease, the sideways limping of a predominantly antalgesic type was present in all cases. Our examination included 454 hip joints of patients treated in the Orthopaedic Department of the General Hospital in Osijek and the Orthopaedic Clinic of the Medical Faculty — University of Zagreb. Most of the patients had a total endoprothesis implanted. The data obtained by morphometrical measurements as well as anamnestic and clinical ones were recorded into specially performed questionnaires and then elaborated by computors. The research proved that the patients with coxarthrosis and sideways limping in the hip developed a verticalization of the resulting force of weightbearing of the joint, which caused morphological changes of the body of thigh bone. The research comprehended morphometrical characteristics and a schematic survey of »the standard femur« of our population on a frontal level in patients with coxarthrosis