ArticlePloS one2018
Femoral antecurvation-A 3D CT Analysis of 1232 adult femurs.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 37 citations in OpenAlex.
- Effect of age, sex, height, ethnicity, and femoral bowing on the anatomical fitting of the LCP distal femur plate.Archives of orthopaedic and trauma surgery · 2025Article
- Anatomical structure of the medullary cavity of proximal femur with three-dimensional computed tomography.BMC musculoskeletal disorders · 2025Article
- Advantages of customization of osseointegrated implants in transfemoral amputees: a comparative analysis of surgical planning.Journal of orthopaedic surgery and research · 2024Article
- Three-Dimensional Bowing Measurement of Distal Femur at Actual Size and Clinical Implications of Total Knee Arthroplasty.Medicina (Kaunas, Lithuania) · 2024Article
- Article
- Database of segmentations and surface models of bones of the entire lower body created from cadaver CT scans.Scientific data · 2023Article
- Increased femoral curvature and trochlea flexion in high-grade patellofemoral dysplastic knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- A comparison between Asians and Caucasians in the dimensions of the femoral isthmus based on a 3D-CT analysis of 1189 adult femurs.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Asian Ethnicity and Femoral Geometry in Atypical Femur Fractures: Independent or Interdependent Risk Factors?JBMR plus · 2022Article
- Proximal femur anatomy-implant geometry discrepancies.SICOT-J · 2022Article
- Differences in femur geometry and bone markers in atypical femur fractures and the general population.Scientific reports · 2021Article
- Automated Morphometric Analysis of the Hip Joint on MRI from the German National Cohort Study.Radiology. Artificial intelligence · 2021Article
- Population-based, three-dimensional analysis of age- and sex-related femur shaft geometry differences.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021Article
- Effect of additional distal femoral resection on flexion deformity in posterior-stabilized total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- New Computerized Method in Measuring the Sagittal Bowing of Femur from Plain Radiograph-A Validation Study.Journal of clinical medicine · 2019Article
- Article
- Clinical evaluation of the cemented Exeter Short 125 mm stem at a minimum of 3 years: A prospective cohort study.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFor optimal treatment of femoral fractures, it is essential to understand the anatomical antecurvation of the human femur. Recent clinical studies have highlighted the problem of distal anterior encroachment or even perforation of the nail tip. The aim of this study was to accurately describe the femoral antecurvation in a large cohort. Another objective was to identify the most important influences on femoral antecurvation, such as age, femur length, gender and ethnicity.
methodsA three dimensional modelling and analytical technology was applied for the analysis of 1,232 femurs. Individual femoral antecurvation was precisely computed to determine whether gender, femur length, age, ethnicity or body mass index influence the radius of curvature (ROC).
resultsThe calculated mean ROC for all femurs was 943 mm. The lowest ROC of 826 mm was found in female Asian femurs. A regression analysis demonstrated that age and femur length could predict the variability of the curvature, with femoral length as most powerful predictor. A matched pair subgroup analysis between Asians and Caucasians could not show any significant differences of ROC values.
conclusionsThe mean radius of the femoral antecurvation may be smaller than previously reported revealing a significant mismatch between the actual individual anatomy and existing implants. In opposite to existing literature, this study suggests, that antecurvation differences between various ethnicities may exclusively be attributed to differences in femoral length and age. The findings of this study may be found helpful in the development of novel designs for intra- and extramedullary implants.
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