Cross-sectional Anatomy of Ilium for Guiding Acetabular Component Placement Using High Hip Center Technique in Asian Population

作     者：Jian-Lin Xiao Jian-Lin Zuo Peng Liu Yan-Guo Qin Xue-Zhou Li Tong Liu Zhong-Li Gao Xiao Jian-Lin;Zuo Jian-Lin;Liu Peng;Qin Yan-Guo;Li Xue-Zhou;Liu Tong;Gao Zhong-Li

作者机构：Department of Orthopedics China-Japan Union Hospital of Jilin University Changchun Jilin 130033 China Department of Orthopedics The Second Hospital of Jilin University Changchun Jilin 130041 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2015年第128卷第12期

页      面：1579-1583页

核心收录：

学科分类：1305[艺术学-设计学（可授艺术学、工学学位）] 0710[理学-生物学] 1304[艺术学-美术学] 13[艺术学] 1002[医学-临床医学] 07[理学] 071002[理学-动物学] 

基　　金：supported by the Norman Bethune B Program of Jilin University The Science and Technology Development Program of Jilin Province the Special Research Project of Health Care Industry Ministry of Public Health, China 

主　　题：Anatomy Hip Ilium Orthopedics Total Hip Arthroplasty 

摘      要：Background：Many clinical studies have been published involving the use of a high hip center （HHC）,achieved good ***,there is a little anatomic guidance in the literature regarding the amount of bone stock available for initial implant coverage in this area of the *** purpose of this study was to evaluate the thickness and width of the human ilium and related acetabular cup coverage for guiding acetabular component placement in ***：A total of 120 normal hips in 60 cases of adult patients from lower extremities computer tomographic angiography Digital Imaging and Communications in Medicine data were chosen for the *** importing the data to the mimics software,we chose the cross sections every 5-mm increments from the rotational center of the hip to the cephalic of the ilium according the body sagittal axis,then we measured the thickness and width of the ilium for each cross section in axial plane,calculated the cup coverage at each chosen ***：At the acetabular dome,the mean thickness and width of the ilium were 49.71 ± 4.88 mm and 38.92 ± 3.67 mm,respectively,whereas at 1 cm above the dome,decreased to 41.35 ± 5.13 and 31.13 ± 3.37 respectively,and 2 cm above the dome,decreased to 31.25 ± 4.04 and 26.65 ± 3.43,*** cup averaged coverage for 40-,50-,and 60-mm hemispheric shells,was 100%,89%,and 44% at the acetabular dome,100%,43.7%,and 27.5% for 1 cm above the dome,and 37.5%,21.9%,and 14.2% for 2 cm above the ***：HHC reconstructions within 1cm above the acetabular dome will be an acceptable and smaller diameter prosthesis would be better.