The Use of the Posterior Lesser Trochanter Line to Estimate Femoral Neck Version. An Analysis of Computed Tomography Measurements

Won Yong Shon, Ho Hyun Yun, Jae Hyuk Yang, Seung Yeop Song, Sung Bum Park, Jee Wun Lee

    Research output: Contribution to journalArticlepeer-review

    10 Citations (Scopus)

    Abstract

    We hypothesized that the lesser trochanter could be a useful guide for estimating femoral component version during total hip arthroplasty. We conducted a study of 88 patients to evaluate the relationship between the posterior lesser trochanter line (PLTL) and the femoral neck axis (FNA) using computed tomographic scans. The mean angle between the PLTL and the FNA was 17.4° ± 7.1° (range, -1.6° to 36.5°). The PLTL angle correlated (r2 = 0.67-0.72) with the FNA angle. Intraclass correlation coefficient values showed a high level of intraobserver and interobserver agreement in the angles between the PLTL and the FNA. We found a constant relationship between the lesser trochanter and the FNA, and femoral neck version can be estimated, using the PLTL, with reasonable reliability.

    Original languageEnglish
    Pages (from-to)352-358
    Number of pages7
    JournalJournal of Arthroplasty
    Volume28
    Issue number2
    DOIs
    Publication statusPublished - 2013 Feb 1

    Keywords

    • Femoral neck axis
    • Femoral version
    • Hip
    • Posterior lesser trochanter line
    • Total hip arthroplasty

    ASJC Scopus subject areas

    • Orthopedics and Sports Medicine

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