The Journal of Arthroplasty, Volume 28, Issue 10, 1776 - 1780

A Validation Study for Estimation of Femoral Anteversion Using the Posterior Lesser Trochanter Line

Yun, Ho Hyun et al.

The aim of this study was to introduce a simple and reliable intraoperative reference guide to reproduce the normal femoral anteversion during total hip arthroplasty (THA). We hypothesized that the posterior lesser trochanter line (PLTL) could be a useful guide for estimating femoral anteversion during THA. We conducted a study of 56 men (112 hips) to evaluate the relationship between the PLTL and the femoral anteversion using computed tomography scans. The mean femoral anteversion was 9.0°±8.1° (range, −16.2° to 32.9°). The PLTL angle correlated (r2=0.12, P<0.05) with the femoral anteversion. We found a constant relationship between the PLTL and femoral anteversion, and the PLTL may be used as a guide for estimating the femoral stem anteversion during femoral stem fixation.

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