Morphometric Analysis of the Acetabular Anterior Column for Retrograde Screw Fixation: A Comparative CT Study.

IF 1.3 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2026-06-17 eCollection Date: 2026-10-01 DOI:10.1007/s43465-026-01873-4

Günbay Noyan Dirlik, Serkan Aydın, Taha Alperen Özçelik, Abdulkadir Toker, Merve Türkegün Şengül, Ahmet Aslan

{"title":"Morphometric Analysis of the Acetabular Anterior Column for Retrograde Screw Fixation: A Comparative CT Study.","authors":"Günbay Noyan Dirlik, Serkan Aydın, Taha Alperen Özçelik, Abdulkadir Toker, Merve Türkegün Şengül, Ahmet Aslan","doi":"10.1007/s43465-026-01873-4","DOIUrl":null,"url":null,"abstract":"Objective: This study aimed to define the morphological characteristics of the acetabular anterior column to facilitate safe and efficient intramedullary fixation and to compare these parameters across different populations.Methods: Pelvic computed tomography (CT) scans of 82 adult patients (42 Turkish and 40 Russian; males and females, aged 18-92 years) were retrospectively analyzed. Measurements included the minimum corridor diameter, maximum corridor length, and craniocaudal (sagittal) and mediolateral (horizontal) angles of the anterior column. Comparisons were made according to ethnicity, age, and sex.Results: Among 82 patients (51.2% Turkish, 48.8% Russian), no significant age difference was found between the groups (p = 0.126). In the Turkish population, the mean maximum corridor length was 123.6 ± 8.09 mm, and the mean minimum diameter was 12.1 ± 2.08 mm; in the Russian population, these values were 125.8 ± 9.21 mm and 11.5 ± 2.52 mm, respectively (p = 0.247 and p = 0.241, respectively). No significant interethnic differences were found in morphological features. Subgroup analysis revealed that Turkish males had a significantly greater mean minimum diameter (12.33 ± 2.04 mm) than Russian males (10.69 ± 1.85 mm) (p = 0.019). Within both ethnicities, males had a significantly greater maximum corridor length than females.Conclusion: Intramedullary fixation of anterior column acetabular fractures requires precise morphometric understanding. This study provides normative morphometric data for Turkish and Russian populations, offering guidance for implant design, surgical planning, and future comparative research.Supplementary information: The online version contains supplementary material available at https://doi.org/10.1007/s43465-026-01873-4.","PeriodicalId":13338,"journal":{"name":"Indian Journal of Orthopaedics","volume":"60 10","pages":"2810-2821"},"PeriodicalIF":1.3000,"publicationDate":"2026-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13658757/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Orthopaedics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s43465-026-01873-4","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/10/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study aimed to define the morphological characteristics of the acetabular anterior column to facilitate safe and efficient intramedullary fixation and to compare these parameters across different populations.

Methods: Pelvic computed tomography (CT) scans of 82 adult patients (42 Turkish and 40 Russian; males and females, aged 18-92 years) were retrospectively analyzed. Measurements included the minimum corridor diameter, maximum corridor length, and craniocaudal (sagittal) and mediolateral (horizontal) angles of the anterior column. Comparisons were made according to ethnicity, age, and sex.

Results: Among 82 patients (51.2% Turkish, 48.8% Russian), no significant age difference was found between the groups (p = 0.126). In the Turkish population, the mean maximum corridor length was 123.6 ± 8.09 mm, and the mean minimum diameter was 12.1 ± 2.08 mm; in the Russian population, these values were 125.8 ± 9.21 mm and 11.5 ± 2.52 mm, respectively (p = 0.247 and p = 0.241, respectively). No significant interethnic differences were found in morphological features. Subgroup analysis revealed that Turkish males had a significantly greater mean minimum diameter (12.33 ± 2.04 mm) than Russian males (10.69 ± 1.85 mm) (p = 0.019). Within both ethnicities, males had a significantly greater maximum corridor length than females.

Conclusion: Intramedullary fixation of anterior column acetabular fractures requires precise morphometric understanding. This study provides normative morphometric data for Turkish and Russian populations, offering guidance for implant design, surgical planning, and future comparative research.

Supplementary information: The online version contains supplementary material available at https://doi.org/10.1007/s43465-026-01873-4.

查看原文本刊更多论文

髋臼前柱逆行螺钉固定的形态计量学分析：对比CT研究。

目的：本研究旨在确定髋臼前柱的形态学特征，以促进安全有效的髓内固定，并在不同人群中比较这些参数。方法：回顾性分析82例成年患者（土耳其42例，俄罗斯40例，男女，年龄18-92岁）的骨盆CT扫描结果。测量包括最小通道直径、最大通道长度、前柱颅侧（矢状）角和中外侧（水平）角。根据种族、年龄和性别进行比较。结果：82例患者中，土耳其患者占51.2%，俄罗斯患者占48.8%，两组间年龄差异无统计学意义（p = 0.126）。土耳其人的平均最大走廊长度为123.6±8.09 mm，平均最小直径为12.1±2.08 mm；在俄罗斯人群中，这些值分别为125.8±9.21 mm和11.5±2.52 mm （p = 0.247和p = 0.241）。不同人种间在形态特征上无显著差异。亚组分析显示，土耳其男性的平均最小直径（12.33±2.04 mm）明显大于俄罗斯男性（10.69±1.85 mm）（p = 0.019）。在两个种族中，男性的最大走廊长度显著大于女性。结论：髋臼前柱骨折髓内固定需要精确的形态计量学知识。该研究为土耳其和俄罗斯人群提供了规范的形态测量数据，为种植体设计、手术计划和未来的比较研究提供了指导。补充信息：在线版本包含补充资料，可在https://doi.org/10.1007/s43465-026-01873-4上获得。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.