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Fetal dönemde femur distalinin morfometrik gelişimi

Journal Name:

  • Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Purpose: It was aimed to investigate the development and morphometric changes of the distal femur during the fetal period. Materials and method: 105 human fetuses (55 males and 50 females) aged between 9-40 weeks were used in this study. Fetuses were divided into four groups between gestational weeks; 1st trimester (9-12 weeks), 2nd trimester (13-25 weeks), 3rd trimester (26-37 weeks) and full term (38-40 weeks). Patella and patellar tendon were dissected in all fetal materials and the knee of each fetus was shown. The dimensions; length and width of intercondylar notch, length and width of medial and lateral condyles, total width of the distal femur and the angle of trochlear groove were measured by Vernier's caliper and square. Finding: The length and width of intercondylar notch were found significantly different between trimesters and were rising with gestational age (p<0.05). The length and width of medial and lateral condyles were increased with gestational age. The length and width of lateral condyles were higher than the medial one. The angle of trochlear groove was not changing with gestational age and was found 129.90. It was also found in our study that notch shape index (NSI) was 0,91 and notch width index (NWI) was 0.26 during the fetal period. Result: We consider that the data acquired in our study may contribute to the evaluation the development of distal femur in intrauterine cases.
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Abstract (Original Language): 
Amaç. Çalışmamızda fetal dönem boyunca femurun distalinde yer alan oluşumların morfometrik değişimi ve gelişiminin araştırılması amaçlandı. Gereç ve Yöntem: Yaşları 9-40 hafta arasında değişen eksternal anomalisi ve patolojisi olmayan 105 (55erkek, 50 kız) adet insan fetusunda çalışıldı. Fetuslar I.grup; 9-12 hafta, II. grup; 13-25 hafta, III. grup; 26-37 hafta ve IV. grup; miadında, 38-40 hafta olmak üzere 4 gruba ayrıldı. Bütün fetal materyallerde diz eklemi diseke edilerek patella ve patellar ligament yerinden kaldırıldı ve femur distaline ait fossa intercondylaris yüksekliği, genişliği, condylus medialis yüksekliği ve genişliği, condylus lateralis yüksekliği ve genişliği, femur distalinin genişliği, trochlear oluk açısı ölçümleri dijital kumpas ve gönye yardımı ile alındı. Bulgular: Fossa intercondylaris yüksekliği ve genişliği gestasyonel yaş boyunca artıyordu ve trimesterlar arasında anlamlı fark vardı (p<0.05). Femur distalindeki condylus medialis ve condylus lateralis yükseklik ve genişliklerinin gestasyonel yaş boyunca arttığı görüldü (p<0.05). Condylus lateralis yüksekliğinin ve genişliğinin, condylus medialis yükseklik ve genişliğinden daha büyük olduğu tespit edildi (p<0.05). Trochlear oluk açısı ise gestasyonel yaş boyunca değişmiyordu ve ortalama 129. 9° idi. Ayrıca çalışmamızda fetal dönemde fossa intercondylaris şekil indeksi (notch shape index) (NSI) 0,91, fossa intecondylaris genişlik indeksi (notch width index) (NWI) 0.26 olarak tespit edildi. Sonuç: Çalışmamızda elde edilen verilerin intrauterin olgularda femur gelişiminin değerlendirilmesine katkıda bulunacağını düşünmekteyiz.
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  • 2
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  • Turkish

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