Assessment of proximal femur anthropometry in South Indian population through cadaveric bones and radiologically correlating difference if any between other ethnic groups

Arvind Kumar SM, N. Venkatesh Kumar, Udayamoorthy S., Chandan Noel


Background: The morphology of the proximal femur is a topic of extensive research. The hip joint is one of the most commonly replaced joint. The era of replacement has given rise to various implants that can be used to replace the proximal femur. This present study addresses these issues involving ethnic differences in the geometry of the proximal femur in Indians and its differences between people of various ethnicity.

Methods: The total population that was radiographed was 178 (n=178). There were 78 males and 100 females. The age of the participants were spaced from 25-75 years age groups. The parameters were measured.

Results: The canal flare index in South-Indians was an average of 3.23 with 70% of the study population having normal CFI (3-4.5), 30% of the population having a stove pipe configuration CFI (<3). Majority of the Indian population favour a un-cemented fixation (70%).

Conclusions: In summary all current implants have to be revised on population basis to fit the changing anthropometry of our proximal femur. 


Femur canal, South Indian population, Canal flare index

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Charnley J. Anchorage of the femoral head prosthesis to the shaft of the femur. J Bone Joint Surg Br. 1960;42:28-30.

Charnley J. The Lubrication of animal joints. In: Symposium on Biomechanics. Institution of Mechanical Engineers. 1959: 12-22.

Atilla B, Oznur A, Caglar O, Tokgozoglu M, Alpaslan M. Osteometry of the femora in Turkish individuals: a morphometric study in 114 cadaveric femora as an anatomic basis of femoral component design. Acta Orthop Traumatol Turc. 2007;41(1):64-8.

Noble PC, Alexander JW, Lindahl LJ, Yew DT, Granberry WM, Tullos HS. The anatomic basis of femoral component design. Clincial Orthopedics Rel Res. 1998:34(1)227-35.

Baharuddin. Morphology study of the proximal femur in Malay population. Int J Morphol. 2011;29(4):1321-5.

Ravichandran D. The proximal femoral geometry in Indians and its clincial applications. J Anat Soc Ind. 2011;60(1):6-12.

Singh, Bhasin. Anthropometry. 1st edition. Delhi: Educational Publishers; 1968: 142.

Parsons PG. The characteristics of the English thigh bone. J Anat Physiol. 1914;48:238-67.

Kate BR. The angle of the femoral neck in Indians. Eastern Anthropologists. 1967;20:54-60.

Humphrey. The angle of neck with the shaft of the femur at different periods of life and at different circumstances. J Anat Physiol. 1958;23:273.

Isaac B, Vettivel S, Prasad R, Jeyaseelan L, Chandi G. Prediction of the femoral neck-shaft angle from the length of the femoral neck. Clin Anat.1997;10(5):318-23..

Chauhan. The anatomic parameters of the North Indian hip joint- a cadaveric study. J Anat Soc India. 2002;51:39-42.

Siwach. Anthropometric study of the proximal femur geometry and its clinical applications. Indian J Orthopaedics. 2003;37(4):247-51.

Rubin. The morphology of proximal femur – a three dimensional radiographic analysis. J Bone Joint Surgery (Br). 1992;74:28-32.

Massin P, Geais L, Astoin E. The anatomic basis for the concept of lateralised femoral stems: frontal plane radiographic study of the proximal femur. J Arthroplasty. 2000;15(1):93-101.

Mahaisavariya B, Sitthiseripratip K, Tongdee T Bohez EU, Vander Sloten J. Morphological study of proximal femur: a new method of geometrical assessment using 3 dimensional reverse engineering. Med Eng Phys. 2002;24(9):617-22.