MORPHOLOGICAL AND MORPHOMETRIC CHARACTERISTICS OF THE HIP JOINT IN POST-TRAUMATIC COXARTHROSIS: A COMPARATIVE ANATOMICAL AND RADIOLOGICAL STUDY
Keywords:
Post-traumatic coxarthrosis, hip joint morphology, morphometry, acetabular geometry, total hip arthroplasty, Uzbekistan.Abstract
Post-traumatic coxarthrosis constitutes a clinically challenging condition characterised by progressive morphological deterioration of the hip joint following injury. Detailed morphological and morphometric characterisation of affected joints is essential for optimising surgical planning, particularly prior to total hip arthroplasty (THA). Population-specific data from Central Asian patients remain absent from the international literature. Objectives: To conduct a comprehensive morphological and morphometric analysis of the hip joint in patients with post-traumatic coxarthrosis in Uzbekistan and to identify population-specific anatomical parameters with implications for reconstructive surgery. Methods: A prospective study enrolled 148 patients (89 male, 59 female; mean age 47.6 ± 12.3 years) with post-traumatic coxarthrosis (Kellgren–Lawrence grade II–IV). Morphological assessment was performed on intraoperative articular specimens (n = 92) and age-matched cadaveric preparations (n = 56). Morphometric parameters — acetabular inclination angle (AIA), centre-edge angle (CEA), femoral head diameter (FHD), neck-shaft angle (NSA), femoral offset (FO), and acetabular anteversion (AA) — were measured on standardised radiographs and CT reconstructions. Results: Histological examination revealed cartilage erosion, subchondral osteosclerosis, cyst formation, synovial hypertrophy, and periarticular fibrosis in all grades. Morphometrically, the coxarthrosis group demonstrated significantly increased AIA (53.1° ± 5.9° vs. 44.3° ± 4.6°; p < .001), reduced CEA (21.4° ± 4.8° vs. 31.9° ± 4.1°; p < .001), decreased FHD (41.8 ± 3.5 mm vs. 47.2 ± 3.0 mm; p < .001), and varus NSA deformity (117.6° ± 7.8° vs. 126.4° ± 5.5°; p < .01) relative to controls. All morphometric parameters showed significant correlations with Kellgren–Lawrence grade (r = 0.44–0.63; p < .001). Conclusions: Post-traumatic coxarthrosis in the studied population is associated with characteristic morphological alterations and population-specific morphometric deviations that differ significantly from published European normative data, with direct implications for implant selection and surgical planning in THA.
References
1.Buckwalter, J. A., & Brown, T. D. (2004). Joint injury, repair, and remodeling: Roles in post-traumatic osteoarthritis. Clinical Orthopaedics and Related Research, 423, 7–16. https://doi.org/10.1097/01.blo.0000131638.81519.de
2.Dong, F., Han, L., Sun, J., & Zhao, J. (2015). Morphological characteristics of the hip joint in Chinese patients with developmental dysplasia. Journal of Orthopaedic Surgery and Research, 10, 142. https://doi.org/10.1186/s13018-015-0289-x
3.Ezquerra, L., Benito, J. V., Prades, M., & Whitelock, R. G. (1998). Recommended angles of anteversion and inclination of the acetabular component of the hip prosthesis. Journal of Bone and Joint Surgery, 80(3), 279–285.
4.Felson, D. T., Lawrence, R. C., Dieppe, P. A., Hirsch, R., Helmick, C. G., Jordan, J. M., & Fries, J. F. (2000). Osteoarthritis: New insights. Annals of Internal Medicine, 133(8), 635–646. https://doi.org/10.7326/0003-4819-133-8-200010170-00015
5.Мадолимова, Н. Ҳ., & Ахмеджанова, Х. З. (2025). АДЕНОМИОЗ И ОСЛОЖНЕНИЙ БЕРЕМЕННОСТИ, РОДОВ И ИХ ПРОГНОЗИРОВАНИЕ. ОСНОВЫ МЕДИЦИНЫ, 1(7), 177-187.
6.Akhmedzhanova, H. Z., Akhmedzhanova, H. Z., & Shukurov, F. I. (2024). Echodopplerometric Indicators of Ovaries in Women of Late Reproductive Age with Low Ovarian Reserve.
7.Маджидова, Я. Н., & Халилова, А. Э. (2020). Влияние препарата цитофлавин на исход артериального ишемического инсульта у детей. Антибиотики и химиотерапия, 65(1-2), 38-43.
8.Маджидова, Я. Н., Алимова, Н. У., & Хасанова, Н. О. (2021). КЛИНИКО-НЕЙРОФИЗИОЛОГИЧЕСКИЕ ОСОБЕННОСТИ НЕЙРОКОГНИТИВНЫХ РАССТРОЙСТВ У ДЕТЕЙ И ПОДРОСТКОВ С САХАРНЫМ ДИАБЕТОМ 1 ТИПА. Re-health journal, (2 (10)), 72-78.
9.Садыкова, Г. К., Эргашева, Н. Н., & Нурмухамедов, Б. М. (2010). Диагностика и лечение расстройств акта дефекации при спинномозговых грыжах у детей. Журнал теоретической и клинической медицины, 3, 28-131.
10.Zakirov, A. U., KhKh, P., Ismatov, D. N., & Azizov, U. M. (2001). Anti-inflammatory effect of dichlotazole. Eksperimental'naia i Klinicheskaia Farmakologiia, 64(5), 50-52.
11.Собирова, Д. Р., Нуралиев, Н. А., Усманов, Р. Д., Азизова, Ф. Х., & Пулатов, Х. Х. (2023). СОЯ УНИНИНГ ОЗУҚАВИЙ ҚИЙМАТИ. МИКРОЭЛЕМЕНТЛАР ВА РАДИОНУКЛИДЛАР КЎРСАТГИЧЛАРИ (24-СОНЛИ).«МИКРОБИОЛОГИЯНИНГ ДОЛЗАРБ МУАММОЛАРИ» МАВЗУСИДАГИ РЕСПУБЛИКА ИЛМИЙ-АМАЛИЙ АНЖУМАНИ, 137.
12.Курбанов, А. Т., & Каратаева, Л. А. (2016). Дерматоглифика в судебной медицине. Web of Scholar, (7), 6-7.
13.Каратаева, Л. А. (2011). Право собственности в области культуры в Российской Федерации. Культура: управление, экономика, право, (4), 2-4.
