Chinese Journal of Tissue Engineering Research ›› 2016, Vol. 20 ›› Issue (2): 218-223.doi: 10.3969/j.issn.2095-4344.2016.02.012

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Anatomic and clinical significance of the anterolateral hip joint capsule and iliofemoral ligament

Lin Jia-jie1, Tang Yu-jin1, 2, Huang Xiu-feng3, Xie Ke-gong2, Huang Ke2, Qiao Ning-ning2
  

  1. 1Graduate School of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China; 2Department of Spinal Surgery, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, Guangxi Zhuang Autonomous Region, China; 3Department of Anatomy, Youjiang Medical University for Nationalities, Baise 533000, Guangxi Zhuang Autonomous Region, China
  • Received:2015-12-09 Online:2016-01-08 Published:2016-01-08
  • Contact: Tang Yu-jin, Chief physician, Professor, Master’s supervisor, Graduate School of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China; Department of Spinal Surgery, Affiliated Hospital of Youjiang Medical University for Nationalities, Baise 533000, Guangxi Zhuang Autonomous Region, China
  • About author:Lin Jia-jie, Studying for master’s degree, Graduate School of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
  • Supported by:

    The Eighth Fund for Research and Technology Development in Guangxi Department of Health, No. (2008)98

Abstract:

BACKGROUND: To repair and reconstruct the joint capsule and surrounding ligaments is one of effective methods against displacement and dislocation after total hip arthroplasty. In recent years, anterolateral total hip arthroplasty has been widely used, but little is reported on the anatomic features of the anterolateral hip joint capsule and iliofemoral ligament.
OBJECTIVE: To investigate the anatomic features of the anterolateral hip joint capsule and iliofemoral ligaments, thereby providing anatomic evidence for selecting and optimizing the approach for total hip arthroplasty and for clinical practice.
METHODS: Thirty adult cadaver hips fixed with formalin were used for this study. The anterolateral hip joint capsule and the iliofemoral ligaments were dissected and anterolateral hip joint capsules were divided into three sections and nine parts. The average thickness of each part and the average height and width of each section were measured. The anterolateral hip joint capsule was observed by its beginning and ending, course, branch and histological features.
RESULTS AND CONCLUSION: The anterolateral hip joint capsule was tightly connected with the iliofemoral ligaments to form a complex. The thickness of the capsule was varied. The thinnest parts of the complex were BI and BII. In addition, the average height and width of each section were different. The joint capsule originating from the anterior inferior iliac spine and acetabulum was divided into three branches and fixed on the intertrochanteric line. Understanding of the anterolateral hip joint capsule and iliofemoral ligaments may make for the approach selection, design and optimization of total hip arthroplasty.