Subject(s)
Arthroplasty, Replacement, Knee , Chromium/adverse effects , Dermatitis, Allergic Contact/diagnosis , Knee Prosthesis/adverse effects , Pain/diagnosis , Bone Cements , Coated Materials, Biocompatible , Female , Humans , Middle Aged , Pain/etiology , Postoperative Complications/diagnosis , Prosthesis Design , Prosthesis Failure , ReoperationABSTRACT
Since in humans, the first digital ray has a different functional significance in the hand and in the foot, the comparison of the pollical and hallucal rays seems interesting in order to evaluate the influence of specific evolutionary functional factors and biomechanical constraints. The objective of this study was to provide original and detailed data on the intrinsic proportions of the three segments of the human pollical and hallucal rays (metacarpal or metatarsal bone, proximal phalanx, and distal phalanx) in order to allow a quantitative comparison of their relative development. No similar data evaluated from three-dimensional approaches (volumetric or ponderal) seem to be available in the literature. The material consisted of 77 skeletons of the pollical ray and 77 skeletons of the hallucal ray of normal adult individuals. The ponderal approach was used. The first metapodial represented a mean of 57.17% for the pollical ray and 68.48% for the hallucal ray, whereas the phalanges respectively represented 42.83% and 31.52%. The intrinsic phalangeal proportions were almost identical for the pollex and for the hallux (respectively, 71.76% and 72.88% for the proximal phalanx; and 28.24% and 27.12% for the distal phalanx). Since these intrinsic proportions are the reflection of biological, functional and evolutionary constraints, these data seem of interest for the analysis of the functional significance of these rays, for the characterization of malformative syndromes in clinical practice, for reference in comparative morphology, and for the interpretation of hominid fossil bones.