中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (52): 9847-9850.doi: 10.3969/j.issn.1673-8225.2011.52.036

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

胫骨近端的形态学测量与膝关节置换

汪海涵，龙腾河，崔惠勤，王  佳   

  1. 广西医科大学第四附属医院(柳州市工人医院)，广西壮族自治区柳州市  545005
  • 收稿日期:2011-10-28 修回日期:2011-11-30 出版日期:2011-12-24 发布日期:2011-12-24
  • 通讯作者: 龙腾河，副主任医师，副教授，广西医科大学第四附属医院放射科，广西壮族自治区柳州市545005 longtenhe1965@yahoo.com.cn
  • 作者简介:汪海涵，男，1969年生，广西壮族自治区柳州市人，汉族，1994年桂林医学院毕业，主治医师，主要从事整形及手腕部再植研究。 949337723qq.com

Morphological measurements of the proximal tibia and knee replacement

Wang Hai-han, Long Teng-he, Cui Hui-qin, Wang Jia   

  1. Fourth Affiliated Hospital of Guangxi Medical University (Liuzhou Workers Hospital), Liuzhou  545005, Guangxi Zhuang Autonomous Region, China
  • Received:2011-10-28 Revised:2011-11-30 Online:2011-12-24 Published:2011-12-24
  • Contact: Long Teng-he, Associate chief physician, Associate professor, Fourth Affiliated Hospital of Guangxi Medical University (Liuzhou Workers Hospital), Liuzhou 545005, Guangxi Zhuang Autonomous Region, China longtenhe1965@yahoo.com.cn
  • About author:Wang Hai-han, Attending physician, Fourth Affiliated Hospital of Guangxi Medical University (Liuzhou Workers Hospital), Liuzhou 545005, Guangxi Zhuang Autonomous Region, China 949337723@qq.com

PDF

652

被引次数

5

摘要：

背景：胫骨近端为膝关节假体构成的下半部分，胫骨近端是膝关节假体放置的底部位。
目的：评价胫骨近端的形态测量在临床上膝关节置换中的重要性。
方法：以 “膝关节；假体；置换”为中文关键词，以“Knee； Prosthesis； replacement” 为英文关键词。采用计算机检索1995-01/2011-10有关磁共振图像测量在临床上膝关节置换中假体旋转对线中应用的文章。
结果与结论：胫骨近端的形态测量即胫骨近端的三维有限元模型、相关参数及角度、生物力学研究与膝关节假体选择及设计有着重要相关性。胫骨近端的形态测量有二维和三维测量，以三维测量法精确，测量胫骨平台宽和倾斜角度、胫骨内外侧平台前后径，所测量的数据在临床上均有应用意义。胫骨近端是膝关节假体放置的底位置，而胫骨近端的三维模型与假体模型底部行模拟对接，提高手术的成功。

关键词: 膝关节假体, 胫骨, 置换, 三维测量, 数字化医学

Abstract:

BACKGROUND: The proximal tibia is the upper part of knee prosthesis composition and the bottom part of knee prosthesis position.
OBJECTIVE: To evaluate the importance of the proximal tibial morphological measurement in clinical knee replacement.
METHODS: With "knee; prosthesis; replacement" in Chinese and English as key words, a computer-based retrieval from January 1995 to October 2011 was performed for papers in terms of magnetic resonance imaging measurements on prosthetic rotational alignment in clinical prosthetic knee replacement.
RESULTS AND CONCLUSION: The morphological measurement of proximal tibia includes three-dimensional finite element model, relevant parameters and angle, as well as biomechanics research, which is all closely related with the selection and design of the prosthesis. Morphometry of the proximal tibia can be divided into two-dimensional and three-dimensional measurements, and the later is more accurate to measure tibial plateau width and tilt angle, tibial anteroposterior diameter, these measurement data have great application prospect in the clinical practice. Proximal tibial is the bottom part of knee prosthesis position, while the proximal tibial three-dimensional models can simulate and dock prosthetic model bottom, thus improve the success of the operation.

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