中国组织工程研究

中国组织工程研究 ›› 2017, Vol. 21 ›› Issue (20): 3141-3146.doi: 10.3969/j.issn.2095-4344.2017.20.005

• 骨组织构建 bone tissue construction • 上一篇    下一篇

广西地区壮族人群正常膝关节形态学特征

章晓云1，陈跃平1，夏  天2，康  杰1，卓映宏2，胡庆磊2，黎金焕2，董盼锋1，赵  斌2，曹桢斌3   

  1. 广西中医药大学附属瑞康医院，1创伤骨科与手外科，3影像科，广西壮族自治区南宁市  530011；2广西中医药大学，广西壮族自治区南宁市  530001
  • 修回日期:2017-02-18 出版日期:2017-07-18 发布日期:2017-07-28
  • 通讯作者: 陈跃平，博士，主任医师，硕士生导师，广西中医药大学附属瑞康医院创伤骨科与手外科，广西壮族自治区南宁市 530011
  • 作者简介:章晓云，男，1986年生，江西省德安县人，汉族，2015年广西中医药大学毕业，硕士，主治医师，主要从事骨与关节运动系统损伤研究。
  • 基金资助:

    广西自然科学基金课题(2015GXNSFAA139136)；广西高校青年教师基础能力提升项目(KY2016YB204)；广西卫生厅重点课题(S201419-05)；广西中医药大学校级科研项目(2015LX027)；广西中医学院附属瑞康医院重点课题(RKZ201008)；中央支持地方高校发展专项基金(J13167)

Morphological features of the knee joint in healthy Zhuang ethnic group from Guangxi Zhuang Autonomous Region, China

Zhang Xiao-yun1, Chen Yue-ping1, Xia Tian2, Kang Jie1, Zhuo Ying-hong2, Hu Qing-lei2, Li Jin-huan2, Dong Pan-feng1,Zhao Bin2, Cao Zhen-bin3   

  1. 1Department of Traumatic Orthopedics and Hand Surgery, 3Department of Radiology, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning 530011, Guangxi Zhuang Autonomous Region, China; 2Guangxi University of Chinese Medicine, Nanning 530001, Guangxi Zhuang Autonomous Region, China
  • Revised:2017-02-18 Online:2017-07-18 Published:2017-07-28
  • Contact: Chen Yue-ping, M.D., Chief physician, Master’s supervisor, Department of Traumatic Orthopedics and Hand Surgery, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning 530011, Guangxi Zhuang Autonomous Region, China
  • About author:Zhang Xiao-yun, Master, Attending physician, Department of Traumatic Orthopedics and Hand Surgery, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning 530011, Guangxi Zhuang Autonomous Region, China
  • Supported by:

    the Natural Science Foundation of Guangxi Zhuang Autonomous Region, No. 2015GXNSFAA139136; the Basic Ability Promotion Project for Young College Teachers in Guangxi Zhuang Autonomous Region, No. KY2016YB204; the Key Project of the Guangxi Zhuang Autonomous Region Health Department, No. S201419-05; the Research Project of the Guangxi University of Chinese Medicine, No. 2015LX027; the Key Project of Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, No. RKZ201008; the Special Fund of the Central Government Supporting the Development of Universities, No. J13167

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摘要：

文章快速阅读：

文题释义：
计算机模拟：是一种能用来帮助企业经理在不确定条件下进行决策的方法。企业经理必须在不完全了解事件的发生及其影响如何的情况下，从若干方案中选出一种行动方案来。如果出现特殊事件，将会有什么结果，这也有不确定性。在有些情况下，对结果本身的最终影响也不确定。所以就产生了决策树方法与计算机模拟这两种方法。
三维重建：是指对三维物体建立适合计算机表示和处理的数学模型，是在计算机环境下对其进行处理、操作和分析其性质的基础，也是在计算机中建立表达客观世界的虚拟现实的关键技术。

 

摘要
背景：随着国内进行膝关节置换的患者增多，这种因解剖参数与假体不匹配带来的并发症也越来越得到临床医师的重视。
目的：通过三维重建数字化技术对广西地区壮族正常成年的膝关节解剖参数进行测量和统计分析，为人工膝关节假体设计及膝关节置换提供相关数据参考。
方法：从217例膝关节CT检查的患者中选定68例资料，女性30例，男性38例，运动Mimics 15.0三维重建软件对CT图像数据进行重建模型，对膝关节解剖参数进行测量和分析。
结果与结论：①股骨和胫骨各参数在左右侧之间差异均无显著性意义(P > 0.05)，股骨各参数在不同性别之间差异均有显著性意义(P < 0.05)，胫骨各参数在不同性别之间差异仅胫骨平台宽，胫骨外侧平台前后径，胫骨内侧平台最低点的平面线至腓骨头尖端平面的距离和胫骨平台后倾的倾斜角度结果无显著性意义(P > 0.05)，胫骨内侧平台宽、胫骨外侧平台宽和胫骨内侧平台前后径参数均有显著性意义(P < 0.05)；②股骨内侧髁前后缘距离与年龄呈负相关性，股骨侧所有参数均与身高呈正相关性；胫骨内侧平台宽和胫骨外侧平台宽与身高呈正相关性；③结果表明，三维重建技术对膝关节形态学研究提供了一种很好的方法和手段，建立了广西地区壮族人群的正常膝关节的解剖学参数，对符合壮族人群的假体设计与研究有一定的指导意义。   

 

 

ORCID: 0000-0002-2572-0229(章晓云)

关键词: 组织构建, 骨组织工程, 膝关节, 测量参数, 形态学, 三维重建, 广西壮族自治区自然科学基金

Abstract:

BACKGROUND: With the increasing number of patients undergoing knee arthroplasty in China, the complications caused by the mismatch of prosthesis with anatomical parameters arouse extensive attentions.
OBJECTIVE: To measure the anatomical parameters of the knee joints in healthy Zhuang ethnic group from Guangxi Zhuang Autonomous Region, China, using three-dimensional (3D) reconstruction technology, thus providing reference for the design and placement of the hip prosthesis.
METHODS: Sixty-eight individuals, including 30 females and 38 males, were selected from 217 healthy people undergoing CT examination. All data were imported into Mimics 15.0 software used for 3D reconstruction, and then the knee parameters were then measured and analyzed.
RESULTS AND CONCLUSION: There was no significant difference in the parameters of the bilateral femur and tibia (P > 0.05). The femoral parameters had significant differences between genders (P < 0.05). The width of tibial platform, sagittal length of lateral tibial platform, distance between medial tibial plateau and fibular head, and posterior slope of tibial plateau showed no significant differences between genders (P > 0.05), while there were significant differences in the width of medial/lateral tibial platform, and sagittal length of medial tibial platform between genders (P < 0.05). The sagittal length of medial femoral condyle was negatively correlated with age, and all femoral parameters were positively correlated with height; while only the width of medial and lateral tibial platform were positively correlated with height. To conclude, 3D reconstruction technology is available for research on the morphology of the knee joint in the Zhuang ethnic group from Guangxi Zhuang Autonomous Region, which provides references for prosthesis design and research appropriate for the Zhuang ethnic group.

Key words: Knee joint, Arthrometry, Articular, Organism Forms, Tissue Engineering

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