国人胫骨近端形态学测量与研究

发布时间：2018-03-29 09:26

本文选题：胫骨　切入点：膝　出处：《上海交通大学》2007年硕士论文

【摘要】： 目的测量中国人胫骨近端形态学指标的数据,为手术确定具有临床意义的观测指标,进一步研制符合中国人胫骨近端解剖形态的内固定物提供依据。方法上海或华东地区的成年健康人及骨关节炎患者共112人(158膝),年龄为20-88岁,平均年龄56岁。其中健康人80膝,骨关节炎患者78膝。受试者拍摄下肢站立位全长X线片,并按要求测量髋-膝-踝角(HKA)、胫股角(FTA)和胫骨平台内翻角(TP-TSA),再分别用胫骨中上段前侧骨皮质切线、胫骨中上段轴线和胫骨中上段后侧骨皮质切线为参考线分别测量胫骨平台后倾角(PS)。结果健康人HKA平均177.4°±1.5°,FTA平均175.5°±2.4°,TP-TSA平均84.6°±2.5°,三种方法测量内侧PS分别为14.0°±3.0°、11.0°±2.7°、8.0°±2.9°,外侧PS分别为11.2°±3.1°、8.1°±2.9°、5.3°±2.9°。经统计学分析证实健康人与骨关节炎患者的HKA、FTA之间差异有统计学意义,而对于骨关节炎程度较重的患者,其PS会显著减小。三种测量方法及内外侧平台之间测得的数据差异均有统计学意义。结论中国人胫骨平台的内翻及后倾倾向比西方人更为显著,FTA、TP-TSA和PS在手术和临床研究都具有很大的实用价值。
[Abstract]:Objective to measure Chinese proximal tibial morphological index data, determine the observation index has clinical significance for the surgery, with the further development of Chinese internal fixation of proximal tibial anatomical basis. Adult healthy people and patients with osteoarthritis in Shanghai or the East China area a total of 112 people (158 knees), aged 20-88 the average age of 56 years. Among them, 80 healthy people of knee osteoarthritis patients, 78 knees. Subjects photographed standing full-length radiographs of lower extremity, and according to the requirements of measurement of hip knee ankle angle (HKA), femorotibial angle (FTA) and tibial plateau angle (TP-TSA), and then were used in tibia the upper anterior cortical bone tangent, upper tibia upper and posterior tibial axis in cortical tangent reference line were measured after tibial plateau angle (PS). The results of healthy human HKA with an average of 177.4 degrees - 1.5 degrees, the average FTA of 175.5 degrees plus or minus 2.4 degrees, TP-TSA averaged 84.6 degrees - 2.5 degrees, three kinds of measurement methods The medial PS were 14 degrees plus or minus 3 degrees, 11 degrees - 2.7 degrees, 8 degrees - 2.9 degrees lateral PS were 11.2 degrees plus or minus 3.1 degrees, 8.1 degrees - 2.9 degrees, 5.3 degrees - 2.9 degrees. That healthy people and patients with osteoarthritis HKA by statistical analysis, statistically significant differences between FTA the degree of osteoarthritis, heavier patients, the PS will be significantly reduced. Between the three kinds of measurement method and platform inside and outside of the measured data were statistically significant. Conclusion Chinese tibial plateau varus and posterior tilt tend to be more significant FTA than Westerners, TP-TSA and PS have great practical value in the surgical and clinical research.

【学位授予单位】：上海交通大学
【学位级别】：硕士
【学位授予年份】：2007
【分类号】：R322

【引证文献】