广西地区壮族人群正常膝关节形态学特征

发布时间：2019-07-23 10:10

【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(P0.05),股骨各参数在不同性别之间差异均有显著性意义(P0.05),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(P0.05),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(P0.05);(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。
[Abstract]:Background: with the increase of knee arthroplasty in China, more and more clinicians pay attention to the complications caused by the mismatch between anatomical parameters and prostheses. Objective: to measure and statistically analyze the anatomical parameters of knee joint of Zhuang nationality in Guangxi by three-dimensional reconstruction digital technique, and to provide relevant data reference for the design of artificial knee joint prosthesis and knee joint replacement. Methods: 68 patients (30 females and 38 males) were selected from 217 patients undergoing CT examination of knee joint. The CT image data were reconstructed by exercise Mimics 15.0 3D reconstruction software, and the anatomical parameters of knee joint were measured and analyzed. Results and conclusion: (1) there was no significant difference in the parameters of femur and tibia between the left and right sides (P 0.05), but there was significant difference in the parameters of femur between different genders (P 0.05). The difference of the parameters of tibia between different genders was only the width of the tibia plateau and the anterior and posterior diameter of the lateral plateau of the tibia. There was no significant difference in the distance between the plane line of the lowest point of the medial tibia plateau and the plane of the peroneal head tip and the tilt angle of the tibia plateau (P 0.05). The width of the medial plateau of the tibia, the width of the lateral plateau of the tibia and the parameters of the anterior and posterior diameter of the medial plateau of the tibia were significant (P 0.05). (2) there was a negative correlation between the distance of the anterior and posterior edge of the medial condyle of the femur and the age, and a positive correlation between the width of the medial plateau of the tibia and the width of the lateral plateau of the tibia. (3) the results show that the three-dimensional reconstruction technique provides a good method and means for the study of knee joint morphology, and establishes the anatomical parameters of the normal knee joint of Zhuang population in Guangxi, which has certain guiding significance for the design and research of the prosthesis in accordance with the Zhuang population.
【作者单位】：广西中医药大学附属瑞康医院创伤骨科与手外科;广西中医药大学;广西中医药大学附属瑞康医院影像科;
【基金】：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)~~
【分类号】：R687.4

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