国人胫骨平台截骨面与国人膝关节假体的涵盖率分析Analysis of coverage situation between the Chinese tibial plateau cross section and the domestic knee prosthesis tibial module
郑寅峰;曲铁兵;郭璇瑛;潘江;张博;
摘要(Abstract):
[目的]测量国人正常胫骨近端截面的线面参数,并与作者自主研发的新型国产膝关节假体胫骨组件(CY-knee)进行涵盖率分析,从而为新型国产人工膝关节假体(CY-knee)的设计提供数据支持。[方法]随机选取健康国人志愿者共120人(210膝),其中男性68例(126膝),女性52例(84膝)。年龄19~81岁,平均45.8岁。通过CT三维重建测量一定截骨高度、一定后倾角度胫骨近端截面的横径及前后径,并利用5 mm容差范围法与新型国人膝关节假体胫骨组件(CY-knee)进行涵盖率研究。[结果]测得胫骨截面横径平均为(75.00±4.87)mm,前后径平均为(51.39±4.06)mm;此种新型国产膝关节假体胫骨组件(CY-knee)对国人全膝关节置换术胫骨平台承受面适配涵盖率平均值为89%。[结论]国人胫骨近端的几何形态与解剖特点同西方人有明显的区别;较目前国内常用进口膝关节假体,此种新型国人胫骨假体组件(CY-knee)涵盖率更高,更适合应用于国人的全膝关节置换术中。
关键词(KeyWords): 胫骨;解剖;三维重建;测量;全膝关节置换术
基金项目(Foundation):
作者(Author): 郑寅峰;曲铁兵;郭璇瑛;潘江;张博;
Email:
DOI:
参考文献(References):
- [1]张博,潘江,曲铁兵,等.国人正常胫骨近端线性参数测量及特性分析[J].医用生物力学,2007,4:351-355.
- [2]State Council of the People’s Republic of China.Administrative Regu-lations on Medical Institution.1994-09-01.中华人民共和国国务院.医疗机构管理条例.1994-09-01.
- [3]曲铁兵,曾纪洲,林源,等.华北地区成人正常胫骨内侧平台后倾角的测量及临床意义[J].中华骨科杂志,2003,8:455-458.
- [4]林源,曲铁兵,潘江,等.股骨远端旋转对线的初步研究[J].中华骨科杂志,2005,5:271-275.
- [5]Cheng CK,Lung CY,Lee YM,et al.A new approach of designing thetibial baseplate of total knee prosthesis[J].Clin Biomech,1999,2:112-117.
- [6]Hitt K,Shurman JR.Anthropometric measurements of the human knee:correlation to the sizing of current knee arthroplasty systems[J].J BoneJoint Surg Am,2003,85:115-122.
- [7]Kuwano T,Urabe R,et al.Importance of the lateral anatomic tibial slopeas a guide to the tibial cut in total knee arthroplasty in Japanese patients[J].J Orthop Sci,2005,1:42-47.
- [8]Erkman MJ,Walker PS.A study of knee geometry applied to the designof condylar prosthesis[J].Biomed Eng,1974,1:9-14.
- [9]Uehara K,Kadoya Y.Anthropometry of the proximal tibia to design totalknee prosthesis for the Japanese population[J].J Arthroplasty,2002,8:1028-1032.
- [10]Ward WG,Johnston KS,Dorey FJ,et al.Extramedullary porouscoating toprevent diaphyseal osteolysis and radiolucent linesaround proximal tibialreplacements[J].J Bone Joint Surg Am,1993,7:976-987.
- [11]Labuda A,Papaioannou A,Pritchard J,et al.Prevalence of osteoporosisin osteoarthritic patients undergoing total hip or total knee arthroplasty[J].Arch Phys Med Rehabil,2008,12:2373-2374.
- [12]Parvizi J,Jain N,Schmidt AH,et al.Periprosthetic knee fractures[J].JOrthop Trauma,2008,9:663-671.
- [13]Bindelglass DF,Cohen JL,Dorr LD.Current principles of design for ce-mented and cementless knees[J].Tech Orthop,1991,6:80.