华北地区成人正常膝关节内侧半月板后倾角的测量及临床意义Measurement and clinical significance of posterior slope angle of proximal tibial medial meniscus in normal Chinese
曾纪洲;曲铁兵;于振山;张亚奎;潘江;石逸杰;张雪梅;陈学明;刘亮;
摘要(Abstract)：
[目的]测量华北地区成人正常膝关节内侧半月板后倾角数据,为改进及设计适合中国人的膝关节假体和在全膝关节置换术中行合理的胫骨截骨,提供参考数据和理论依据。[方法]62例(115膝,男∶女=35∶27),膝关节半月板、胫骨无疾病和畸形的成年华北地区中国人,年龄20~74岁,平均45.6岁。按不同年龄段分成3组,A组:18~39岁,B组:40~59岁,C组:>60岁。用MR机获得经内侧平台中点的矢状位像,并按照Jenny测量方法在计算机上测量膝关节内侧半月板后倾角。[结果]男63膝,左侧33膝,右侧30膝;膝关节内侧半月板后倾角,左侧(2.7±1.8)°,右侧(2.9±1.7),°平均(2.9±1.8)°。女52膝,左侧27膝,右侧25膝;膝关节内侧半月板后倾角,左侧(3.5±1.7)°,右侧(2.8±1.6),°平均(3.2±1.7)°。膝关节内侧半月板后倾角:A组平均(3.6±1.6),°B组平均(2.7±1.8),°C组平均(2.8±1.7)°。经统计学分析证实膝关节内侧半月板后倾角在不同性别、侧别及年龄比较,差异无显著性意义。[结论]华北地区成人正常膝关节内侧半月板后倾角平均(3.0±1.7)°,范围是0°~6.2,°大于西方人。
关键词(KeyWords)： 半月板;关节成型术;置换;膝;中国
基金项目(Foundation):
作者(Author): 曾纪洲;曲铁兵;于振山;张亚奎;潘江;石逸杰;张雪梅;陈学明;刘亮;
Email:
DOI:
参考文献(References)：
- [1]David F,Dalury.Observations of the proximal tib ia in total knee ar-throplasty[J].C lin O rthop,2001,389:150-155.
- [2]B razier J,M igaud H,Gougeon F,et al.Evaluation ofm ethods for rad io-graph ic m easurem ent of the tib ial slope.A study of 83 healthy knees[J].Rev Ch ir O rthop Reparatrice ApparMot,1996,82:195-200.
- [3]Jenny JY,Rapp E,Kehr P.La pente m en iscale del extrem ite proximaledu tib ia:comparaison avec la pente osseuse[J].Rev Ch ir O rthopReparatricce ApparMot,1997,84:435-438.
- [4]周强,黄煌渊.膝关节半月板的生物力学作用[J].国外医学.创伤与外科基本问题分册,1997,18:218-221.
- [5]Mackenzie R.D irect anatom ical-MR I correlation:the knee[J].SurgRad io Aanat,1994,16:183-192.
- [6]Kapand ji IA.The knee[M].In Kapand ji IA(ed):The Physiology ofthe Joints,5 ed,vol 2.Church ill L ivingstone,Ed inburgh,1987,74.
- [7]Ch iu KY,Zhang SD,Zhang GH.Posterior slope of tib ial plateau inCh inese[J].J Arthroplasty,2000,15:224-227.
- [8]Goldstein SA,W ilson DL,Sonstegard DA,et al.The m echan ical prop-erties of human tib ial trabecu lar as a function of m etaphyseal location[J].J B iom ech,1983,16:965-969.
- [9]H ivd I,Jensen J.Cancellous bone strength at proximal human tib ial[J].EngM ed,1984,13:21-25.
- [10]Johnson JA,KrugWH,Nahon D,et al.An evaluation of the load bear-ing capab ility of the cancellous proximal tib ia w ith special interest inthe design of knee implants[J].Trans O rthop Res Soc,1983,8:403.
- [11]许维亚,吴海山.胫骨后倾角在全膝关节置换中的意义[J].中华骨科杂志,2004,19:280-282.
- [12]Hofmann AA,Bachus KW,W yatt RWB.E ffect of the tib ial cut onsubsidence follow ing total knee arthroplasty[J].C lin O rthop,1991,269:63-69.
- [13]W alker PS,Garg A.Range ofmotion in total knee arthroplasty.A com-puter analysis[J].C lin O rthop,1991,262:227-235.
- [14]Town ley CO.The anatom ic total knee:instrum entation and alignm emtech ique[M].In:Doff LD,ed.The Knee Papers of the F irst Scientifit-ic M eeting of the knee Society.Baltimore:Un iversity Park Press,1985,39-52.
- [15]Dorr LD,Boiardo R.Tech ical consideration in total knee arthroplasty[J].C lin O rthop,1986,205:5-11.
- [16]陈树标,涂良携,姜苏明,等.半月板和交叉韧带矢状断层研究[J].解剖学研究,2000,22:88-91.
- [17]Moiler JT,W eeth RE,Keller JO.Un icompartm ental arthroplasty of theKnee.Cadaver study of tib ial component placem ent[J].Acta O rthopStand,1985,56:115-119.