靠近骨轴是膝关节骨关节炎或没有膝关节骨关节炎的患者冠状元对齐的可靠地标:放射性比较研究
Shangkun Tang1, Xuelin Pan2, Renyuan Xu3
1Department of Orthopedics, Orthopedic Research Institute, West China Hospital Sichuan University, Chengdu, China.
Journal of orthopaedic surgery (Hong Kong)
|October 12, 2023
概括
靠近骨轴可靠地表明膝关节整形关节整形术患者和健康人群的膝关节对齐中的骨机械轴. 这一发现对于评估膝关节骨关节炎的冠状元对齐和改善外科手术结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 生物机械工程 生物机械工程
背景情况:
- 冠状元对齐对于膝关节骨关节炎的进展和全膝关节整形术 (TKA) 组件的生存至关重要.
- 在当前的文献中,关于冠状骨轴与骨机械轴之间的关系缺乏共识.
- 了解骨和骨的对齐对于准确的手术规划至关重要.
研究的目的:
- 为了研究骨和长腿骨对齐之间的解剖关系.
- 为了确定近道骨轴是否可以作为骨机械轴的可靠地标.
- 为了比较膝关节骨关节炎患者与健康对照者的四肢对齐.
主要方法:
- 包括100名接受TKA的患者 (A组) 和100名健康的志愿者 (B组).
- 使用全身站立的部至脚的X射线图来评估四肢对齐.
- 测量了冠状亲近骨解剖轴与骨机械轴 (PFTA) 之间的角度.
主要成果:
- 在膝关节骨关节炎组 (-0.9° ± 0.9°) 和健康对照组 (-1.0° ± 0.8°) 之间没有发现平均PFTA的显著差异.
- 两组之间的PFTA分布没有显著差异.
- 没有与PFTA测量相关的患者特异因素.
结论:
- 靠近骨的解剖轴是冠状平面上骨机械轴的可靠地标.
- 这种可靠性适用于膝关节骨关节炎患者和健康个体.
- 这些发现支持在整膝关节整形手术的手术规划中使用骨轴.
相关概念视频
Bones of the Lower Limb: Tibia and Fibula
3.5K
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
3.5K
Bones of the Lower Limb: Femur and Patella
2.5K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.5K
Knee Joint
1.9K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.9K
Ankle Joint
1.6K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.6K
Muscles that Move the Leg
1.9K
The movement of the legs is facilitated by numerous muscles located within the anterior, medial, and posterior compartments of the thigh.
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed...
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed...
1.9K


