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Hong Yeol Yang¹, Tae Woong Yoon¹, Joon Yeong Kim¹

¹Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Hwasun, Korea.

Clinics in orthopedic surgery

|June 3, 2024

概括

修改后的膝盖冠状平面对齐 (CPAK) 分类更好地描述了韩国人的膝盖表型. 这个系统,考虑到四肢对齐和关节线斜率,对于理解健康与骨关节炎膝盖至关重要.

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.
生物机械分析分析

背景情况:

膝盖冠状平面对齐 (CPAK) 分类系统根据四肢对齐和关节线斜率 (JLO) 分类膝盖表型.
亚洲人群表现出明显的下肢对齐,需要对CPAK系统的参数进行潜在的修改,比如算术膝脚角 (aHKA) 和JLO.

研究的目的:

在韩国人口中使用原始和修改的CPAK分类系统来评估膝盖表型.
确定aHKA和JLO边界的修改是否提高了对这一人口群体的分类准确性.

主要方法:

通过使用长腿站立承重式射线图,对1000个膝盖进行放射性分析 (500个健康,500个骨关节炎).
测量了六个放射性参数,包括机械HKA,MPTA,LDFA,aHKA,JLO和实际的JLO.
应用了修改后的CPAK系统,对aHKA (0° ± 3°) 扩大了中性边界,并纳入了实际的JLO.

主要成果:

在两种分类系统下,CPAK类型的频率分布在健康膝盖和骨关节炎膝盖之间存在显著差异.
原始CPAK显示,在健康膝盖中最常见的是II型 (38.2%),在骨关节炎膝盖中最常见的是I型 (53.8%).
经过修改的CPAK系统,调整了aHKA和JLO参数,纠正了不均的分布,确定健康的II型 (35.2%) 和骨关节炎膝盖的I型 (38.0%) 是最常见的.

结论:

修改后的CPAK分类系统有效地解决了朝鲜人口在原始系统中观察到的不均分布问题.
I型仍然是韩国骨关节炎膝盖中最常见的表型,无论使用何种分类系统.
在韩国人群中,健康的膝盖和骨关节炎的膝盖之间存在明显的膝盖表型频率差异.

关键词:

宪法上的 varus.膝盖的冠状平面对齐是膝盖的对齐.膝盖表型膝盖表型骨关节炎是一种骨关节炎.整体膝关节关节整形手术

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