本文選題：人工膝關節(jié) + 假體設計��； 參考：《上海交通大學》2007年碩士論文

【摘要】： 目的研究國人脛骨平臺形態(tài),得到國人膝關節(jié)脛骨平臺截骨面相關解剖參數(shù),探討此方法對假體設計的指導意義。 方法選擇2005年3月至2006年8月在上海市第六人民醫(yī)院關節(jié)外科住院治療的168例206個病態(tài)膝關節(jié),均為初次行全膝關節(jié)置換術,術中術后對脛骨平臺直接進行相關參數(shù)測量。對所測得的數(shù)據(jù)輸入SARS 7.0統(tǒng)計學軟件進行結果分析,求出均值及標準差,并給出脛骨平臺內外側前后徑及脛骨平臺寬的相關系數(shù),給出回歸方程。 結果所有206膝都進入結果分析。確立了脛骨平臺截骨后各個參數(shù)之間的比例關系,結果按患者的身高分為A組,B組,C組,得出回歸方程。三組各參數(shù)在統(tǒng)計學上無性別差異(P0.05),在統(tǒng)計學上也無左右膝差異(P0.05)。A組,脛骨內側平臺前后徑DMTP與脛骨平臺寬WTP存在線性關系(P0.05),相關系數(shù):0.8246,回歸方程:DMTP=-11.8702+0.8341WTP;脛骨外側平臺前后徑DLTP與脛骨平臺寬WTP存在線性關系(P0.05),相關系數(shù):0.8478,回歸方程:DLTP=-10.6513+0.7197WTP。B組,脛骨內側平臺前后徑DMTP與脛骨平臺寬WTP存在線性關系(P0.05),相關系數(shù):0.8062,回歸方程:DMTP=-11.9522+0.8341WTP;脛骨外側平臺前后徑DLTP與脛骨平臺寬WTP存在線性關系(P0.05),相關系數(shù):0.8078,回歸方程:DLTP=-11.6233+0.7992WTP。C組,脛骨內側平臺前后徑DMTP與脛骨平臺寬WTP存在線性關系(P0.05),相關系數(shù):0.7234,回歸方程:DMTP=-12.2436+0.8298WTP;脛骨外側平臺前后徑DLTP與脛骨平臺寬WTP存在線性關系(P0.05),相關系數(shù):0.7529,回歸方程:DLTP=-10.7347+0.7289WTP。脛骨截骨面橫徑/前后徑比值(ML/AP):A組1.62-1.81,B組1.56-1.77,C組1.52-1.74,ML/AP均大于同尺寸進口假體比例。 結論本研究測量并統(tǒng)計了國人病態(tài)膝關節(jié)脛骨平臺的形態(tài)學尺寸,得出國人脛骨平臺截骨面的橫徑與前后徑比值大于西方人,在矮小的國人女性中更明顯。本文建立了國人病態(tài)膝關節(jié)脛骨平臺相關參數(shù)指標參考值,為人工膝關節(jié)假體的設計、制作提供了更加符合國人解剖結構的科學依據(jù)和參考價值。
[Abstract]:Objective to study the shape of Chinese tibial plateau and to obtain the anatomical parameters related to the osteotomy of the tibial plateau of Chinese knee joint, and to explore the guiding significance of this method in the design of the prosthesis. Methods from March 2005 to August 2006, 206 diseased knee joints of 168 patients who were hospitalized in arthrosurgery, Shanghai sixth people's Hospital, were all performed total knee arthroplasty for the first time. The tibial plateau parameters were measured directly during and after operation. The results of the statistical software SARS-7.0 were analyzed, the mean value and standard deviation were calculated, the correlation coefficients of the anteroposterior diameter and the width of the tibial plateau were given, and the regression equation was given. Results all 206 knees entered the result analysis. The proportional relationship between the parameters after tibial plateau osteotomy was established. Results according to the height of the patients, the patients were divided into group A and group B, and the regression equation was obtained. There was no statistical difference in each parameter between the three groups (P 0.05), and there was no statistical difference in the left and right knees (P 0.05). There was a linear relationship between the anteroposterior diameters of the medial tibial plateau and the width of the tibial plateau (WTP). The correlation coefficient was: 0: 0.8246, the regression equation was: DMTP- 11.8702 0.8341WTP, and the linear relationship between the anteroposterior diameters of the tibial platform and the width WTP of the tibial plateau was P0.05N, the correlation coefficient was 0.0.8478and the regression equation was: DLTP-10.6513 0.7197WTP.B. There was a linear relationship between the anteroposterior diameters of the medial tibial plateau (DMTP) and the width of the tibial plateau (WTP). The correlation coefficient was: 0: 0.8062, the regression equation was: DMTP- 11.9522 0.8341WTP; the linear relationship between the anteroposterior diameters of the tibial platform and the width of the tibial plateau was P0.05N, the correlation coefficient was 0.8078, and the regression equation was: DLTP-11.6233 0.7992WTP.C. There was a linear relationship between the anteroposterior diameters of the tibial plateau and the width of the tibial plateau WTP, the correlation coefficient was: 0: 0.7234, the regression equation was: DMTP- 12.2436 0.8298 WTP, and the linear relationship between the anteroposterior diameters of the tibial plateau and the width of the tibial plateau was P0.05, the correlation coefficient was 0.75299.The regression equation was DLTP- 10.7347 0.7289 WTP. The ratio of transverse diameter to anteroposterior diameter of tibial osteotomy was greater in group A than that in group A (1.62-1.81) and group B (1.56-1.77) and group C (1.52-1.74) was larger than that of imported prosthesis of the same size. Conclusion this study measured and counted the morphological dimensions of the tibial plateau of the diseased knee in Chinese. The ratio of transverse diameter to anteroposterior diameter of the osteotomy of the Chinese tibial plateau was higher than that of the westerners, especially in the short Chinese women. In this paper, the reference values of the parameters related to the tibial plateau of the diseased Chinese knee joint are established, which provide the scientific basis and reference value for the design and manufacture of the artificial knee joint prosthesis more in accordance with the anatomical structure of the Chinese people.
【學位授予單位】：上海交通大學
【學位級別】：碩士
【學位授予年份】：2007
【分類號】：R322;R318.1

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相關期刊論文 前1條

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本文編號：2019565