[1]段德胜,陈开放,郭晓东,等.腓骨近端截骨术后膝关节三维运动学特征研究[J].中华老年骨科与康复电子杂志,2017,(03):162-166.[doi:10.3877/cma.j.issn.2096-0263.2017.03.006]
　Duan Desheng,Chen Kaifang,Guo Xiaodong,et al.A research for three dimentional kinematics characteristics of the knee after proximal fibular osteotomy[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(03):162-166.[doi:10.3877/cma.j.issn.2096-0263.2017.03.006]
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腓骨近端截骨术后膝关节三维运动学特征研究()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2017年03期
页码:
162-166
栏目:
“不均匀沉降理论”在骨关节炎中的应用
出版日期:
2017-06-01

文章信息/Info

Title:
A research for three dimentional kinematics characteristics of the knee after proximal fibular osteotomy
作者:
段德胜 1; 陈开放 2; 郭晓东 2; 张攀 3; 张永飞 1
455000 安阳市第三人民医院骨二科 1；430022 武汉，华中科技大学同济医学院附属协和医院骨科 2；430014 武汉市中心医院骨科 3
Author(s):
Duan Desheng1;  Chen Kaifang2;  Guo Xiaodong2;  Zhang Pan3;  Zhang Yongfei
1Department of Orthopedics, Third of Anyang People’s Hospital, Anyang 455000, China; 2Department of Orthopedics, Affiliated Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; 3Department of Orthopedics, Center Hospital of Wuhan, Wuhan 430014, China
关键词:
截骨术;  膝关节;  运动活动;  运动分析
Keywords:
Osteotomy;  Knee joint;  Motor activity;  Motion analysis
DOI:
10.3877/cma.j.issn.2096-0263.2017.03.006
文献标志码:
A
摘要:
目的 探讨腓骨近端截骨手术前后在平地行走中的三维运动学差异。方法 本研究回顾性分析 2015年 1月至 9月河南省安阳市第三人民医院骨科收治的腓骨近端截骨患者 7例，男性 2例，女性 5例，年龄 49岁～71岁，平均（61±11）岁，于术后 6个月对患者进行步态分析，对比手术前后患者在正常平地行走时股骨相对胫骨的运动学表现。结果 所有患者均获得满意随访，平均随访（6.9±0.3）个月。在步态周期内，与术前比较，腓骨近端截骨术后患者的矢状面屈伸运动[术前（18±14）°，术后（27±15）°，t＝68.535]、水平面内外旋转运动[术前（6.3±2.1）°，术后（0.8±2.5）°，t＝-38.841]以及前后运动[术前（-0.3±0.5）cm，术后（-0.5±0.6）cm，t＝4.301]、上下运动[术前（0.02±0.29）cm，术后（-0.14±0.17）cm， t＝24.546]、内外移动[术前（-0.3±0.4）cm，术后（-0.7±0.4）cm，t＝6.738]均有明显改善（均 P＜0.05）。结论 腓骨近端截骨可明显改善膝关节骨性关节炎患者的运动学表现。
Abstract:
Objectives To investigate the differences in three dimentional (3D) kinematics during walking among patients with osteoarthritis before and after proximal fibula osteotomy. Methods A retrospective study was performed on 7 cases of proximal fibula osteotomy in Orthopedics Dept. of the third of Anyang people’s Hospital (2015.1-2015.9). There were two males and four females with an average age of 61 ± 11 years (49- 71 years). The kinematics data were collected in 6 m after surgery, rotation and translation of the femur relative to the tibia during normal walking were compared before and after surgery. Results All patients were followed up for 6.9 ± 0.3 months. Significant differences in the 3D knee joint kinematics among the groups were found. Compared with pre- operative motion, the flexion- extension rotation in sagittal plan [pre- operation: (18 ± 14)° , post- operation: (27 ± 15)° , t=68.535], internal- external rotational in horizontal plan [pre-operation:（6.3±2.1）°, post-operation:（0.8±2.5）°, t=-38.841) and anteriorposterior (pre- operation:- 0.3 ± 0.5 cm, post- operation: - 0.5 ± 0.6 cm, t=4.301), superior- inferior (preoperation: 0.02 ± 0.29 cm, post- operation: - 0.14 ± 0.17 cm, t=24.546), medial-lateral (pre- operation:- 0.3 ± 0.4 cm, post- operation:- 0.7 ± 0.4 cm, t=6.738) translation during walking after proximal fibula osteotomy were all improved (P<0.05). Conclusions Proximal fibula osteotomy can improve the knee motion kinematically in patients with osteoarthritis.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81672158）；国家自然科学基金（81371939）；国家重点研发计划重点专项（2016YFC1100100）
更新日期/Last Update: 2017-06-01