| 西北地区中老年人正常膝关节的影像学测量及临床意义 |
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| 引用本文： | 王涛,王坤正,王伟,强辉,王磊,王春生.西北地区中老年人正常膝关节的影像学测量及临床意义[J].西安交通大学学报(医学版),2010,31(2). |
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| 作者姓名： | 王涛 王坤正 王伟 强辉 王磊 王春生 |
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| 作者单位： | 西安交通大学医学院第二附属医院骨科,陕西西安,710004 |
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| 摘 要： | 目的 通过膝关节X线片的测量,完善西北地区人群的膝关节影像学资料,为国人(特别是西北地区)的全膝关节置换术提供参考.方法 随机选取200例西北地区中老年人,年龄大于40岁,男女各半,拍摄膝关节正、侧位X线片.用AutoCAD软件系统标识并且分别测量记录:胫骨平台内翻角(PT角)、小腿机械轴垂直线与双侧股骨髁远端切线的夹角(FT角)、髌骨厚度和胫骨内侧平台最低点至腓骨头尖端高度的差距(DPF).将所得数据分别按男女组及左右侧进行统计学处理,并将所得数值同国外相关研究所得的数据进行统计学比较.结果 PT角及FT角、髌骨厚度(H)及DPF在肢别上没有统计学差别(P>0.05).PT角及FT角在性别上无统计学差异(P>0.05);髌骨厚度(H)及DPF在性别上有统计学差别(P<0.05).本次测得的PT角、FT角、髌骨厚度与国外所报道的数值进行统计学分析,发现均存在着统计学差异(P<0.05).结论 在进行膝关节置换手术前,应该常规测量胫骨平台内翻角、髌骨厚度、DPF等影像学参数,保证手术的顺利进行.
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| 关 键 词： | 膝关节 测量 膝关节置换 |
Imaging measurement of normal knee in Northwestern aged people and its clinical significance in total knee arthroplasty |
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| WANG Tao,WANG Kun-zheng,WANG Wei,QIANG Hui,WANG Lei,WANG Chun-sheng.Imaging measurement of normal knee in Northwestern aged people and its clinical significance in total knee arthroplasty[J].Journal of Xi‘an Jiaotong University:Medical Sciences,2010,31(2). |
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| Authors: | WANG Tao WANG Kun-zheng WANG Wei QIANG Hui WANG Lei WANG Chun-sheng |
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| Institution: | WANG Tao,WANG Kun-zheng,WANG Wei,QIANG Hui,WANG Lei,WANG Chun-sheng(Department of Orthopedics,the Second Affiliated Hospital,Medical School of Xi\'an Jiaotong University,Xi\'an 710004,China) |
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| Abstract: | Objective To provide the anatomic parameters and X-ray data of adult knee joint for the Northwestern Chinese people through measuring the knee joint of Northwestern aged people;at the same time,to provide reference for total knee arthroplasty(TKA) prosthesis design,selection and skills of surgery.Methods Totally 200 Northwestern Chinese aged people,aged above 40 years old,100 males and 100 females,were selected randomly.X-ray films of knee were shot in the anterioposterior view and lateral position.Measurem... |
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| Keywords: | knee joint measurement total knee arthroplasty (TKA) |
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