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[1]王金杰,俞倩麗,莊汝杰.新型支具對膝關節(jié)內(nèi)側間室應力的影響…[J].中醫(yī)正骨,2017,29(12):19-22.
　WANG Jinjie,YU Qianli,ZHUANG Rujie.Effect of up-to-date orthosis on medial compartment stress of knee joint[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(12):19-22.
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新型支具對膝關節(jié)內(nèi)側間室應力的影響…()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年12期
頁碼:
19-22
欄目:
基礎研究
出版日期:
2017-12-20

文章信息/Info

Title:
Effect of up-to-date orthosis on medial compartment stress of knee joint
作者:
王金杰1; 俞倩麗1; 莊汝杰2
1.浙江中醫(yī)藥大學,浙江 杭州 310053; 2.浙江省中醫(yī)院,浙江 杭州 310006
Author(s):
WANG Jinjie1; YU Qianli1; ZHUANG Rujie2
1.Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China 2.Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,Zhejiang,China
關鍵詞:
骨關節(jié)炎; 膝;  膝內(nèi)翻;  膝內(nèi)側間室;  應力; 物理;  支具;  3D打印
Keywords:
Key words osteoarthritis; knee;  genu varum;  knee medial compartment;  stress;  mechanical;  orthosis;  3D printing
摘要:
目的:探討新型支具對膝關節(jié)內(nèi)側間室應力的影響。方法:選取3具新鮮成年尸體,制作膝關節(jié)標本,于脛骨關節(jié)面下方2 cm處截骨,插入自制可調(diào)節(jié)脛骨外側鋼板固定截骨端后,將膝關節(jié)標本以直立位固定于實驗臺上,并將壓力傳感器探頭置于膝關節(jié)內(nèi)側間室軟骨面的中心區(qū)域; 通過調(diào)整自制鋼板角度改變膝內(nèi)翻角度,并利用壓力傳感器測量佩戴新型支具前后膝關節(jié)內(nèi)側間室的應力變化。結果:膝內(nèi)翻6°、9°、12°、15°、18°、21°、24°、27°時,佩戴新型支具后膝關節(jié)標本內(nèi)側間室應力均低于佩戴新型支具前[(1.284±0.043)MPa,(1.788±0.033)MPa,t=16.863,P=0.003;(1.314±0.040)MPa,(2.129±0.108)MPa,t=20.017,P=0.002;(1.358±0.053)MPa,(2.443±0.053)MPa,t=59.425,P=0.000;(1.391±0.062)MPa,(2.895±0.056)MPa,t=103.804,P=0.000;(1.421±0.074)MPa,(3.245±0.155)MPa,t=38.912,P=0.001;(1.444±0.079)MPa,(3.035±0.085)MPa,t=367.308,P=0.000;(1.460±0.080)MPa,(2.581±0.142)MPa,t=28.382,P=0.001;(1.487±0.076)MPa,(2.172±0.157)MPa,t=13.972,P=0.005]; 膝內(nèi)翻0°、3°、30°時,佩戴新型支具前后膝關節(jié)標本內(nèi)側間室應力比較,差異均無統(tǒng)計學意義[(1.199±0.068)MPa,(1.196±0.067)MPa,t=-5.500,P=0.032;(1.252±0.052)MPa,(1.375±0.035)MPa,t=6.594,P=0.022;(1.507±0.081)MPa,(1.864±0.208)MPa,t=4.726,P=0.042]。結論:當膝內(nèi)翻小于30°時,新型膝關節(jié)支具可以降低膝關節(jié)內(nèi)側間室應力。
Abstract:
ABSTRACT Objective:To explore the effect of up-to-date orthosis on medial compartment stress of knee joint.Methods:Three fresh adult cadavers were selected to make the knee specimens.Osteotomy was performed on the knee specimens at 2 cm below the tibial articular surface,and the knee specimens were fixed on the bench in orthostatism after osteotomy sites were fixed with self-made adjustable lateral tibial steel plate.The probes of pressure sensor were placed into the central region of medial compartment cartilage surface of knee joint.The angles of genu varum were changed by adjusting the angles of self-made steel plate,and the stress changes of knee medial compartment were measured by using the pressure sensor after the up-to-date orthosis was used.Results:The medial compartment stress of knee specimens decreased after the up-to-date orthosis was used at genu varum angles of 6,9,12,15,18,21,24 and 27 degrees respectively(1.284+/-0.043 vs 1.788+/-0.033 MPa,t=16.863,P=0.003; 1.314+/-0.040 vs 2.129+/-0.108 MPa,t=20.017,P=0.002; 1.358+/-0.053 vs 2.443+/-0.053 MPa,t=59.425,P=0.000; 1.391+/-0.062 vs 2.895+/-0.056 MPa,t=103.804,P=0.000; 1.421+/-0.074 vs 3.245+/-0.155 MPa,t=38.912,P=0.001; 1.444+/-0.079 vs 3.035+/-0.085 MPa,t=367.308,P=0.000; 1.460+/-0.080 vs 2.581+/-0.142 MPa,t=28.382,P=0.001; 1.487+/-0.076 vs 2.172+/-0.157 MPa,t=13.972,P=0.005).There was no statistical difference in medial compartment stress of knee specimens between pre- and post-use of up-to-date orthosis at genu varum angles of 0,3 and 30 degrees respectively(1.199+/-0.068 vs 1.196+/-0.067 MPa,t=-5.500,P=0.032; 1.252+/-0.052 vs 1.375+/-0.035 MPa,t=6.594,P=0.022; 1.507+/-0.081 vs 1.864+/-0.208 MPa,t=4.726,P=0.042).Conclusion:The up-to-date knee orthosis can reduce the medial compartment stress of knee joint at the genu varum angle of <30 degrees.

參考文獻/References:

[1] DAVIS MA.Epidemiology of osteoarthritis[J].Clin Geriatr Med,1988,4(2):241-245.
[2] 李寧華.中老年人群骨關節(jié)炎的流行病學特征[J].中國臨床康復,2005,9(38):133-135.
[3] 康凱,高石軍,董江濤,等.膝關節(jié)單髁置換術的發(fā)展研究進展[J].中國矯形外科雜志,2014,22(2):130-133.
[4] 張維杰,連芩,李滌塵,等.基于3D打印技術的軟骨修復及軟骨下骨重建[J].中國修復重建外科雜志,2014,23(3):318-324.
[5] 郭燕梅,甕長水,陳蔚,等.膝骨關節(jié)炎患者下肢動靜態(tài)位置覺與功能狀況和平衡的相關性分析[J].中國康復理論與實踐,2013,19(11):1064-1068.
[6] 劉鵬鶴,張春琪.單髁置換術治療膝關節(jié)單間室骨關節(jié)炎臨床觀察[J].風濕病與關節(jié)炎,2015,4(2):39-40.
[7] 薛華明,蔡珉巍,涂意輝.膝關節(jié)外側間室單髁置換術臨床應用進展[J].中華關節(jié)外科雜志(電子版),2012,6(3):77-79.
[8] 李偉,周敬濱,陶增羽,等.膝骨關節(jié)炎患者步態(tài)動力學相關參數(shù)分析[J].中國運動醫(yī)學雜志,2010,29(3):268-271.
[9] RICHARD D,KOMISTEK,DOUGLAS A,et al.An in vivo analysis of the effectiveness of the osteoarthritic knee brace during heel-strike of gait[J].J Arthroplasty,1999,14(6):738-742.
[10] MCALINDON TE,BANNURU RR,SULLIVAN MC,et al.OARSI guidelines for the non-surgical management of knee osteoarthritis[J].Osteoarthritis & Cartilage,2014,22(3):363-388.
[11] 謝寶強,張應鵬,胡文彪,等.27例膝關節(jié)半月板損傷臨床治療[J].中國醫(yī)學創(chuàng)新,2011,8(19):158-159.
[12] 張旻,江瀾.內(nèi)側間室膝骨性關節(jié)的下肢關節(jié)生物力學變化[J].中國康復,2011,26(1):506-508.
[13] KON E,FILARDO G,DROBNIC M,et al.Non-surgical management of early knee osteoarthritis[J].Knee Surgery Sports Traumatology Arthroscopy,2012,20(3):436-449.
[14] ZHANG W,MOSKOWITZ RW,NUKI G,et al.OARSI recommendations for the management of hip and knee osteoarthritis,Part II:OARSI evidence-based,expert consensus guidelines[J].Osteoarthritis Cartilage,2008,16(2):137-162.

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備注/Memo

備注/Memo:
基金項目:2014年度浙江省重大科技專項計劃項目(2014C03038) 通訊作者:莊汝杰 E-mail:[email protected]
更新日期/Last Update: 2018-05-02