摘要
背景:全膝关节置换是有效治疗终末期膝关节骨关节炎的手段之一。而根据国外人群标准设计的置换假体应用到国内人群时,常出现假体不匹配等严重并发症,因此设计与国人相匹配的假体关节尤为迫切。而获知膝关节解剖学参数的正常值及其在不同性别、年龄及左右侧之间的差异可为置换假体的设计提供参照依据。目的:探讨贵阳市人群双侧正常膝关节解剖学参数的正常值及其在不同年龄及性别间的差异。方法:收集贵州省人民医院2015年1月至2021年1月行膝关节X射线片检查的18-45岁受试者13666例,最终纳入正常膝关节且登记信息是贵阳市户口者2978例,在其膝关节X射线正、侧位片上分别行解剖学参数(膝关节间隙、股骨髁横径、胫骨平台横径及Insall-Salvati指数等径线指标和股骨角、股骨胫骨角、胫骨角及内侧胫骨平台后倾角等角度指标)测量,并对比性别、年龄及双侧之间有无差异。结果与结论:①在不同性别间,股骨角、股骨胫骨角、胫骨角、膝关节间隙、股骨髁横径、胫骨平台横径及Insall-Salvati指数相比差异均有显著性意义(P<0.05),女性股骨角及Insall-Salvati指数大于男性,余参数均为男性大;内侧胫骨平台后倾角无统计学差异(t=-0.64,P=0.523);②在不同性别各年龄组间,男性股骨胫骨角、外侧膝关节间隙及女性股骨胫骨角、胫骨角、胫骨平台横径差异有显著性意义(P<0.05);③无论男性还是女性,36-45岁人群股骨胫骨角值均最大,同时女性胫骨角也最大;男性27-35岁人群外侧膝关节间隙为(7.78±0.72)mm,均大于其他组;女性18-26岁人群胫骨平台横径为(72.08±5.81)mm,较其他组大;余各参数无统计学差异(P>0.05);④在双侧膝关节间,股骨角、股骨胫骨角、胫骨角、内侧胫骨平台后倾角、膝关节间隙、股骨髁横径及Insall-Salvati指数差异均有显著性意义(P<0.05),除股骨角左侧较右侧大,�
BACKGROUND:Total knee arthroplasty is one of the effective treatments for end-stage knee osteoarthritis.The design of prosthetic joints to match the national population is particularly urgent because of the serious complications that often arise when replacement prostheses designed according to foreign population standards are applied to the domestic population.Nevertheless,knowledge of the normal values of the anatomical parameters of the knee joint and sex,age,and side differences in them can provide a reference for the design of replacement prostheses.OBJECTIVE:To explore the normal anatomical parameters of bilateral normal knee joints and the age and sex differences in Guiyang.METHODS:We conducted a retrospective observational cohort study of 2978 patients with normal knee joints in Guiyang from 13666 patients who underwent knee X-ray examination in Guizhou Provincial People’s Hospital from January 2015 to January 2021.Anatomical parameters,including the line parameters(knee space width,femoral condyle diameter,tibial plateau diameter,and Insall-Salvati index),and the angle parameters(femoral angle,femoral tibial angle,tibial angle,and posterior tibial slope)were measured on anteroposterior and lateral radiographs of the knee joint.Age,sex and side differences were compared.RESULTS AND CONCLUSION:(1)Sex differences in the femoral angle,femoral tibial angle,tibial angle,knee joint space,transverse diameter of femoral condyle,transverse diameter of tibial plateau,and Insall-Salvati index were found(P<0.05).The femoral angle and Insall-Salvati index were higher in women than in men,while other parameters were lower in women than in men.There was no significant difference in posterior tibial slope(t=-0.64,P=0.523).(2)There were significant age differences in femoral tibial angle,lateral knee joint space in men and femoral tibial angle,tibial angle tibial plateau diameter in women(P<0.05).(3)The femoral tibial angle in men and women aged 36-45 years and the tibial angle in women was the largest.The lateral knee
作者
陈昌美
曾宪春
王荣品
吴家红
Chen Changmei;Zeng Xianchun;Wang Rongpin;Wu Jiahong(School of Public Health,Guizhou Medical University,Guiyang 550025,Guizhou Province,China;Department of Medical Imaging,Guizhou Provincial People’s Hospital,Guiyang 550002,Guizhou Province,China;School of Basic Medicine,Guizhou Medical University,Guiyang 550025,Guizhou Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2023年第29期4647-4651,共5页
Chinese Journal of Tissue Engineering Research
基金
贵州省中医药管理局中医药、民族医药科学技术研究(QZYY-2020-018),项目负责人:曾宪春。
关键词
正常人群
膝关节
骨关节炎
解剖学参数
X射线片
正常值
normal population
knee joint
knee osteoarthritis
anatomical parameter
X-ray
normal value
