[1]唐茶娣 陈俊杰 庄汝杰△.屈曲状态下膝关节面夹角变化对内侧间室压力影响的生物力学研究[J].中国中医骨伤科杂志,2019,27(06):6-8,12.
　TANG Chadi CHEN Junjie ZHUANG Rujie.Biomechanical Study of the Effect of the Change of the Knee Angle on the Medial Compartment of the Knee under Different Flexion Angles[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(06):6-8,12.
点击复制

屈曲状态下膝关节面夹角变化对内侧间室压力影响的生物力学研究()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年06期
页码:
6-8,12
栏目:
实验研究
出版日期:
2019-06-04

文章信息/Info

Title:
Biomechanical Study of the Effect of the Change of the Knee Angle on the Medial Compartment of the Knee under Different Flexion Angles
文章编号:
1005-0205(2019)06-0006-03
作者:
唐茶娣1 陈俊杰1 庄汝杰2△
1浙江绍兴市中医院(浙江 绍兴,312000) 2浙江省中医院
Author(s):
TANG Chadi1 CHEN Junjie1 ZHUANG Rujie2△
1Shaoxing Hospital of Traditional Chinese Medicine,Shaoxing 312000,Zhejiang China; 2Zhejiang Provincial Hospital of Traditional Chinese Medicine,Hangzhou 310006,China.
关键词:
屈曲角度;  关节面夹角;  内侧间室压力;  生物力学
Keywords:
flexion angle;  articular surface angle;  medial compartment pressure;  biomechanics
分类号:
R-33
文献标志码:
A
摘要:
目的:通过改变膝关节标本的屈曲角度与膝关节平面夹角,测试膝关节内侧间室压力值,研究膝关节屈曲状态下平面夹角与内侧间室压力的相关性。方法:将2具正常尸体进行解剖,采集4例膝关节标本,再将自制胫骨外侧钢板植入标本,调整不同的屈曲角度与关节面角度,同时对膝关节内侧间室进行压力测试,并进行数据统计分析。结果:膝关节屈曲保持0°,内侧间室压力值平均为(1.30±0.60)MPa,屈曲保持15°,内侧间室压力值平均为(0.98±0.45)MPa,屈曲保持30°,内侧间室压力值平均为(0.24±0.11)MPa,三组差异有统计学意义(P<0.05)。屈曲保持45°,内侧间室压力值平均为(0.03±0.01)MPa,差异无统计学意义(P>0.05)。结论:膝关节屈曲角度在0°～30°时,膝关节内侧间室压力受关节平面角度影响,且在关节面角度达15°时,内侧间室压力达到峰值。而膝关节屈曲达45°时,膝关节内侧间室压力与关节面夹角无明显相关性。
Abstract:
Objective:By changing the flexion angle of knee joint and the angle between the plane of knee joint,the pressure value of medial interventricular of knee joint was measured,and the correlation between plane angle and medial interventricular pressure in flexion state of knee joint was studied. Methods:Two normal cadavers were dissected,4 knee joint specimens were collected,and then self-made lateral tibial plate was implanted into the specimens,adjust different flexion angle and articular surface angle,the pressure of medial compartment of knee joint was measured and carries on the data statistical analysis. Results:The flexion of knee joint remained 0°,and the medial interventricular pressure was(1.30±0.60)MPa on average. The flexion of knee joint remained 15°,and the medial interventricular pressure was(0.98 ±0.45)Mpa on average. The flexion of knee joint remained 30°,and the medial interventricular pressure was(1.24 ±0.11)MPa on average. The three groups have statistical significance. The flexion of knee joint remained 45°,and the medial interventricular pressure was(0.03±0.01)MPa on average. not statistically significant. Conclusion:when the knee joint flexion angle is 0°～30°,the medial interventricular pressure is affected by the joint plane angle,and the medial interventricular pressure reaches the peak when the articular surface angle reaches 15°. However,there was no significant correlation between medial interventricular pressure and the angle of articular surface when the flexion of knee joint reached 45°.

参考文献/References:

[1] LEVINGER P,MENZ H B,MORROW A D,et al. Relationship between foot function and medial knee joint loading in people with medial compartment knee osteoarthritis[J].J Foot Ankle Res,2013,6(1):33-38.
[2] 冯佳捷,朱磊,陈俊杰,等.膝骨关节炎患者膝关节面夹角与步态的相关性研究[J].中医正骨,2017,29(7):27-29.
[3] PHYOMAUNG P P,DUBOWITZ J,CICUTTINI F M,et al. Are depression,anxiety and poor mental health risk factors for knee pain:a systemaic review[J]. BMC Musculoskelet Disord,2014,15:10-15.
[4] ANDRIACCHI T P,MÜNDERMANN A. The role of ambulatory mechanics in the initiation and progression of knee osteoarthritis[J]. Curr Opin Rheumatol,2006,18(5):514-518.
[5] IORIO R,HEALY W L. Unicompartmental arthritis of the knee[J].J Bone Joint Surg Am,2003,85-A(7):1351-1364.
[6] JYOTI MEHTA MOT,KP MULGAONKAR MOT. Effect of laterally raised footwearon bilateral medial compartment knee osteoarthritis and its biomechanical analysis-a comparative study[J]. The Indian Journal of Occupational Therapy,2014,3:51-56.
[7] FERNANDEZ-SEGUIN L M,DIAZ MANCHA J A,SANCHEZ RODRIGUEZ R,et al. Comparison of plantar pressures and contact area between normal and cavus foot[J]. Gait Posture,2017,39(2):789-792.
[8] RESENDE R A,KIRKWOOD R N,FONSECA S T,et al. Ipsilateral and contralateral foot pronation affect lower limb and trunk biomechanics of individuals with knee osteoarthritis during gait[J]. Clin Biomech,2016,34:30-37.
[9] POLLO F E,JACKSON R W. Knee bracing for unicompartmental osteoarthritis[J]. J Am Acad Orthop Surg,2016,14(1):5-11.
[10] RANNOU F,POIRAUDEAU S,BEAUDREUIL J. Role of bracing in the management of knee osteoarthritis[J]. Curr Opin Rheumatol,2010,22(2):218-222.
[11] DRAGANICH L,REIDER B,RIMINGTON T,et al. The effectiveness of self-adjustable custom and off-the-shelf bracing in the treatment of varus gonarthrosis[J]. J Bone Joint Surg Am,2006,88(12):2645-2652.
[12] 张英泽,李存祥,李冀东,等.不均匀沉降在膝关节退变及内翻过程中机制的研究[J].河北医科大学学报,2014,35(2):218-219.
[13] 郑占乐,孙英彩,张晓然,等.膝关节骨性关节炎发病机制的临床影像学研究[J].河北医科大学学报,2014,35(5):599-600.
[14] 秦迪,陈伟,吕红芝,等.腓骨中上段部分切除治疗膝关节内侧间室骨性关节炎机制研究及治疗效果影响因素分析[J].河北医科大学学报,2015,36(6):727-729.
[15] 刘月驹,秦士吉,李升,等.膝关节失衡综合征在骨科临床中的应用[J].河北医科大学学报,2015,36(5):598-600.

备注/Memo

备注/Memo:
基金项目:浙江省重大科技专项计划(2014C03038)
△通信作者 E-mail:rujiezhuang@163.com
更新日期/Last Update: 2019-06-04