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三维图像重建技术在髁部严重畸形膝关节置换术中的应用

谢诗涓 白波 向湘松 汤敏生 陈艺

国际医药卫生导报2010,Vol.16Issue(10):1156-1160,5.
国际医药卫生导报2010,Vol.16Issue(10):1156-1160,5.DOI:10.3760/cma.j.issn.1007-1245.2010.10.002

三维图像重建技术在髁部严重畸形膝关节置换术中的应用

Application of Three-dimensional Image Reconstruction Technology in Joint Replacement of Knee Joint with Severe Deformity Condyles

谢诗涓 1白波 1向湘松 2汤敏生 3陈艺1

作者信息

  • 1. 510120,广州医学院第一附属医院骨外科
  • 2. 418000,怀化市第一人民医院骨一科
  • 3. 510000,广州医学院附属荔湾医院骨外科
  • 折叠

摘要

Abstract

Objective To explore the function of 3-D reconstruction technique during TKA for the seriously damaged knees. Methods Reconstructed the 3-D images of knees joint of femoral condyle with severe deformity for eight cases of patients before operation, then measured the appropriate angles by 3-D reconstructions preoperative and determine how much the femoral protheses should be externally rotationed,then rotation osteotomy by those measured angles, and followed patients postoperative.Results The average HSS score before operation was (39.1 ± 6.9),much lower than the postoperation score 80.8 ± 15.4(P<0.01),and the average joint range of motion score before operation was 41.9°± 10.8°,much lower than the postoperation score 109.6°± 21.5°(P<0.01).Conclusion For thoses whose knees had been seriously damaged,3-D reconstruction could be used as a useful method to determine the femoral prothesis's rotation during TKA.

关键词

全膝关节置换术/三维图像重建/外科上髁轴/后髁角

Key words

Total Knee Arthroplasty/3-D reconstruction/Transepicondylar axis/Posterior condylar angle

引用本文复制引用

谢诗涓,白波,向湘松,汤敏生,陈艺..三维图像重建技术在髁部严重畸形膝关节置换术中的应用[J].国际医药卫生导报,2010,16(10):1156-1160,5.

国际医药卫生导报

1007-1245

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