下肢截肢者的骨骼和关节变化
Bone and joint changes in lower limb amputees.
作者信息
Burke M J, Roman V, Wright V
出版信息
Ann Rheum Dis. 1978 Jun;37(3):252-4. doi: 10.1136/ard.37.3.252.
Abstract
A clinical and radiological survey of bone and joint changes in 42 lower limb amputees is reported. There was a significant increase in osteoarthrosis in the knee of the unamputated legs compared with the amputated side. The amputated side characteristically showed osteoporosis. Comparing the prevalence of osteoarthrosis in this study with figures in the population, it is more likely that the osteoporosis of the amputated limb had a protective effect on that side than that mechanical factors produced more osteoarthrosis on the contralateral side. Backache occurred in about half the patients, and was severe in 19%. It did not appear to be related to disc degeneration, but scoliosis was observed in 64% of patients.
摘要
本文报道了对42名下肢截肢者骨与关节变化的临床及影像学调查。与截肢侧相比，未截肢侧膝关节骨关节炎显著增加。截肢侧的特征表现为骨质疏松。将本研究中骨关节炎的患病率与总体人群数据进行比较，更有可能是截肢肢体的骨质疏松对该侧起到了保护作用，而非机械因素导致对侧出现更多骨关节炎。约半数患者出现背痛，其中19%的患者背痛严重。背痛似乎与椎间盘退变无关，但64%的患者存在脊柱侧弯。
相似文献
1
Bone and joint changes in lower limb amputees.下肢截肢者的骨骼和关节变化
Ann Rheum Dis. 1978 Jun;37(3):252-4. doi: 10.1136/ard.37.3.252.
2
[Osteoarthrosis of the knee joint, a predictable consequence of meniscectomy in patients with angular deformity of the knee (author's transl)].
Acta Chir Belg. 1977 May-Jun;76(3):355-60.
3
Biomechanical significance of the correct length of lower limb prostheses: a clinical and radiological study.下肢假肢正确长度的生物力学意义：一项临床与放射学研究。
Prosthet Orthot Int. 1984 Dec;8(3):124-9. doi: 10.3109/03093648409146072.
4
Association between amputation, arthritis and osteopenia in British male war veterans with major lower limb amputations.英国下肢主要截肢男性退伍军人中截肢、关节炎和骨质减少之间的关联。
Clin Rehabil. 1998 Aug;12(4):348-53. doi: 10.1191/026921598672393611.
5
Joint laxity and osteoarthrosis: a radiological survey of female physical education specialists.关节松弛与骨关节炎：女性体育专家的影像学调查
Br J Sports Med. 1980 Dec;14(4):179-88. doi: 10.1136/bjsm.14.4.179.
6
Review of secondary physical conditions associated with lower-limb amputation and long-term prosthesis use.下肢截肢及长期使用假肢相关继发身体状况综述。
J Rehabil Res Dev. 2008;45(1):15-29. doi: 10.1682/jrrd.2006.11.0147.
7
Avascular necrosis of bone in patients undergoing renal allotransplantation.同种异体肾移植患者的骨缺血性坏死
Clin Nephrol. 1976 Feb;5(2):66-72.
8
[Changes in the Locomotor System as a Consequence of Amputation of a Lower Limb].[下肢截肢导致的运动系统变化]
Z Orthop Unfall. 2017 Feb;155(1):77-91. doi: 10.1055/s-0042-112821. Epub 2016 Sep 15.
9
A radiological survey of the hips and knees in female specialist teachers of physical education.
Scand J Rheumatol. 1979;8(4):264-8. doi: 10.3109/03009747909114633.
10
Osteoarthropathy in congenital sensory neuropathy with anhidrosis.
Clin Orthop Relat Res. 1990 Sep(258):232-6.
引用本文的文献
1
Increased loading of the lateral knee compartment in the unamputated knee during gait in people with unilateral transfemoral/through-knee amputations.单侧经股骨/全膝关节截肢者在步态中，未截肢膝关节外侧间室负荷增加。
Bone Joint Res. 2025 Jul 11;14(7):633-641. doi: 10.1302/2046-3758.147.BJR-2024-0301.R1.
2
Self-reported health outcomes and medical complications at 6- and 8-year follow-up after direct skeletal fixation in individuals with bilateral transfemoral amputations.双侧经股骨截肢患者直接骨骼固定术后6年和8年随访时的自我报告健康结果及医学并发症。
Int J Rehabil Res. 2025 Sep 1;48(3):173-179. doi: 10.1097/MRR.0000000000000677. Epub 2025 Jul 11.
3
[Motion analysis in Orthopaedic technology research].[骨科技术研究中的运动分析]
Unfallchirurgie (Heidelb). 2025 Apr;128(4):270-277. doi: 10.1007/s00113-025-01549-y. Epub 2025 Mar 4.
4
Bone Health Deterioration in Transfemoral Prosthetic Users: An Analytical Biomechanical Explanation.经股假肢使用者的骨骼健康恶化：一种分析性生物力学解释
Int J Numer Method Biomed Eng. 2025 Feb;41(2):e70014. doi: 10.1002/cnm.70014.
5
Total Hip Arthroplasty, via Direct Anterior Approach, With Contralateral Proximal Femur Amputation.经直接前路入路行全髋关节置换术并对侧股骨近端截肢术
Arthroplast Today. 2024 Dec 8;30:101580. doi: 10.1016/j.artd.2024.101580. eCollection 2024 Dec.
6
When the Going Gets Tough: A Review of Total Hip Arthroplasty in Patients with Ipsilateral Above- and Below-Knee Amputation.当情况变得艰难时：同侧膝上和膝下截肢患者全髋关节置换术的回顾。
Medicina (Kaunas). 2024 Sep 22;60(9):1551. doi: 10.3390/medicina60091551.
7
The effects of slope-adaptive prosthetic feet on sloped gait performance and quality in unilateral transtibial prosthesis users: A scoping review.斜坡自适应假肢对单侧胫骨截肢假肢使用者斜坡步态表现和质量的影响：一项范围综述。
J Prosthet Orthot. 2024 Jul;36(3):e49-359. doi: 10.1097/jpo.0000000000000501.
8
Sagittal and transverse ankle angle coupling can influence prosthetic socket transverse plane moments.矢状面和横断面踝关节角度耦合会影响假肢接受腔的横断面力矩。
Front Rehabil Sci. 2024 Apr 4;5:1354144. doi: 10.3389/fresc.2024.1354144. eCollection 2024.
9
Hip and knee replacement in lower limb amputees: a scoping review.下肢截肢患者的髋关节和膝关节置换：范围综述。
BMC Musculoskelet Disord. 2024 Mar 27;25(1):239. doi: 10.1186/s12891-024-07342-z.
10
Hip joint and muscle loading for persons with bilateral transfemoral/through-knee amputations: biomechanical differences between full-length articulated and foreshortened non-articulated prostheses.双侧股骨/膝下截肢者的髋关节和肌肉负荷：全长关节和缩短非关节假肢的生物力学差异。
J Neuroeng Rehabil. 2023 Dec 19;20(1):169. doi: 10.1186/s12984-023-01296-4.
本文引用的文献
1
Low incidence of osteoarthrosis in hip and knee after anterior poliomyelitis: a late review.小儿麻痹后遗症后髋和膝关节骨关节炎的低发病率：一项晚期回顾
Br Med J. 1966 Sep 24;2(5516):739-42. doi: 10.1136/bmj.2.5516.739.
2
Long leg arthropathy.长腿关节病
Ann Rheum Dis. 1969 Jul;28(4):359-65. doi: 10.1136/ard.28.4.359.
3
Bone and joint changes in pneumatic drillers.风钻工人的骨骼和关节变化
Ann Rheum Dis. 1977 Jun;36(3):276-9. doi: 10.1136/ard.36.3.276.
4
The knees and ankles in sport and veteran military parachutists.运动及退伍军人伞兵的膝盖和脚踝
Ann Rheum Dis. 1977 Aug;36(4):327-31. doi: 10.1136/ard.36.4.327.
Zotero 插件