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关节镜下部分半月板切除术后的膝关节生物力学

Knee joint biomechanics following arthroscopic partial meniscectomy.

作者信息

Sturnieks Daina L, Besier Thor F, Mills Peter M, Ackland Tim R, Maguire Ken F, Stachowiak Gwidon W, Podsiadlo Pawel, Lloyd David G

机构信息

School of Sports Science, Exercise, and Health, The University of Western Australia, 35 Stirling Highway, Crawley, Western Australia 6009, Australia.

出版信息

J Orthop Res. 2008 Aug;26(8):1075-80. doi: 10.1002/jor.20610.

Abstract

We investigated spatiotemporal data, joint kinematics, and joint kinetics during gait in a group of subjects who had recently undergone arthroscopic partial meniscectomy and compared the results to those of healthy controls. Gait analysis was performed on 105 pain-free meniscectomy patients and 47 controls, walking at a self-selected speed. The meniscectomy population was comparable to controls in spatiotemporal parameters and knee kinematics. However, they had reduced range of motion (ROM) and lower peak moments in the sagittal plane on the operated limb compared to the nonoperated limb. Compared to controls, the meniscectomy patients had significantly larger knee adduction moments over stance, even after accounting for their greater body weight. These differences likely increase articular loads on the medial compartment of the tibiofemoral joint and may contribute to the high risk of knee osteoarthritis following arthroscopic meniscal surgery.

摘要

我们对一组近期接受关节镜下半月板部分切除术的受试者在步态过程中的时空数据、关节运动学和关节动力学进行了研究,并将结果与健康对照组进行了比较。对105名无痛半月板切除术患者和47名对照组进行了步态分析,他们以自选速度行走。半月板切除组在时空参数和膝关节运动学方面与对照组相当。然而,与未手术侧肢体相比,他们手术侧肢体矢状面的活动范围(ROM)减小,峰值力矩降低。与对照组相比,即使考虑到半月板切除患者体重更大,他们在站立期的膝关节内收力矩仍显著更大。这些差异可能会增加胫股关节内侧间室的关节负荷,并可能导致关节镜半月板手术后膝关节骨关节炎的高风险。

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