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本文引用的文献

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In vivo kinematic analysis of a high-flexion, posterior-stabilized, mobile-bearing knee prosthesis in deep knee bending motion.高屈曲、后稳定、活动平台膝关节假体在深度屈膝运动中的体内运动学分析
J Arthroplasty. 2009 Sep;24(6):972-8. doi: 10.1016/j.arth.2008.06.012. Epub 2008 Nov 25.
2
Variation in the position of the elbow flexion axis after total joint replacement with three different prostheses.使用三种不同假体进行全关节置换后肘关节屈曲轴位置的变化。
J Shoulder Elbow Surg. 2008 Sep-Oct;17(5):760-7. doi: 10.1016/j.jse.2008.03.003. Epub 2008 Jul 10.
3
In vivo kinematic analysis of a high-flexion posterior stabilized fixed-bearing knee prosthesis in deep knee-bending motion.高屈曲后稳定型固定平台膝关节假体在深度屈膝运动中的体内运动学分析
J Arthroplasty. 2008 Sep;23(6):879-85. doi: 10.1016/j.arth.2008.04.009. Epub 2008 Jun 13.
4
Modes of wear after semiconstrained total elbow arthroplasty.半限制型全肘关节置换术后的佩戴方式
J Bone Joint Surg Am. 2008 Mar;90(3):609-19. doi: 10.2106/JBJS.F.01286.
5
Clinical outcome of total hip arthroplasty using the normalized and proportionalized femoral stem with a minimum 20-year follow-up.使用标准化和比例化股骨柄进行全髋关节置换术的临床结果：至少20年随访
J Arthroplasty. 2007 Apr;22(3):356-62. doi: 10.1016/j.arth.2006.04.004. Epub 2007 Jan 22.
6
The Chitranjan Ranawat Award: Long-term survivorship and failure modes of 1000 cemented condylar total knee arthroplasties.奇特拉詹·拉纳瓦特奖：1000例骨水泥固定髁型全膝关节置换术的长期生存率及失败模式
Clin Orthop Relat Res. 2006 Nov;452:28-34. doi: 10.1097/01.blo.0000229356.81749.11.
7
A kinematic comparison of fixed- and mobile-bearing knee replacements.固定平台和活动平台膝关节置换术的运动学比较。
J Bone Joint Surg Br. 2006 Aug;88(8):1016-21. doi: 10.1302/0301-620X.88B8.17529.
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Kudo type-5 total elbow arthroplasty in mutilating rheumatoid arthritis: a 5- to 11-year follow-up.
J Bone Joint Surg Br. 2006 Jul;88(7):920-4. doi: 10.1302/0301-620X.88B7.17356.
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Intrinsic constraint of unlinked total elbow replacements--the ulnotrochlear joint.
J Bone Joint Surg Am. 2005 Sep;87(9):2019-27. doi: 10.2106/JBJS.C.00983.
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Capitellocondylar total elbow replacement in late-stage rheumatoid arthritis.髁间全肘关节置换术治疗晚期类风湿性关节炎
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利用荧光透视成像技术研究全肘关节置换术后的体内三维运动学。

In vivo three-dimensional kinematics of total elbow arthroplasty using fluoroscopic imaging.

机构信息

Division of Orthopaedic Biomaterial Science, Osaka University Graduate School of Medicine, Suita City, Osaka, Japan.

出版信息

Int Orthop. 2010 Aug;34(6):847-54. doi: 10.1007/s00264-010-0972-1. Epub 2010 Feb 23.

DOI:10.1007/s00264-010-0972-1
PMID:20177892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2989026/
Abstract

Higher complication rates and lower survivorship are still seen for total elbow arthroplasties compared to total knee and hip arthroplasties. This is partly due to polyethylene wear of the articular surface induced by excessive articular contact stress during elbow motion. The aim of this study was to dynamically evaluate in vivo three-dimensional elbow motion after total elbow arthroplasty. Twelve patients (15 elbows) who underwent operation with the Osaka University Model Total Elbow System were analysed using X-ray fluoroscopic imaging and a two-dimensional/three-dimensional registration technique, which could accurately estimate the three-dimensional spatial position of components. Valgus/varus angle and rotation between humeral and ulnar components showed wide variations among patients. Elbows with valgus angle and internal rotation >10 degrees could induce edge-loading of the articular surface. Component alignment, articular configuration, and soft-tissue balance can affect the kinematics of total elbow arthroplasty.

摘要

与全膝关节和全髋关节置换相比，全肘关节置换的并发症发生率更高，生存率更低。这在一定程度上是由于肘关节运动过程中关节接触应力过大，导致关节表面聚乙烯磨损。本研究旨在对全肘关节置换术后的肘部三维运动进行动态评估。通过 X 射线荧光透视成像和二维/三维配准技术对接受大阪大学全肘关节系统手术的 12 名患者（15 个肘部）进行分析，该技术可以准确估计组件的三维空间位置。患者之间的肱尺关节和肱桡关节的外翻/内翻角和旋转角度变化较大。外翻角度和内旋角度>10 度的肘部可能会导致关节表面的边缘负荷。组件的对齐、关节的形态和软组织的平衡会影响全肘关节置换的运动学。