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无骨关节炎患者的股骨偏移(三维)——200个髋关节的索引值

Femoral Offset (3D) in Patients without Osteoarthritis - Index Values from 200 Hip Joints.

作者信息

Preininger Bernd, Schmorl Kathrin, von Roth Philipp, Winkler Tobias, Matziolis Georg, Perka Carsten, Tohtz Stephan

机构信息

Department of Orthopaedics, Center for Musculoskeletal Surgery and Berlin-Brandenburg Center for Regenerative Therapies, Charité - University Medicine Berlin, Charitéplatz 1, D-10117 Berlin, Germany.

出版信息

Open Orthop J. 2012;6:578-81. doi: 10.2174/1874325001206010578. Epub 2012 Dec 7.

Abstract

INTRODUCTION

Femoral offset (FO) is a crucial parameter for hip joint biomechanics. Reference values for FO are particularly important when joint geometry has to be reconstructed during surgical interventions. Such reference values are scarce in literature and have mainly been obtained from osteoarthritis (OA) patients. The aim of this study was to conduct a patient-specific study of FO without osteoarthritis and to create a dataset of FO index values.

MATERIALS AND METHODOLOGY

One hundred (49 female, 51 male; mean age: 59 (18 - 83) years) pelvic computed tomography (CT) scans were analyzed to determine FO in each patient. Bilateral symmetry and correlation between demographic data and FO were analyzed.

RESULTS

The mean FO ± SD was different for male (4.36 ± 0.56 cm) and female patients (3.95 ± 0.35 cm) (p <.0001). No Side differences of FO were observed in male and female patients. Significant correlation between height and FO was only observed in male patients.

CONCLUSION

The values obtained in this study can be used as index values for the restoration and evaluation of hip geometry. For men, FO can be approximated using the correlation between FO and height.

摘要

引言

股骨偏心距(FO)是髋关节生物力学的一个关键参数。当在手术干预期间必须重建关节几何形状时,FO的参考值尤为重要。此类参考值在文献中很少见,且主要是从骨关节炎(OA)患者中获得的。本研究的目的是针对无骨关节炎的患者进行一项关于FO的个体化研究,并创建一个FO指数值数据集。

材料与方法

分析了100例(49例女性,51例男性;平均年龄:59(18 - 83)岁)骨盆计算机断层扫描(CT),以确定每位患者的FO。分析了人口统计学数据与FO之间的双侧对称性和相关性。

结果

男性(4.36±0.56 cm)和女性患者(3.95±0.35 cm)的平均FO±标准差不同(p<.0001)。在男性和女性患者中均未观察到FO的侧别差异。仅在男性患者中观察到身高与FO之间存在显著相关性。

结论

本研究中获得的值可作为髋关节几何形状恢复和评估的指数值。对于男性,可利用FO与身高之间的相关性来估算FO。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec42/3528011/756821afef28/TOORTHJ-6-578_F1.jpg

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