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患者体位对基于模型的放射立体分析精度的影响。

The effect of patient positioning on the precision of model-based radiostereometric analysis.

机构信息

Department of Biosystems Engineering, University of Manitoba, Winnipeg, MB, Canada; Concordia Joint Replacement Group, Concordia Hip and Knee Institute, Winnipeg, MB, Canada.

Department of Biosystems Engineering, University of Manitoba, Winnipeg, MB, Canada.

出版信息

J Biomech. 2014 Jun 3;47(8):1914-7. doi: 10.1016/j.jbiomech.2014.03.034. Epub 2014 Apr 3.

DOI:10.1016/j.jbiomech.2014.03.034
PMID:24735503
Abstract

A repeatable method for in vivo and in vitro measurement of polyethylene wear in total knee replacement (TKA) is needed. This research examines the model-based radiostereometric analysis' (MBRSA) in vitro precision under different patient-radiograph orientations and flexion angles of the knee using a TKA phantom. Anterior-posterior and medial-lateral imaging orientations showed the highest precision; better than 0.036mm (3-dimensional translation) and 0.089° (3-dimensional rotation). Flexion of the knee did not affect MBRSA precision. Medial-lateral imaging is advantageous as it allows for flexion of the knee joint during an RSA examination, thus providing greater information for wear measurement.

摘要

需要一种可重复的方法来测量全膝关节置换术(TKA)中的聚乙烯磨损,本研究使用 TKA 模型检查了不同患者-射线照片方向和膝关节弯曲角度下基于模型的放射立体分析(MBRSA)的体外精度。前后和内外成像方向具有最高的精度,优于 0.036mm(三维平移)和 0.089°(三维旋转)。膝关节弯曲不会影响 MBRSA 精度。内外成像具有优势,因为它允许在 RSA 检查期间弯曲膝关节,从而为磨损测量提供更多信息。

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Is Model-based Radiostereometric Analysis Suitable for Clinical Trials of a Cementless Tapered Wedge Femoral Stem?基于模型的放射性立体测量分析是否适用于非骨水泥锥形楔形股骨柄的临床试验?
Clin Orthop Relat Res. 2016 Oct;474(10):2246-53. doi: 10.1007/s11999-016-4930-0. Epub 2016 Jun 22.