用于描述膝关节解剖结构与运动学之间关系的统计建模。
Statistical modeling to characterize relationships between knee anatomy and kinematics.
作者信息
Smoger Lowell M, Fitzpatrick Clare K, Clary Chadd W, Cyr Adam J, Maletsky Lorin P, Rullkoetter Paul J, Laz Peter J
机构信息
Center for Orthopaedic Biomechanics, University of Denver, Denver, Colorado.
University of Kansas, Lawrence, Kansas.
出版信息
J Orthop Res. 2015 Nov;33(11):1620-30. doi: 10.1002/jor.22948. Epub 2015 Jun 23.
The mechanics of the knee are complex and dependent on the shape of the articular surfaces and their relative alignment. Insight into how anatomy relates to kinematics can establish biomechanical norms, support the diagnosis and treatment of various pathologies (e.g., patellar maltracking) and inform implant design. Prior studies have used correlations to identify anatomical measures related to specific motions. The objective of this study was to describe relationships between knee anatomy and tibiofemoral (TF) and patellofemoral (PF) kinematics using a statistical shape and function modeling approach. A principal component (PC) analysis was performed on a 20-specimen dataset consisting of shape of the bone and cartilage for the femur, tibia and patella derived from imaging and six-degree-of-freedom TF and PF kinematics from cadaveric testing during a simulated squat. The PC modes characterized links between anatomy and kinematics; the first mode captured scaling and shape changes in the condylar radii and their influence on TF anterior-posterior translation, internal-external rotation, and the location of the femoral lowest point. Subsequent modes described relations in patella shape and alta/baja alignment impacting PF kinematics. The complex interactions described with the data-driven statistical approach provide insight into knee mechanics that is useful clinically and in implant design.
膝关节的力学机制复杂,取决于关节面的形状及其相对排列。深入了解解剖结构与运动学之间的关系可以建立生物力学规范,支持各种病理情况(如髌骨轨迹异常)的诊断和治疗,并为植入物设计提供参考。先前的研究利用相关性来确定与特定运动相关的解剖学测量指标。本研究的目的是使用统计形状和功能建模方法来描述膝关节解剖结构与胫股(TF)和髌股(PF)运动学之间的关系。对一个包含20个样本的数据集进行主成分(PC)分析,该数据集包括通过成像获得的股骨、胫骨和髌骨的骨骼及软骨形状,以及在模拟深蹲过程中尸体测试得到的六自由度TF和PF运动学数据。PC模式表征了解剖结构与运动学之间的联系;第一种模式捕捉了髁半径的缩放和形状变化及其对TF前后平移、内外旋转以及股骨最低点位置的影响。随后的模式描述了髌骨形状和高位/低位排列与PF运动学之间的关系。通过数据驱动的统计方法所描述的复杂相互作用为膝关节力学提供了深入见解,这在临床和植入物设计中都很有用。