Onat Şule Şahin, Malas Fevziye Ünsal, Öztürk Gökhan Tuna, Ekiz Timur, Akkaya Nuray, Özbudak Demir Sibel, Kara Murat
Ankara Physical Medicine and Rehabilitation, Training and Research Hospital, Ankara, Turkey.
Department of Physical Medicine and Rehabilitation, Pamukkale University Medical School, Denizli, Turkey.
J Back Musculoskelet Rehabil. 2016 Nov 21;29(4):841-844. doi: 10.3233/BMR-160697.
To compare the distal femoral cartilage thickness of the non-amputee sides in patients who had unilateral transfemoral amputation with those of healthy subjects by using ultrasound.
Thirty transfemoral amputees (27 male, 3 female) and 30 age-, sex-, and body mass index-matched healthy controls were included. Functional usage of the prosthesis was evaluated by using Houghton score. The cartilage thickness was measured from the following midpoints; medial femoral condyle (MFC), intercondylar area, and lateral femoral condyle.
Thirty patients with unilateral transfemoral amputation (mean age; 38.6 ± 9.5 years) and 30 healthy controls (mean age; 38.4 ± 9.4 years) were included. Although femoral cartilage thicknesses were found to be lower for all measurements in the amputees, the difference reached significance only in the MFC (p= 0.031). In the patient group, cartilage thickness values did not correlate with age, duration of amputation, daily walking time, stump length or Houghton score.
The distal femoral cartilage thickness seems to be decreased medially on the non-amputee sides of the transfemoral amputees when compared with the healthy subjects. Further studies concerning the follow-up designs, functional parameters and osteoarthritis scales are awaited.
通过超声比较单侧经股骨截肢患者非截肢侧股骨远端软骨厚度与健康受试者的股骨远端软骨厚度。
纳入30例经股骨截肢者（27例男性，3例女性）和30例年龄、性别及体重指数匹配的健康对照者。使用霍顿评分评估假体的功能使用情况。从以下中点测量软骨厚度：股骨内侧髁（MFC）、髁间区和股骨外侧髁。
纳入30例单侧经股骨截肢患者（平均年龄；38.6±9.5岁）和30例健康对照者（平均年龄；38.4±9.4岁）。虽然截肢者所有测量部位的股骨软骨厚度均较低，但仅在MFC处差异有统计学意义（p=0.031）。在患者组中，软骨厚度值与年龄、截肢持续时间、每日步行时间、残肢长度或霍顿评分均无相关性。
与健康受试者相比，经股骨截肢者非截肢侧股骨远端软骨厚度似乎在内侧降低。有待进一步开展关于随访设计、功能参数和骨关节炎量表的研究。
