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全膝关节置换术的尺寸选择:鞋码比身高更能预测植入物尺寸。

Total Knee Replacement Sizing: Shoe Size Is a Better Predictor for Implant Size than Body Height.

作者信息

Trainor Sarah, Collins Jamie, Mulvey Hannah, Fitz Wolfgang

机构信息

Brigham and Women's Hospital Boston, MA, USA.

出版信息

Arch Bone Jt Surg. 2018 Mar;6(2):100-104.

PMID:29600261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5867352/
Abstract

BACKGROUND

Various sizes of implants need to be available during surgery. The purpose of this paper is to compare body height and shoe size with implant sizes in patients who underwent total knee replacement surgery to see which biomarker is a better predictor for preoperative planning to determine implant size.

METHODS

A total of 100 knees, belonging to 50 females and 50 males, were observed. Participants' body height and shoe size were collected and correlated to implant sizes of a current, frequently used, standard total knee replacement (TKR) implant. The femoral anteroposterior and mediolateral width and the tibial anteroposterior and mediolateral width were correlated with height and shoe size.

RESULTS

The correlation between shoe size and the four knee implant dimensions, femoral AP, ML, and tibial AP and ML were higher than the correlations between height and the same four dimensions.

CONCLUSION

The results indicated that shoe size is a better predictor of component dimensions than is body height. III.

摘要

背景

手术过程中需要准备各种尺寸的植入物。本文旨在比较接受全膝关节置换手术患者的身高和鞋码与植入物尺寸,以确定哪种生物标志物更适合用于术前规划植入物尺寸。

方法

共观察了100个膝关节,其中50例女性和50例男性。收集参与者的身高和鞋码,并将其与当前常用的标准全膝关节置换(TKR)植入物的尺寸进行关联。测量股骨前后径和内外侧宽度以及胫骨前后径和内外侧宽度,并与身高和鞋码进行相关性分析。

结果

鞋码与四个膝关节植入物尺寸(股骨前后径、内外侧径以及胫骨前后径、内外侧径)之间的相关性高于身高与相同四个尺寸之间的相关性。

结论

结果表明,鞋码比身高更能准确预测植入物尺寸。

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本文引用的文献

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Reliability of preoperative measurement with standardized templating in Total Knee Arthroplasty.全膝关节置换术中标准化模板术前测量的可靠性
World J Orthop. 2013 Oct 18;4(4):287-90. doi: 10.5312/wjo.v4.i4.287. eCollection 2013.
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Accuracy of digital templating in total knee arthroplasty.全膝关节置换术中数字模板的准确性。
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SPSS and SAS programs for comparing Pearson correlations and OLS regression coefficients.SPSS 和 SAS 程序可用于比较 Pearson 相关系数和 OLS 回归系数。
Behav Res Methods. 2013 Sep;45(3):880-95. doi: 10.3758/s13428-012-0289-7.
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An alternative method for predicting size of femoral component of Oxford partial knee replacement.预测 Oxford 部分膝关节置换股骨部件大小的另一种方法。
Surgeon. 2012 Oct;10(5):257-9. doi: 10.1016/j.surge.2011.05.002. Epub 2011 Jul 16.
5
Total knee arthroplasty component templating: a predictive model.全膝关节置换假体模板:预测模型。
J Arthroplasty. 2012 Oct;27(9):1707-9. doi: 10.1016/j.arth.2012.03.055. Epub 2012 May 23.
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Digital templating in primary total hip and knee arthroplasty.初次全髋关节和膝关节置换术中的数字模板技术
Orthopedics. 2010 Nov 2;33(11):797. doi: 10.3928/01477447-20100924-04.
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Overhang of the femoral component in total knee arthroplasty: risk factors and clinical consequences.全膝关节置换术中股骨部件的悬垂:危险因素和临床后果。
J Bone Joint Surg Am. 2010 May;92(5):1115-21. doi: 10.2106/JBJS.H.00434.
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