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通过立体X线片对髋关节骨水泥型髓内柄假体和ICLH假体进行定位诊断(作者译)

[Diagnosis for the localization of cemented intramedullar stem prostheses and ICLH-prostheses of the hip by means of stereo X-ray prints (author's transl)].

作者信息

Probst K J, Herp A, Leidel W

出版信息

Arch Orthop Trauma Surg (1978). 1978 Aug 11;92(1):75-81. doi: 10.1007/BF00381644.

Abstract

It is known that the loosening of artificial hip joints leads to their shift relative to the carrying bone structure. For a quantitative radiological detection of even minimal dislocations fix-points both in the carrying bone structure as well as in the prostheses have to be defined. While for the stem prostheses and cups such points can be defined directly from their geometrical structure, they have to be generated artificially for the carrying bone structure by implanted metal pins, which can easily be detected in the X-ray print. Having defined in this way a complete and appropriate set of fix-points, the position of the prosthesis relative to the bone structure is uniquely defined by the distance vectors between the different fix-points. The main biometrical steps of such a concept as well as their computational formulation and realization are derived; the main advantages and the accuracy of the technique are elucidated and critically discussed.

摘要

众所周知,人工髋关节的松动会导致其相对于承载骨结构发生移位。为了对哪怕是极其微小的脱位进行定量放射学检测,必须在承载骨结构以及假体中定义固定点。对于柄状假体和髋臼杯,这样的点可以直接从其几何结构中定义,但对于承载骨结构,则必须通过植入金属针来人工生成这些点,而金属针在X光片中很容易被检测到。通过这种方式定义了一套完整且合适的固定点后,假体相对于骨结构的位置就由不同固定点之间的距离向量唯一确定。推导了这一概念的主要生物测量步骤及其计算公式和实现方法;阐明并批判性地讨论了该技术的主要优点和准确性。

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