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不同手术方法对髌股关节伸肌机制的生物力学影响。

Biomechanical effects of different surgical procedures on the extensor mechanism of the patellofemoral joint.

作者信息

Molina A, Ballester J, Martin C, Muñoz I, Vazquez J, Torres J

机构信息

Department of Orthopaedics, Hospital del Mar, Barcelona, Spain.

出版信息

Clin Orthop Relat Res. 1995 Nov(320):168-75.

PMID:7586823
Abstract

Loadbearing stresses in the patellofemoral joint were studied at different degrees of flexion before and after various surgical techniques recommended to treat knee disorders. Surgical procedures intended to reduce the intensity of stress were analyzed experimentally. The study was done using different experimental methods on whole knee specimens from fresh human cadavers that were not treated with formaldehyde. The results indicate that the most predictable procedure for increasing surface area and decreasing patellar stress is a combined procedure of anterior displacement of the anterior tibial tubercle by 1 cm while displacing it 0.5 to 1 cm medially.

摘要

在推荐用于治疗膝关节疾病的各种手术技术前后,研究了不同屈曲程度下髌股关节的承重应力。对旨在降低应力强度的手术程序进行了实验分析。该研究采用不同的实验方法,对未经甲醛处理的新鲜人类尸体的全膝关节标本进行。结果表明,增加表面积和降低髌股应力最可预测的手术是将胫骨结节向前移位1厘米并向内移位0.5至1厘米的联合手术。

相似文献

1
Biomechanical effects of different surgical procedures on the extensor mechanism of the patellofemoral joint.不同手术方法对髌股关节伸肌机制的生物力学影响。
Clin Orthop Relat Res. 1995 Nov(320):168-75.
2
[Anterior displacement of the tibial tuberosity. An experimental biomechanical study of its effects on the femoro-patellar joint].[胫骨结节前移。其对髌股关节影响的实验性生物力学研究]
Chirurgie. 1991;117(9):737-44.
3
The effect of tibiofemoral joint kinematics on patellofemoral contact pressures under simulated muscle loads.在模拟肌肉负荷下胫股关节运动学对髌股关节接触压力的影响。
J Orthop Res. 2004 Jul;22(4):801-6. doi: 10.1016/j.orthres.2003.11.011.
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Quantitative measurement of patellofemoral joint stability: force-displacement behavior of the human patella in vitro.髌股关节稳定性的定量测量:人体髌骨在体外的力-位移行为
J Orthop Res. 2003 Sep;21(5):780-6. doi: 10.1016/S0736-0266(03)00061-5.
5
Effect of patellar tendon shortening on tracking of the patella.髌腱缩短对髌骨轨迹的影响。
Am J Sports Med. 2005 Oct;33(10):1565-74. doi: 10.1177/0363546505275346. Epub 2005 Jul 11.
6
Displacements of the tibial tuberosity. Effects of the surgical parameters.胫骨结节移位。手术参数的影响。
Clin Orthop Relat Res. 1997 Oct(343):224-34.
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Effect of tibial tubercle elevation on biomechanics of the entire knee joint under muscle loads.胫骨结节抬高对肌肉负荷下全膝关节生物力学的影响。
Clin Biomech (Bristol). 2007 Mar;22(3):344-51. doi: 10.1016/j.clinbiomech.2006.11.003. Epub 2006 Dec 21.
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Patellar surface strain.髌面应变
J Orthop Res. 1986;4(3):372-7. doi: 10.1002/jor.1100040314.
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Force analysis of the patellar mechanism.髌股关节力学分析。
J Orthop Res. 1987;5(1):69-85. doi: 10.1002/jor.1100050110.
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Reducing the lateral force acting on the patella does not consistently decrease patellofemoral pressures.减少作用于髌骨的侧向力并不能持续降低髌股压力。
Am J Sports Med. 2004 Jul-Aug;32(5):1202-8. doi: 10.1177/0363546503262167. Epub 2004 May 18.

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