胫骨假体旋转对线技术对髌股关节生物力学影响的实验研究_储小兵.pdfVIP

　2005 12 13 23　O rthop J Chin, Vol.13, No.23　Decem er　2005 1795 储小兵　吴海山　徐长明　祝云利　王新宇　陶　坤 　:[] , , 。 [] 9, , Instron 8501, 。 LPS , , 、 1 /3 ( ) (ROM ) 2, 30 °、 60 °、 90 °、 120 °, 、 , FPD- 305E、 FPD-306E。 [] ROM 、 (P 0.10)。 [] , ROM 。, ROM 。 :;　;　;　;　 B iomechanical effect of axial rotationalalignment technique of tibial component on patellofemoral in total knee a-r throplasty∥CHUX iao-bing, WU Ha-i shan, XU Chang-m ing, eta .l Departmen t of Orthopaedics, Changzheng Aff ilia ted Ho-s nd pita l of the 2 M ilitary Universiyt, hangha i 200003 Abstrac:t [Objective] To study the iom echanical effect of wt o d ifferent rotational alignm ent techniques of the ti ial com- ponent on patello-fem oral in total knee arth roplasty dem onstrated on autopsy specmi ens. [Method] N ine fresh frozen autopsy knee specimensw ithou t gross deform ities or insta ilitiesw erem ounted on a patello-fem oral joint testing jig connecting to aM odel 8501 Instron m ach ine (Instron Corporation, C an ton, MA ) and smi ulated the action of squatting from the standing oppos-i tion.Standard TKA w as perform ed in each specmi en y the same senior su rgeon y using the LPS total knee system s (Z mi m er Corporation).A lter rotational alignm ent of the ti ial com ponen tw as referred on the media-lm idd le 1 /3 part of the ti ial tu erosity and on the rotational alignm en t of the fem oral component which w as determ ined y the transepicondylar axis separately.The io- m echanics of the patello-femoral join tswas studied when the knee flexion pressure of 30, 60, 90, 120 w ere m easured respe-c tively y u sing Fuji pressu re sensitive film .The digital values w ere o tained y the handheld pressure measurem ent system s (FPD-305E, FPD-306E) and spe