国人正常膝关节三维几何形态测量及相关研究.PDFVIP

中国矫形外科杂志 　2004 年 4 月第 12 卷第 8 期 　Orthop J Chin ,Vol. 12 ,No. 8 April 2004 6·17 · ·基础研究· 国人正常膝关节三维几何形态测量及相关研究△ 王 　岩 　周飞虎 　周勇刚 　崔 　建 摘 　要 　目的 :利用计算机辅助设计技术建立国人正常膝关节三维模型并行骨形态测量研究 ,得到国人膝关节相关 指标正常参考值 ,探讨此方法对假体设计的指导意义。方法 :对 120 例 240 个正常成人膝关节 CT 扫描输出的原始数据进 行三维重建 ,测量相关参数。结果 :股骨内、外侧髁宽度与胫骨内、外侧平台宽度相近 ;股骨髁宽相对于胫骨平台宽比值 在 1. 01～1. 08 之间 ,相对于股骨髁前后径比值在 1. 12～1. 23 之间 ;股骨髁宽与胫骨平台宽呈正相关。股骨后髁内、外侧 关节面呈半径相等的圆形结构 ,股骨髁上轴线在膝关节屈曲时可以近似为屈曲固定轴。结论 :建立了国人正常膝关节相 关参数指标正常参考值 ;计算机辅助设计技术为膝关节复杂表面几何大体形态学研究提供一种良好的手段。 关键词 　膝关节 ; 　测量 ; 　三维重建 ; 　计算机辅助设计 ( ) 中图分类号 　R68 　　　文献标识码 　A 　　　文章编号 　1005 - 8478 2004 08 - 0617 - 03 Measurement and related research of the threedimension morphology of the healthy Chinese knee ∥WANG Yan , ZHOU Feihu , ZHOU Yonggang , et al . Department of Orthopedics , Chinese PLA General Hospital , Beijing 100853 Abstract 　Objective : To find the threedimensional (3 - D) solid model and the parameter database of the healthy Chinese knee by ( ) using computeraided design CAD software and explore its correlation with prosthesis design of the knee joint. Method : The CT imaging data of 120 normal adult volunteers knees were obtained. Through CAD software , the 3 - D solid model were reconstructed and mea sured. Result : The widths of medial and lateral femoral condyles were similar with those of medial and lateral tibial platforms. The width of femoral condyle was 1. 01～1. 08 times of that of tibial platform ,whereas it was 1. 12～1. 23 times of sagittal length of femoral condyle. There was positive correlation between the width of femoral condyle and the width of tibial platform. The me