半月板损伤的治疗策略.pptVIP

* 半月板损伤的治疗策略 半月板解剖 半月板的血运解剖 半月板的血运解剖 半 月 板 功 能 传递负重 吸震 关节稳定 润滑及营养关节 本体感觉 Load Transmission 传输重力 converts axial loads to circumferential stress 把轴向重力转换成环向力量 knee joint reaction force 2 – 5 times body weight during ADL (activities of daily living) up to 24 times body weight during high impact activities 日常生活中膝关节承受着2-5倍的体重反作用力而激烈运动时这个重量高达24倍体重 50% of compressive load transmitted in extension, 85% at 90°flexion 膝关节伸展时传输50%的压力而屈曲90度时传输80%的压力 total meniscectomy decreases tibial-femoral contact area by 75% resulting in a 235% increase in peak loads 半月板全切后胫骨和股骨接触面积减少75%导致峰值重力增加235