膝关节病变患者手术后步态研究
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GAIT ANALYSIS AFTER RECONSTRUCTIVE KNEE SURGERY
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    摘要:

    本研究之目的在于利用动态分析系统对下肢关节病变的病人,进行步态分析,以其分析之结果供临床评估及治疗之参考。实验之对象为6例前十字韧带手术后的病人,以及4例曾做人工膝关节置换(Porus—CoatedKneeArthroplasty及TotalCondylarKneeArthroplasty)的病人。实验方法先将动态分析用的摄影机,配合测力板及足底接触器,同步收集每位病人所得之数据,透过IBMPC的程式,计算出膝关节角度参数、地面反作用力参数、压力中心分布情况等。然后,将这些数据加以研判及评估。实验结果发现:(1)经过前十字韧带手术后的病人,其膝关节在单脚站立初期时,不象正常人一样地产生双锁现象(DoubleLock),但随着步行数的增加或使用人工韧带时期的增长,其双锁现象会稍有改善。(2)接受前十字韧带重建、的病人与人工膝关节置换的病人之间,甚至同一病人的重建关节与正常关节之间,其动态分析结果连同地面反作用力并无明显的差别。

    Abstract:

    The purpose of this study is to analyse the gait of patients with knee joint disorder, by using the motion analysis system, in order to provide some references for clinical and therapeutic evaluation.Ten patients had been tested: six of them received anterior crucial ligament (ACL) reconstruction. and four received total knee arthroplasty. With cameras of the motion analysis system,the force plate, and the foot switch, raw experimental data were recorded simultaneously from each patient.Fourier analysis, knee angle parameters,ground reaction force parameters,and pressure distribution were then computed with the support of IBM software. The experimental results showed that(1)during the early post-operative poriod,knee joints of the patients receiving ACL reconstruction, unlike other normal subjects, did not have double locking' phenomenon in their single limb stance;(2) after rehabilitation,the ground reaction forces and the motion analysis did not show any significant difference between patients with ACL reconstruction and patients with total knee arthroplasty.

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周伯禧,吴浚哲,周有礼,商华洲.膝关节病变患者手术后步态研究[J].医用生物力学,1995,10(3):130-137

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