桡骨近端的三维形态学参数测量及其对假体设计的指导意义

doi:10.13481/j.1671-587x.20200326

Abstract

Abstract: Objective: To measure the morphological parameters of the radial head of the Chinese and compare with those of the Western population, and to provide the references for the design of the radial head prosthesis of the Chinese. Methods: The CT scan data of normal elbow from 130 Chinese cases were selected. All the data were scanned by using a 64-slice spiral CT scanner and reconstructed and measured on AW 4.5 workstations. The angle between neck and shaft (∠α),the proximal radial length of neck and head (LNH), the maximum diameter of radial head (D1MAX), the minimum diameter of radial head (D2MIN), the maximum diameter of articular surface (D3MAX) and the maximum vertical depression depth (DD3),the angle between D3MAX and horizontal plane (∠β3),the minimum diameter of articular surface (D4MIN) and the minimum vertical depression depth (DD4), and the angle between D4MIN and horizontal plane (∠β4) were measured. The measurement results of the male and female were compared and the correlations between different parameters were analyzed. Results: The measured values of ∠α, LNH, D1MAX, D2MIN, D3MAX, DD3, D4MIN and DD4 of the normal male were larger than those of the normal female (P<0.01). There were no significant differences in the measured values of ∠β3 and ∠β4 and the ratios of DD3/D3MAX, D4MIN/D3MAX, ∠β3/∠β4 and D2MIN/D1MAX between the normal male and the normal female (P>0.05). There was a strong positive correlation between ∠α, LNH, D1MAX, D2MIN, D3MAX and D4MIN (P<0.05), and there was also a strong positive correlation between ∠β3 and ∠β4(P<0.05). Conclusion: The morphology of radial head of the normal male Chinese is similar to the female. The morphological parameters of the radial head in the Chinese people are different from those in other countries.

Key words: radius, prosthesis design, arthroplasty, replacemen, morphological feature

CLC Number:

R322.71

WANG Zhe, YANG Wenbo, HAN Qing, LI Yanxuan, RONG Jiarui, CHENG Kailiang, LI Youqiong, ZHU Qingsan. Three-dimensional morphological measurement of proximal radius and its guiding significance for prosthesis design[J].Journal of Jilin University(Medicine Edition), 2020, 46(03): 594-599.

References

[1] 倪进华,郭建祥,杨留柱.人工桡骨头置换术治疗肘关节不稳定的桡骨粉碎性骨折[J]. 临床和实验医学杂志,2014,13(21):1795-1798.
[2] HITT K,SHURMAN J R,GREENE K,et al. Anthropometric measurements of the human knee:correlation to the sizing of current knee arthroplasty systems[J]. Bone Joint Surg Am,2003,85A(Suppl 4):115-122.
[3] LALONE E A,DELUCE S R,SHANNON H,et al. Design of anatomical population-based and patient-specific radial head implants[J]. J Hand Surg Am,2017,42(11):924.e1-924924.
[4] YEUNG C,DELUCE S,WILLING R,et al. Regional variations in cartilage thickness of the radial head:implications for prosthesis design[J]. J Hand Surg Am,2015,40(12):2364-2371.
[5] 周然,余斌,李钰军,等. 桡骨小头三维解剖研究及其对假体设计的影响[J]. 中华创伤骨科杂志,2009,11(5):469-472.
[6] BERRIZBEITIA E L. Sex determination with the head of the radius[J]. J Forensic Sci,1989,34(5):1206-1213.
[7] GUPTA G G,LUCAS G,HAHN D L. Biomechanical and computer analysis of radial head prostheses[J]. J Shoulder Elbow Surg,1997,6(1):37-48.
[8] KAAS L,VAN RIET R P,VROEMEN J P,et al. The epidemiology of radial head fractures[J]. J Shoulder Elbow Surg,2010,19(4):520-523.
[9] 李龙杰,李宏伟,纪振中,等. 桡骨小头假体置换治疗桡骨小头粉碎性骨折的疗效[J]. 中国老年学杂志,2012,32(4):821-822.
[10] 陈佳佳,王黎明,蒋纯志. 桡骨头粉碎性骨折的诊疗进展[J].中华临床医师杂志(电子版),2011,5(24):7319-7322.
[11] MADEY S M, BOTTLANG M, STEYERS C M, et al. Hinged external fixation of the elbow:optimal axis alignment to minimize motion resistance.[J]. J Orthop Trauma,2000,14(1):41-47.
[12] SCHIFFERN A, BETTWIESER S P, PORUCZNIK C A, et al. Proximal radial drift following radial head resection[J]. J Shoulder Elbow Surg, 2011, 20(3):426-433.
[13] 章慧斌,郑慷,沈延东. 人工桡骨小头置换治疗桡骨头骨折[J]. 中国骨与关节损伤杂志,2005,20(8):549-550.
[14] 陈佳佳,王黎明,赵磊,等.假体置换、植入物内固定及切除治疗Mason型桡骨头骨折的比较[J].中国组织工程研究,2012,16(35):6525-6529.
[15] CHEN X, WANG S C, CAO L H, et al. Comparison between radial head replacement and open reduction and internal fixation in clinical treatment of unstable, multi-fragmented radial head fractures[J]. Int Orthop, 2011, 35(7):1071-1076.
[16] GIANNICOLA G, SACCHETTI F M, ANTONIETTI G, et al. Radial head, radiocapitellar and total elbow arthroplasties:a review of recent literature[J]. Injury, 2014, 45(2):428-436.
[17] 周智勇,赵学琴,张树栋,等. 桡骨头假体置换治疗桡骨头骨折简史[J].中华医史杂志,2009,39(6):353-356.
[18] VAN RIET R P,MORREY B F,O'DRISCOLL S W,et al. Associated injuries complicating radial head fractures:a demographic study[J].Clin Orthop Relat Res,2005,441:351-355.
[19] KAAS L, VAN RIET R P, VROEMEN J P, et al. The incidence of associated fractures of the upper limb in fractures of the radial head[J].Strategies Trauma Limb Reconstr,2008,3(2):71-74.
[20] VAN RIET R P, VAN GLABBEEK F, BAUMFELD J A, et al. The effect of the orientation of the noncircular radial head on elbow kinematics[J]. Clin Biomech(Bristol Avon),2004,19(6):595-599.
[21] VAN GLABBEEK F, VAN RIET R P,BAUMFELD J A, et al. Detrimental effects of overstuffing or understuffing with a radial head replacement in the medial collateral-ligament deficient elbow[J]. J Bone Joint Surg Am, 2004, 86(12):2629-2635.
[22] POPOVIC N, DJEKIC J, LEMAIRE R,et al. A comparative study between proximal radial morphology and the floating radial head prosthesis[J]. J Shoulder Elbow Surg,2005,14(4):433-440.
[23] SWIESZKOWSKI W,SKALSKI K, POMIANOWSKI S, et al. The anatomic features of the radial head and their implication for prosthesis design[J]. Clin Biomech(Bristol Avon),2001,16(10):880-887.
[24] 李国海,张欣荣,韩莉,等.X线骨密度及股骨颈几何参数测量在不同海拔地区老年患者股骨结构评价的价值分析[J].中国医学物理学杂志,2020,37(4):520-523.
[25] 董强,解琪琪,赵若辰,等.能谱CT定量参数与骨生物力学的相关性[J].中国医学物理学杂志,2018,35(8):978-982.

Three-dimensional morphological measurement of proximal radius and its guiding significance for prosthesis design

PDF (PC)

Like

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 14

Metrics

Comments

Recommended 0

[1]	LIU Yang, HAN Qing, YIN Weihuang, WU Naichao, ZHANG Aobo, CHEN Bingpeng, WANG Jincheng. Measurement of morphological indexes of talus of Chinese population with three-dimensional CT and its significance [J]. Journal of Jilin University(Medicine Edition), 2020, 46(01): 102-107.
[2]	WU Naichao, HAN Qing, LI Shan, CHEN Bingpeng, ZHANG Aobo, LIU Yang, WANG Jincheng. 3D printing technology-assisted pre-operative design and reconstruction of elbow joint anatomy structure: A case report and literature review [J]. Journal of Jilin University(Medicine Edition), 2019, 45(06): 1422-1426.
[3]	LI Jintang, GAO Hang, HUANG Kaifu, CHEN Qingyang, LI Shuqiang. Bilateral hip replacement for femoral head necrosis after allogeneic hematopoietic stem cell transplantation: A case report and literature review [J]. Journal of Jilin University(Medicine Edition), 2019, 45(05): 1168-1172.
[4]	CHEN Chen, HAN Qing, CHEN Bingpeng, WANG Chenyu, ZHANG Kesong, YANG Kerong, WANG Jincheng. Application of individualized semi-shoulder prosthesis for proximal humerus reconstruction under assistance of 3D printing technology [J]. Journal of Jilin University(Medicine Edition), 2019, 45(03): 614-620.
[5]	WANG Zhijian, LI Yanxu, HAN Qing, SHANG Xiaofeng, WANG Jincheng. Finite element analysis of two different hip prostheses in hip arthroplasty: Comparison of stress concentration and displacement [J]. Journal of Jilin University(Medicine Edition), 2019, 45(02): 347-352.
[6]	ZHANG Dengwei, LIU Peng, WANG Zhaolin, MOU Jianhui, SUN Dong, ZHAO Guangsheng, LIU Xiang, WANG Yipeng. Gaucher's disease with bone destruction as main performance: A case report and literature review [J]. Journal of Jilin University(Medicine Edition), 2019, 45(02): 430-434.
[7]	ZHANG Kesong, XU Xiaolin, HAN Qing, ZOU Yun, CHEN Bingpeng, YANG Kerong, JIANG Hao, WANG Jincheng. Application of orthopedic metal artifact reduction technology in CT examination of arthroplasty [J]. Journal of Jilin University(Medicine Edition), 2019, 45(01): 179-183.
[8]	ZOU Yun, HAN Qing, XU Xiaolin, YANG Yingying, QIN Yanguo, SHAO Zhuang, WANG Jincheng. Application of three-dimensional printing stereolithographic models in precise diagnosis for knee injury and formulation of customized treatment plan [J]. Journal of Jilin University Medicine Edition, 2017, 43(01): 141-146.
[9]	YUAN Sheng, SHAO Shuyan, YANG Guang, ZHANG Ju. A case report of gout arthritis in second metatarsophalangeal joint complicated with congenital brachydactyly [J]. Journal of Jilin University Medicine Edition, 2016, 42(03): 574-576.
[10]	YANG Xu,ZHANG Yu-feng, LIU Xue\|ZHANG　Heng, DENG Yan, GUO Zhao-zhong. Clinical application of single-tooth replacement with \|Ankylos implant system [J]. J4, 2011, 37(4): 738-741.
[11]	SUN Yue-Fang, MO Zhan-Hao, CHENG Kai-Liang, HE Yu-Qian, LAI Ying, JING Rue, LI You-Qiong, CHENG Fu-Bo. Gender differences in curvature radius of distal femur and hypocondyle and their significances [J]. J4, 2010, 36(1): 159-162.
[12]	SU Lue, SUN Ru-Fang, LI Yao-Qiong, XU Ran-Dong, LI Yang, CHENG Kai-Liang, LIU Han, LAI Zhi-Chao, SUN Chen. Geometrimorph of patello-femoral joint and its application in \|design of total knee prosthesis [J]. J4, 2009, 35(3): 534-538.
[13]	ZHAO Peng-cheng, MENG Jing, GUAN Shu-ling, ZHAO Guo-qing. Effect of acute hypervolemic hemodilution combined with nicardipine controlled hypotension on hemodynamics in perioperation period of revision operation of total hip replacement [J]. J4, 2008, 34(3): 503-506.
[14]	DUAN Li-bo,WANG Li-ping,PAN Zhen-xiang. Influence of sufentanial in postoperative patient controlled epidural analgesia in hemorheology after total hip replacement [J]. J4, 2007, 33(4): 747-750.