正常髋关节股骨偏心距的影像学研究

1、会计学1正常髋关节股骨偏心距的影像学研究正常髋关节股骨偏心距的影像学研究23髋关节的生物力学模型 4McGrory 11995加大FO可增加外展肌力、加大外展范围1Charles.JBJS,2004,86A (5):107810882McGrory . J BJS,1995,77B (6):865869 Charles22004总结了重建FO在THA软组织平衡中的重要性56FO的临床意义不清楚股骨形态的变化、股骨假体选择与FO重建的关系789101112股骨参数平均值标准差最大值最小值AGEDNSA()FOT+20T0T-20IDCFIALABWLA47.6344.86129.5236.644

2、1.7425.1518.6210.413.9151.2990.6415.963.514.625.314.793.023.442.110.555.484.9084.0056.80141.0047.6154.6931.7225.7613.845. 8563. 94104.4618.0032.81116.0022.1630.9419.5812.857.212.8432.8881. 0013正常国人FO频数分布正常国人FO大小为36.645.31mm，总体均数95CI为35.5937.69 mm14参数男（n=50）女（n=50）AGEDNSA()FOT+20T0T-20IDCFIALABWLA46.

3、1016.6546.82.91274.5638.585.6641.64.924.52.617.63.110.31.53.780.4553.844.8290.434.4449.1615.3143.62.61324.2134.714.1840.15.124.22.119.82.210.42.13.690.5648.744.8990.85.35P0.0515股骨参数总体r值男性r值女性r值 p值DNSAT+20T0T-20IDCFILRCVRCALABWLA0.35-0.460.270.280.240.270.070.17-0.170.730.130.37-0.630.230.260.270.280

4、.280.260.480.650.310.21-0.740.310.270.120.30-0.04-0.39-0.610.680.070.050.050.050.050.050.050.050.050.0516FO与外展肌力臂呈正相关性(r=0.73)FO与颈干角呈负相关性(r=-0.46)17参数本组章纯光薛文东Massin Nobeln100110480200200AGE(yr)NSA()FO(mm)47.6315.96129.524.6236.645.3149.7615.2127.865.9137.145.75129.356.7733.645.4566.911.9123.18.241.0

5、6.279.913.0124.77.4436.8国人之间（P0.05） 与白种人（P0.01） NSA较大；FO较小提倡国人假体18FO与髓腔形态无相关性2025mm范围假体FO的调节机制仅1015mm，假体设计需完善192021谢谢谢谢！22髋关节的生物力学模型 23McGrory 11995加大FO可增加外展肌力、加大外展范围1Charles.JBJS,2004,86A (5):107810882McGrory . J BJS,1995,77B (6):865869 Charles22004总结了重建FO在THA软组织平衡中的重要性24FO的临床意义不清楚股骨形态的变化、股骨假体选择与FO

6、重建的关系2526股骨参数平均值标准差最大值最小值AGEDNSA()FOT+20T0T-20IDCFIALABWLA47.6344.86129.5236.6441.7425.1518.6210.413.9151.2990.6415.963.514.625.314.793.023.442.110.555.484.9084.0056.80141.0047.6154.6931.7225.7613.845. 8563. 94104.4618.0032.81116.0022.1630.9419.5812.857.212.8432.8881. 0027参数男（n=50）女（n=50）AGEDNSA()FOT+20T0T-20IDCFIALABWLA46.1016.6546.82.91274.5638.585.6641.64.924.52.617.63.110.31.53.780.4553.844.82