Rotational malalignment and femoral torsion in osteoarthritic knees with patellofemoral joint involvement. A CT scan study.
Rotational malalignment and femoral torsion in osteoarthritic knees with patellofemoral joint involvement. A CT scan study.
复制标题
涉及髌股关节的骨关节炎膝关节旋转不对中和股骨扭转。
DOI：
10.1097/00003086-199407000-00027
复制
发表时间：
1994
影响因子：
4.2
通讯作者：
M. Moussa
中科院分区：
文献类型：
--
作者：
M. Moussa
术前对 25 名髌股关节受累患者的 45 个骨关节炎膝关节进行了计算机轴向断层扫描（CT 扫描）检查，以测量股骨扭转、膝关节旋转和胫骨扭转。受影响的下肢的旋转对准被确定为股骨颈轴线和跨踝轴线之间的角度。结果与 23 个无症状膝盖的对照组进行了比较。关节炎膝关节的股骨扭转明显低于对照组（p < 0.05）。确定了涉及关节炎膝盖下肢旋转对准的三个组成部分的代偿机制。使用逐步方法的多元回归分析表明，股骨扭转是该机制中第一个显着的预测因子。股骨扭转和关节炎膝关节之间的这种关系以前没有报道过。
Forty-five osteoarthritic knees in 25 patients with patellofemoral joint involvement were examined preoperatively by computed axial tomography (CT scan) for measurement of femoral torsion, rotation of the knee, and tibial torsion. Rotational alignment of the affected lower extremities was determined as the angle between the femoral neck axis and the transmalleolar axis. The results were compared with a control group of 23 asymptomatic knees. Femoral torsion was significantly lower in the arthritic knees than in the control group (p < 0.05). A compensatory mechanism involving the three components of rotational alignment of the lower extremities in the arthritic knees was identified. Multiple regression analyses using a stepwise method showed that femoral torsion was the first significant predictor in this mechanism. This relationship between femoral torsion and the arthritic knee has not been previously reported.