国人鞋子尺寸与初次全膝关节置换术假体大小的关联研究

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (468 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的通过分析接受初次全膝关节置换术的患者，验证国人鞋子尺寸及膝关节假体大小的相关性及临床意义。方法对2018年12月至2021年10月安徽医科大学第一附属医院接受初次全膝关节置换的中国患者121例(132膝)进行单中心回顾性队列研究，男性34例(40膝)，女性87例(92膝)；年龄47~83岁，平均(66.03±7.49)岁；身高142~180 cm，平均(161.50±7.68)cm；体重46~95 kg，平均(66.64±10.16)kg；身体质量指数(body mass index，BMI)19.15~33.32 kg/m²，平均(25.55±3.38)kg/m²。将患者的年龄、性别、身高、体重、假体厂家、胫骨假体型号、股骨假体型号采集记录，3种厂家的假体纳入研究。电话询问患者鞋子尺码并记录，对采集的数据进行Spearman’s秩相关性分析。结果 Spearman’s秩相关性分析结果为鞋子尺码与胫骨假体前后径(anterior posterior，AP)(r＝0.608，P＜0.05)，鞋子尺码与胫骨假体内外侧径(medial later，ML)(r＝0.631，P＜0.05)，鞋子尺码与股骨假体AP(r＝0.739，P＜0.05)，鞋子尺码与股骨假体ML(r＝0.712，P＜0.05)，差异均具有统计学意义，均为强正相关。身高与胫骨假体AP(r＝0.407，P＜0.05)，身高与胫骨假体ML(r＝0.446，P＜0.05)，身高与股骨假体AP(r＝0.536，P＜0.05)，身高与股骨假体ML(r＝0.565，P＜0.05)，差异均具有统计学意义，均为中等正相关。结论国人鞋子尺码大小与初次全膝关节置换术假体大小存在正相关，此相关性可以提高骨科医生在术前规划中预估假体大小的准确性，经济有效。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	蒋玮
	申才良 *
	杨昆
	胡孔足
	桂斌捷
	孙和炎
	张利锋
	李岩

关键词 ：全膝关节置换术, 鞋子尺寸, 假体大小, 术前规划

Abstract：Objective To verify the correlation and clinic significance of shoe size of Chinese and total knee arthroplasty(TKA) component size through analyzing patients undergoing primary TKA.Methods A single center retrospective cohort study was conducted on 121(132 knees) Chinese patients undergoing primary TKA from December 2018 to October 2021，including 34(40 knees) male patients and 87(92 knees) female patients.The range of age was 47 to 83 years，and the mean age was (66.03±7.49)years.The range of height was 142~180 cm，and the mean height was (161.50±7.68)cm.The range of weight was 46~95 kg，and the mean weight was (66.64±10.16)kg.The range of body mass index(BMI) was 19.15~33.32 kg/m²，and the mean BMI was (25.55±3.38)kg/m².All data of patients including age，gender，height，weight，manufacturers of components，and size of tibial components and femoral components were collected and recorded，and three manufacturers were included in the study.Size of patient shoes was recorded by telephone interview.The spearman’s rank correlation was utilized to analyze the collected data.Results The statistically significant and good positive correlation outcomes of the spearman’s rank correlation analysis were verified as follows：shoe size and tibial component anterior posterior(AP) diameter(r＝0.608，P＜0.05)；shoe size and tibial component medial lateral (ML) diameter (r＝0.631，P＜0.05)；shoe size and femoral component AP diameter (r＝0.739，P＜0.05)；shoe size and femoral component ML diameter (r＝0.712，P＜0.05).The statistically significant and moderate positive correlation outcomes were verified as follows：height size and tibial component AP diameter(r=0.407，P＜0.05)；height size and tibial component ML diameter(r＝0.446，P＜0.05)；height size and femoral component AP diameter(r＝0.536，P＜0.05)；height size and femoral component ML diameter(r＝0.565，P＜0.05).Conclusion There exists positive correlation of shoe size of Chinese and primary TKA component size.The correlation can improve the accuracy of estimating size of the prothesis in the preoperative planning for orthopedists，which is cost-effective.

Key words： total knee arthroplasty shoe size component size preoperative plan

通讯作者: 申才良

作者简介: 蒋玮(1988－ )，男，主治医师，安徽医科大学第一附属医院骨科，WeiChiang88@163.com。

引用本文:

蒋玮，申才良 *，杨昆，胡孔足，桂斌捷，孙和炎，张利锋，李岩. 国人鞋子尺寸与初次全膝关节置换术假体大小的关联研究[J]. 实用骨科杂志, 2022, 28(6): 498-502.
Jiang Wei，Shen Cailiang *，Yang Kun，Hu Kongzu，Gui Binjie，Sun Heyan，Zhang Lifeng，Li Yan. The Study of Correlation of Shoe Size of Chinese and Component Size of Primary Total Knee Arthroplasty. sygkzz, 2022, 28(6): 498-502.

链接本文:

http://www.sygkzz.com/CN/ 或 http://www.sygkzz.com/CN/Y2022/V28/I6/498

［1］Insall JN，Binazzi R，Soudry M，et al.Total knee arthroplasty［J］.Clin Orthop Relat Res，1985(192)：13-22.
［2］Hitt K，Shurman JR 2nd，Greene K，et al.Anthropometric measurements of the human knee：Correlation to the sizing of current knee arthroplasty systems［J］.J Bone Joint Surg (Am)，2003，85-A (Suppl 4)：115-122.
［3］Miller AG，Purtill JJ.Accuracy of digital templating in total knee arthroplasty［J］.Am J Orthop (Belle Mead NJ)，2012，41(11)：510-512.
［4］Tanzer M，Makhdom AM.Preoperative planning in primary total knee arthroplasty［J］.J Am Acad Orthop Surg，2016，24(4)：220-230.
［5］Tibesku CO.The problem of under-or oversizing of total knee replacement.The unhappy total knee replacement［M］.Springer Cham，2015：175-184.
［6］Lotke PA，Ecker ML.Influence of positioning of prosthesis in total knee replacement［J］.J Bone Joint Surg(Am)，1977，59(1)：77-79.
［7］Campanelli V，Lozano R，Akhlaghpour H，et al.Implant placement accuracy in total knee arthroplasty：Validation of a CT-based measurement technique［J］.Quant Imaging Med Surg，2020，10(2)：475-484.
［8］Tandogan RN，Kort NP，Ercin E，et al.Computer-assisted surgery and patient-specific instrumentation improve the accuracy of tibial baseplate rotation in total knee arthroplasty compared to conventional instrumentation：A systematic review and meta-analysis［J］.Knee Surg Sports Traumatol Arthrosc.2021(1)：6495.
［9］Oshima Y，Iizawa N，Kataoka T，et al.A computed-tomography-scan-based template to place the femoral component in accurate rotation with respect to the surgical epicondylar axis in total knee arthroplasty［J］.Knee，2018，25(1)：195-202.
［10］Gothesen O，Espehaug B，Havelin LI，et al.Functional outcome and alignment in computer-assisted and conventionally operated total knee replacements：A multicentre parallelgroup randomised controlled trial［J］.Bone Joint J，2014，96-B(5)：609-618.
［11］Mason JB，Fehring TK，Estok R，et al.Meta-analysis of alignment outcomes in computer-assisted total knee arthroplasty surgery［J］.J Arthroplasty，2007，22(8)：1097-1106.
［12］Novak EJ，Silverstein MD，Bozic KJ.The cost-effectiveness of computer-assisted navigation in total knee arthroplasty［J］.J Bone Joint Surg(Am)，2007，89(11)：2389-2397.
［13］Sawalha S，Pasapula C，Coleman N.An alternative method for predicting size of femoral component of Oxford partial knee replacement［J］.Surgeon，2012，10(5)：257-259.
［14］Rehman H，MacDonald DRW，Smith M，et al.A novel technique for estimating component sizes in total knee arthroplasty［J］.Int J Surg，2018(52)：7-10.
［15］Altman D.Practical statistics for Medical Research［M］.London：Chapman and Hall，1991：624.
［16］Specht LM，Levitz S，Iorio R，et al.A comparison of acetate and digital templating for total knee arthroplasty［J］.Clin Orthop Relat Res，2007(464)：179-183.
［17］Jamali AA.Digital templating and preoperative deformity analysis with standard imaging software［J］.Clin Orthop Relat Res，2009(467)：2695-2704.
［18］Hernandez-Vaquero D，Abat F，Sarasquete J，et al.Reliability of preoperative measurement with standardized templating in total knee arthroplasty［J］.World J Orthop，2013，4(4)：287-290.
［19］Kniesel B，Konstantinidis L，Hirschmüller A，et al.Digital templating in total knee and hip replacement：an analysis of planning accuracy［J］.Int Orthop，2014，38(4)：733-739.
［20］Cucchi D，Menon A，Compagnoni R，et al.Significant differences between manufacturer and surgeon in the accuracy of final component size prediction with CT-based patientspecific instrumentation for total knee arthroplasty［J］.Knee Surg Sports Traumatol Arthrosc，2018，26(11)：3317-3324.
［21］Seaver T，McAlpine K，Garcia E，et al.Algorithm based automatic templating is less accurate than manual digital templating in total knee arthroplasty［J］.J Orthop Res，2020，38(7)：1472-1476.
［22］Howcroft DWJ，Fehily MJ，Peck C，et al.The role of preoperative templating in total knee arthroplasty：Comparison of three prostheses［J］.Knee，2006，13(6)：427-429.
［23］Gaizo DD，Soileau ES，Lachiewicz PF.Value of preoperative templating for primary total knee arthroplasty［J］.J Knee Surg，2009，22(4)：284-293.
［24］Trickett RW，Hodgson P，Forster MC，et al.The reliability and accuracy of digital templating in total knee replacement［J］.J Bone Joint Surg (Br)，2009，91(7)：903-906.
［25］Blevins JL，Rao V，Chiu YF，et al.Predicting implant size in total knee arthroplasty using demographic variables［J］.Bone Joint J，2020，102B(6 Supple A)：85-90.
［26］Wallace SJ，Murphy MP，Schiffman CJ，et al.Demographic data is more predictive of component size than digital radiographic templating in total knee arthroplasty［J］.Knee Surg Relat Res，2020，32(1)：63.
［27］Ettinger M，Claassen L，Paes P，et al.2D versus 3D templating in total knee arthroplasty［J］.Knee，2016，23(1)：149-151.
［28］Daniel HV，Alfonso NF，Sergio RG，et al.Agreement in component size between preoperative measurement，navigation and final implant in total knee replacement［J］.J Orthop Translat，2018(18)：84-91.
［29］Pietrzak JRT，Rowan FE，Kayani B，et al.Preoperative CT-based three-dimensional templating in robotassisted total knee arthroplasty more accurately predicts implant sizes than twodimensional templating［J］.J Knee Surg，2019，32(7)：642-648.
［30］Vicente JLM，Alonso JLA，Mirian LL.Planning on CT-based 3D virtual models can accurately predict the component size for total knee arthroplasty［J］.J Knee Surg，2020，33(11)：1128-1131.