术前股骨远端CT三维重建确定股骨髓内定位杆进入点在TKA中的应用

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1、-上海交通大学医学院硕士论文ABSTRACTApplicationofPre-operation3D-CT-scantolocatethefemurmarrowrodinsertionpointintheTotalKneeArthroplastyObjective：Todiscussthevalueoftakingadvantageofpre-operation3D-CT-scanofthekneetomeasureandlocatethefemurmarrowrodinsertionpointinthetotalkne

2、earthroplastywhichhelpplacethefemurmarrownavigationrodmuchmoreaccuratefortheTKAthroughfollowupwiththekneeratingsystemandX-rayexaminationoftheTKApatients.Methods：Doanalyzeanddiscussaboutthe18cases20kneeswithposteriorcruciateligamentunreservedstabletotalkneearthrop

3、lastyinourteambetweenMarch2006andJanuary2009.Inthesecases,therewere10casesabout10kneestakenthe3D-CT-scantolocatethefemurmarrowrodinsertionbeforetheoperationwhentheothercaseswerenottakenthe3D-CT-scan.AllthecaseswerefollowedupthroughdoingthekneeratingsystemandX-ray

4、measurementatthreemonthsandoneyearafterthesurgery.Then,doingthestatisticalcomparisonbetweenthecases--3-----上海交通大学医学院硕士论文withorwithout3D-CT-scanbeforetheoperation.Results：Thereisstatisticaldifferenceintheoverallfunctionbutnostatisticaldifferenceinthekneefunctionby

5、thekneeratingsystembetweengroupdoingpre-operation3D-CT-scanandgroupnone3D-CT-scanatthreemonthsfollowupaftertheTKA.Thereisstatisticaldifferenceinboththeoverallfunctionandthekneefunctionbythekneeratingsystembetweengroupdoingpre-operation3D-CT-scanandgroupnone3D-CT-

6、scanatoneyearfollowupaftertheTKA.Thereisnostatisticaldifferencebetweengroupdoingpre-operation3D-CT-scanandgroupnone3D-CT-scanbyX-raymeasurementaftertheTKA.Conclusion：Itwillbemuchmoreeffectivetoinsertthefemurmarrownavigationrodandmuchmoreaccuratetoprocessthedistal

7、femurosteotomyandplacethekneeprosthesisthroughthe3D-CT-scantomeasureandlocatethefemurmarrowrodinsertingbeforethetotalkneearthroplasty.Itwillalsohelpthepatientstorecovertheforcelineandthefunctionoftheknee.Keywords：3D-CTscan,femurmarrowrod,TKA,thekneeratingsystem,X

8、-raymeasurement--4-----上海交通大学医学院硕士论文上海交通大学学位论文原创性声明本人郑重声明：所呈交的学位论文，是本人在导师的指导下，独立进行研究工作所取得的成果。除文中已经注明引用的内容外，本论文不包含任何其他个人或集体已经发表或撰写过的作品成果。对本文的研究做出重要贡献的个人和集体，均已在文