跳到主要內容

臺灣博碩士論文加值系統

(18.204.48.64) 您好!臺灣時間:2021/08/04 18:18
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

: 
twitterline
研究生:張宇竣
研究生(外文):Yu-Chun Chang
論文名稱:雙極式半人工髖關節體內運動模式之探討
論文名稱(外文):A Study of the Motion of Bipolar Endoprostheses in vivo
指導教授:鄭誠功鄭誠功引用關係蘇榮源高鴻展
指導教授(外文):Cheng-Keng ChengJung-Yuan SuHuang-Chan Kao
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:醫學工程研究所
學門:工程學門
學類:生醫工程學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
中文關鍵詞:雙極式半人工髖關節連續性X光機運動離心復位
外文關鍵詞:bipolar endoprosthesisfluoroscopemotionself-centering
相關次數:
  • 被引用被引用:1
  • 點閱點閱:274
  • 評分評分:
  • 下載下載:28
  • 收藏至我的研究室書目清單書目收藏:0
本研究以連續性X光機同步拍攝透視之方法,分析兩種不同離心距之雙極式半人工髖關節(United及Osteonics)在植入人體後,一年之間內外球頭相對運動與離心復位的情況,以瞭解雙極式半人工髖關節在人體內的運動狀況。參與本研究測試之病患,使用United與Osteonics各有七人與四人,施行半人工髖關節置換之主因為股骨頸骨折,另外則是退化性關節炎。經由受測者運動模式之分析,藉以瞭解不同廠牌、不同動作、術後時間以及運動快慢等變因與內外球頭相對運動的關聯性,並且結合離心復位力矩之計算以探討離心復位機構發生作用之條件。本研究發現,在無荷重下做外展的動作時,運動大多發生在外球頭處,其外球頭活動度約為全部的70~80%。在本實驗之樣本中,運動速率越快,雙極式半人工髖關節內球頭所佔之運動百分比越高。此外,本研究亦發現,離心復位機構在術後短期內之運作良好,在髖關節受力之狀態下,離心復位運動會隨時修正內外球頭之位置。
The study uses fluoroscope and video to record and analyze the motion of bipolar endoprostheses with two different eccentric offsets(United and Osteonics)in vivo. 7 and 4 patients were examined respectively. We studied the short-term results of bipolar endoprosthetic replacement in patients 12 months after surgery. Most of these patients had femoral neck fracture. Several different factors were found to have influence on the relative motions of the outer and inner bearings. Our studies show that non-weight bearing abduction mainly resulted in outer bearing motion, ranging 70-80% of total abduction. Patients with faster movements had relatively higher percentages of inner bearing motion. Simultaneous studies concerning the self-centering mechanism of bipolar endoprosthesis showed that the mechanism was ideal in the short-term after surgery. Under existing hip joint force, self-centering mechanisms will work continuously to re-adjust the relative positions of the outer and inner bearings.
1. Cameron, H. U. & Jung, Y. B. Acetabular revision with a bipolar prosthesis. Clin Orthop, 100-3 (1990).
2. Chang, J. K., Wu, H. S., Hsu, J. C., Yei, S. M. & Lin, S. Y. Reconstruction of the severely deficient acetabulum with the bipolar prosthesis and allo-autograft. Gaoxiong Yi Xue Ke Xue Za Zhi 8, 82-8 (1992).
3. Weightman, B. O., Paul, I. L., Rose, R. M., Simon, S. R. & Radin, E. L. A comparative study of total hip replacement prostheses. J Biomech 6, 299-311 (1973).
4. Bateman, J. E. Single-assembly total hip prosthesis--preliminary report. 1974. Clin Orthop, 3-6 (1990).
5. Giliberty, R. P. A new concept of bipolar endoprostheses. Orthop Rev 3, 40-45 (1974).
6. McConville, O. R., Bowman, A. J., Jr., Kilfoyle, R. M., McConville, J. F. & Mayo, R. A. Bipolar hemiarthroplasty in degenerative arthritis of the hip. 100 consecutive cases. Clin Orthop, 67-74 (1990).
7. Cabanela, M. E. Bipolar versus total hip arthroplasty for avascular necrosis of the femoral head. A comparison. Clin Orthop, 59-62 (1990).
8. Gallinaro, P., Tabasso, G., Negretto, R. & Brach del Prever, E. M. Experience with bipolar prosthesis in femoral neck fractures in the elderly and debilitated. Clin Orthop, 26-30 (1990).
9. Torisu, T., Utsunomiya, K., Maekawa, M. & Ueda, Y. Use of bipolar hip arthroplasty in states of acetabular deficiency. Clin Orthop, 119-25 (1990).
10. Internal Bipolar News. Number 1, Spring (1996)
11. Krein, S. W. & Chao, E. Y. Biomechanics of bipolar hip endoprostheses. J Orthop Res 2, 356-68 (1984).
12. Rao, J. P. & Bronstein, R. Dislocations following arthroplasties of the hip. Incidence, prevention, and treatment. Orthop Rev 20, 261-4 (1991).
13. Messieh, M., Mattingly, D. A., Turner, R. H., Scott, R., Fox, J. & Slater, J. Wear debris from bipolar femoral neck-cup impingement. A cause of femoral stem loosening. J Arthroplasty 9, 89-93 (1994).
14. Nishii, T., Sugano, N., Masuhara, K. & Takaoka, K. Bipolar cup design may lead to osteolysis around the uncemented femoral component. Clin Orthop, 112-20 (1995).
15. Kusaba, A. In vivo wear of bipolar endoprosthesis. Nippon Seikeigeka Gakkai Zasshi 69, 411-25 (1995).
16. Coleman, S. H., Bansal, M., Cornell, C. N. & Sculco, T. P. Failure of bipolar hemiarthroplasty: a retrospective review of 31 consecutive bipolar prostheses converted to total hip arthroplasty. Am J Orthop 30, 313-9 (2001).
17. Wada, M., Imura, S. & Baba, H. Use of osteonics UHR hemiarthroplasty for fractures of the femoral neck. Clin Orthop, 172-81 (1997).
18. Takatori, Y., Ninomiya, S., Nakamura, S., Morimoto, S., Moro, T. & Nagai, I. Long-term results of rotational acetabular osteotomy in young patients with advanced osteoarthrosis of the hip. J Orthop Sci 5, 336-41 (2000).
19. Merlo, L., Augereau, B. & Apoil, A. [Bipolar prosthesis in femoral neck fractures. Results and long-term acetabular tolerance of 36 bipolar arthroplasties]. Rev Chir Orthop Reparatrice Appar Mot 78, 536-43 (1992).
20. Ito, H., Matsuno, T. & Kaneda, K. Bipolar hemiarthroplasty for osteonecrosis of the femoral head. A 7- to 18-year followup. Clin Orthop, 201-11 (2000).
21. Tsai, T. T., Hsu, W. W., Shih, H. N. & Huang, T. J. Failure of the polyethylene linear of a bipolar hip prosthesis resulting in deep defect and impending fracture of the neck of the femoral stem component. Journal of Musculoskeletal Research 6, 131-134 (2002).
22. Tanaka, K., Nakayama, Y., Murashige, R., Ito, H., Yoshihara, K., Obama, K. & Nakase, T. A dislocation of the inner head in bipolar prosthesis with a self-centering system: a case report. J Nippon Med Sch 69, 192-5 (2002).
23. Wetherell, R. G., Unsworth, A. & Amis, A. A. The function of bipolar hip prostheses--a laboratory study using cadaveric acetabula. Proc Inst Mech Eng [H] 206, 37-42 (1992).
24. Lung, C. Y., Chen, T. H., Cheng, C. K., Lee, K. S. & Lo, W. H. An in vitro comparison of the motion behavior of different bipolar endoprostheses. J Arthroplasty 14, 822-6 (1999).
25. Pickard, J., Fisher, J., Ingham, E., Egan, J. & Hallett, J. Investigation into the tribological condition of acetabular tissue after bipolar joint replacement hip surgery. Proc Inst Mech Eng [H] 214, 361-70 (2000).
26. Drinker, H. & Murray, W. R. The universal proximal femoral endoprosthesis. A short-term comparison with conventional hemiarthroplasty. J Bone Joint Surg Am 61, 1167-74 (1979).
27. Chen, S. C., Sarkar, S. & Pell, L. H. A radiological study of the movements of the two components of the Monk prosthesis (hard-top ''duo-pleet'') in patients. Injury 12, 243-9 (1980).
28. Mess, D. & Barmada, R. Clinical and motion studies of the Bateman bipolar prosthesis in osteonecrosis of the hip. Clin Orthop, 44-7 (1990).
29. Phillips, T. W. The Bateman bipolar femoral head replacement. A fluoroscopic study of movement over a four-year period. J Bone Joint Surg Br 69, 761-4 (1987).
30. Verberne, G. H. A femoral head prosthesis with a built-in joint. A radiological study of the movements of the two components. J Bone Joint Surg Br 65, 544-7 (1983).
31. Chen, S. C., Badrinath, K., Pell, L. H. & Mitchell, K. The movements of the components of the Hastings bipolar prosthesis. A radiographic study in 65 patients. J Bone Joint Surg Br 71, 186-8 (1989).
32. Eiskjaer, S., Boll, K. & Gelineck, J. Component motion in bipolar cemented hemiarthroplasty. J Orthop Trauma 3, 313-6 (1989).
33. Gaine, W. J., Sanville, P. R. & Bamford, D. J. The Charnley-Hastings bipolar prosthesis in femoral neck fractures - a study of dynamic motion. Injury 31, 257-63 (2000).
34. Izumi, H., Torisu, T., Itonaga, I. & Masumi, S. Joint motion of bipolar femoral prostheses. J Arthroplasty 10, 237-43 (1995).
35. Burton, P., Prieskorn, D., Smith, R., Page, B. J., 2nd & Swienckowski, J. Component motion in bipolar hip arthroplasty: an evaluation of reamed and non-reamed acetabula. Orthopedics 17, 319-24 (1994).
36. Bochner, R. M., Pellicci, P. M. & Lyden, J. P. Bipolar hemiarthroplasty for fracture of the femoral neck. Clinical review with special emphasis on prosthetic motion. J Bone Joint Surg Am 70, 1001-10 (1988).
37. Kao, H. C., Su, J. Y. & Cheng, C. K. Dynamic Motion Analysis Method for Bipolar Hemiarthroplasty by Fluoroscopy. 2002年骨科醫學會年會(2002.10.25~27台灣 台北). p343.
38. Bergmann, G., Deuretzbacher, G., Heller, M., Graichen, F., Rohlmann, A., Strauss, J. & Duda, G. N. Hip contact forces and gait patterns from routine activities. J Biomech 34, 859-71 (2001).
39. Stansfield, B. W., Nicol, A. C., Paul, J. P., Kelly, I. G., Graichen, F. & Bergmann, G. Direct comparison of calculated hip joint contact forces with those measured using instrumented implants. An evaluation of a three-dimensional mathematical model of the lower limb. J Biomech 36, 929-36 (2003).
40. 戴念國:雙極式半人工髖關節之運動—自動離心復位機構之探討。國立陽明大學復健科技輔具研究所碩士論文,2004。
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top