臺灣博碩士論文加值系統

本論文研發與設計出一套新型膝關節韌帶鬆弛度量測儀，此儀器不僅可提供小腿相對大腿之前後向鬆弛度測試，亦能量測其內外偏轉測試。換而言之，雙功能膝關節韌帶鬆弛度量測儀可量測前/後十字韌帶及內/外側副韌帶鬆弛度測試。針對上述問題，我們以2-UPU並聯式機構做為膝關節鬆弛度量測儀的主體構造，2-UPU並聯式機構之自由度為4，符合機構設計之運動需求。
本論文中分別進行新型膝關節韌帶鬆弛度量測儀之重現性評估實驗，並與傳統膝關節韌帶量測儀器KT-1000進行量測數據之比較。由實驗結果可發現，新型膝關節韌帶鬆弛度量測儀擁有較佳之數據重現性；在前十字韌帶鬆弛度量測中，量測數據之標準差較KT-1000小，較不易受小腿肌肉鬆弛變量影響，可提供較為準確之量測數據。新型膝關節韌帶鬆弛度量測儀器較不易受操作人員經驗影響，將能提供骨科醫師更可靠的臨床診斷資訊。

The objective of this thesis is to develop and design a new knee ligament arthrometer; The arthrometer can measure not only the anterior/posterior (A/P) translation but also the valgus/varus angulation of the tibia. That is, the dual-function of the knee laxity test device includes the ACL/PCL test and the MCL/LCL test. Considering the above requirements, we have selected the 2-UPU parallel manipulator as the topological structure of the new knee ligament arthrometer; The 2-UPU spatial parallel manipulator has four degree-of-freedom, which satisfies our requirements.
In the experiment, we assessed and verified arthrometer’s data reproducibility, and compared the measuring data of the dual function arthrometer with that of the traditional arthrometer KT-1000. From the experiment, it is confirmed that the new arthometer has a better data reproducibility. For the anterior cruciate ligament laxity test, the standard deviation of the new arthrometer’s data is smaller than that of the KT-1000,indicating that the new arthrometer will not be influenced by the muscle relaxtion of the leg and can provide a better data reliability.
The new arthrometer is independent of the operator’s experience . It can provide the more reliable information for the orthopedists in the clinical diagnosis.

目錄
致謝 I
摘要 III
Abstract IV
目錄 V
圖目錄 VIII
表目錄 XII
專有名詞翻譯 XIII
第一章 緒論 1
1.1 前言 1
1.2 研究背景 2
1.2.1 膝關節構造與創傷模式 2
1.2.2 膝關節韌帶鬆弛度檢測 10
1.3 研究動機 15
1.4 論文架構 17
第二章 文獻回顧 18
2.1 傳統膝關節韌帶鬆弛度量測儀器 18
2.1.1 KT-1000 18
2.1.2 Rolimeter 22
2.1.3 KNEELAX 23
2.1.4 LigMaster 24
2.1.5 GNRB 26
2.1.6 RSA 28
第三章 新型膝關節韌帶測試儀之設計程序 32
3.1 使用者需求 33
3.2 問題敘述 34
3.3 概念設計 34
3.3.1 史都華平台機構 35
3.3.2 3-UPU並聯式機構 36
3.4 3-UPU並聯式機構之細部設計 39
3.5 第一代雙功能膝關節韌帶量測儀（NTOULAX-0）原型製作 48
3.5.1 功能描述 48
3.5.2 技術規格 49
3.6 設計評估 50
3.7 第二代雙功能膝關節韌帶鬆弛度量測儀（NTOULAX-1） 52
3.7.1 技術規格 58
第四章 實驗設備與架構 61
4.1 實驗對象 61
4.2 實驗設備 62
4.2.1 硬體設備 62
4.2.2 程式介面 66
4.2.3 實驗流程架構 67
4.3 實驗摡述 69
4.3.1 NTOULAX-1前、後十字韌帶鬆弛度量測 69
4.3.2 KT-1000前、後十字韌帶鬆弛度量測 73
4.3.3 NTOULAX-1內、外側副韌帶鬆弛度量測 75
4.4 資料處理與分析 77
第五章 研究結果與分析 79
5.1 NTOULAX-1之重現性評估 79
5.2 NTOULAX-1和KT-1000之比較分析 82
5.2.1 前十字韌帶檢測 82
5.2.2 前十字韌帶配對比較實驗（side-to-side difference） 87
5.2.3 後十字韌帶檢測 91
5.2.4 後十字韌帶配對比較實驗（side-to-side difference） 95
5.3 NTOULAX-1內、外側副韌帶量測分析 99
5.4 特殊受試者之比較 104
第六章 結論與未來展望 110
6.1 結論 110
6.2 未來展望 111
參考文獻 114
附錄A 118

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