젊은 성인 한국인의 체중부하 기립상 관상면 및 시상면 하지축 정렬에 대한 측정

국문 초록 (Abstract)

목적: 체중부하 하지축 정렬에 대한 표준 측정치를 제시하여 하지재건술 시행시 유용하게 사용하고자 한다.
대상 및 방법: 체중부하 전하지 기립상 방사선 촬영을 시행한 20~30대 환자, 총 274명(남자 147명, 여자 127명) 중 골격계 이상이 없는 환자를 대상으로 하였고, 그 중에서 방사선학적 기준에 합당한 188명에 대하여 관상면상, 시상면상 방사선학적 수치를 계측하여 연령 및 성별에 따라 비교분석하였다.
결과: 체중부하비는 관상면상에서 38.47±10.52%, 시상면상에서 36.11±7.88%로 전내측에 위치하였고, 대퇴골의 역학적축과 체중부하축은 평균 0.68±0.89°의 차이가 있어 두 축이 동일하지 않았다. 시상면상에서 대퇴골 양과가 경골 고평부와 가장 인접한 점을 슬관절 중심으로 잡았을 때 역학적축과 체중부하축의 차이는 0.04°로 두 축간에 거의 차이가 없었다.
결론: 대퇴골두 중심부터 슬관절 중심을 이은선과 슬관절 중심부터 족관절 중심을 이은 선이 이루는 역학적축과 대퇴골두 중심부터 족관절 중심을 직접 이은 체중부하축간에 차이가 있음을 알 수 있었고, 체중부하축이 슬관절면의 전내측을 통과함을 확인하였다. 시상면상 슬관절 중심을 대퇴골 양과의 경골 고평부 인접점으로 정의할 수 있었다.

다국어 초록 (Multilingual Abstract)

Purpose: The aim of this study was to establish a measurement standard for the weight-bearing axial alignment of the lower extremities when performing a lower extremity reconstruction.
Materials and Methods: Among 274 patients (147 males and 127 females) in their 20s to 30s without any physical disabilities, and who had undergone weight-bearing full leg standing radiographs, 188 patients (100 males and 88 females) were examined this study. The data was analyzed further according to their age and gender using the radiographic value on the coronal and sagittal alignment of the lower extremities.
Results: The weight bearing ratio was 38.47±10.52% on the coronal plane and 36.11±7.88% on the sagittal plane. Both the mechanical axis and the the weight bearing axis were not identical due to their 0.68±0.89° difference on average. The most adjacent point of the femoral condyles to the tibial plateau on the sagittal plane was assigned to the center of the knee joint. The difference between the mechanical axis and weight bearing axis was 0.04°, which was not significant.
Conclusion: There is a difference between the mechanical axis, which consists of both a line from the center of the femoral head to the center of knee joint and a line from the center of the knee joint to the center of ankle joint, and the weight bearing axis, which is linked directly from the center of the femoral head to the center of the ankle joint. Furthermore, the weight bearing axis passes through the anteromedial part in the knee joint. The center of the knee joint is defined as the most adjacent point of both femoral condyle to the tibial plateau on the sagittal plane.

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 결과
• 고찰
• 결론
• 감사의 글
• 참고문헌

참고문헌 (Reference)

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