請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/78247完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 呂東武(Tung-Wu Lu) | |
| dc.contributor.author | Pei-Ling Weng | en |
| dc.contributor.author | 翁培靈 | zh_TW |
| dc.date.accessioned | 2021-07-11T14:47:42Z | - |
| dc.date.available | 2025-08-14 | |
| dc.date.copyright | 2020-09-10 | |
| dc.date.issued | 2020 | |
| dc.date.submitted | 2020-08-14 | |
| dc.identifier.citation | 1. Reeves, N.D. and F.L. Bowling, Conservative biomechanical strategies for knee osteoarthritis. Nature Reviews Rheumatology, 2011. 7(2): p. 113. 2. Buckwalter, J.A., C. Saltzman, and T. Brown, The impact of osteoarthritis: implications for research. Clinical Orthopaedics and Related Research®, 2004. 427: p. S6-S15. 3. Kaufman, K.R., et al., Gait characteristics of patients with knee osteoarthritis. Journal of biomechanics, 2001. 34(7): p. 907-915. 4. Bennell, K.L., et al., Higher dynamic medial knee load predicts greater cartilage loss over 12 months in medial knee osteoarthritis. Annals of the rheumatic diseases, 2011. 70(10): p. 1770-1774. 5. Farrokhi, S., et al., Altered tibiofemoral joint contact mechanics and kinematics in patients with knee osteoarthritis and episodic complaints of joint instability. Clinical biomechanics, 2014. 29(6): p. 629-635. 6. Benzakour, T., et al., High tibial osteotomy for medial osteoarthritis of the knee: 15 years follow-up. International orthopaedics, 2010. 34(2): p. 209-215. 7. LaPrade, R.F., et al., Prospective outcomes of young and middle-aged adults with medial compartment osteoarthritis treated with a proximal tibial opening wedge osteotomy. Arthroscopy: The Journal of Arthroscopic Related Surgery, 2012. 28(3): p. 354-364. 8. Blackburn, T.A. and E. Craig, Knee anatomy: a brief review. Physical therapy, 1980. 60(12): p. 1556-1560. 9. Englund, M., The role of biomechanics in the initiation and progression of OA of the knee. Best practice research Clinical rheumatology, 2010. 24(1): p. 39-46. 10. Hootman, J.M. and C.G. Helmick, Projections of US prevalence of arthritis and associated activity limitations. Arthritis Rheumatism: Official Journal of the American College of Rheumatology, 2006. 54(1): p. 226-229. 11. Mathers, D.S.C. and B. Pfleger, Global burden of osteoarthritis in the year 2000. World Health Organization, www who int/healthinfo/statistics/bod_osteoarthritis pdf, 2003. 12. Lawrence, R.C., et al., Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis Rheumatism, 2008. 58(1): p. 26-35. 13. Kohn, M.D., A.A. Sassoon, and N.D. Fernando, Classifications in brief: Kellgren-Lawrence classification of osteoarthritis. 2016, Springer. 14. Nagao, N., T. Tachibana, and K. Mizuno, The rotational angle in osteoarthritic knees. International orthopaedics, 1998. 22(5): p. 282-287. 15. Matsui, Y., et al., Rotational deformity in varus osteoarthritis of the knee: analysis with computed tomography. Clinical Orthopaedics and Related Research (1976-2007), 2005. 433: p. 147-151. 16. Landry, S.C., et al., Knee biomechanics of moderate OA patients measured during gait at a self-selected and fast walking speed. Journal of biomechanics, 2007. 40(8): p. 1754-1761. 17. Astephen, J.L., et al., Biomechanical changes at the hip, knee, and ankle joints during gait are associated with knee osteoarthritis severity. Journal of orthopaedic research, 2008. 26(3): p. 332-341. 18. Hamai, S., et al., Knee kinematics in medial osteoarthritis during in vivo weight‐bearing activities. Journal of Orthopaedic Research, 2009. 27(12): p. 1555-1561. 19. Sassoon, A., et al., Systematic review of patient-specific instrumentation in total knee arthroplasty: new but not improved. Clinical Orthopaedics and Related Research®, 2015. 473(1): p. 151-158. 20. Zambianchi, F., et al., Changes in total knee arthroplasty design affect in-vivo kinematics in a redesigned total knee system: A fluoroscopy study. Clinical Biomechanics, 2018. 54: p. 92-102. 21. Kurtz, S., et al., Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. Jbjs, 2007. 89(4): p. 780-785. 22. Emmerson, K., C. Moran, and I. Pinder, Survivorship analysis of the Kinematic Stabilizer total knee replacement: a 10-to 14-year follow-up. The Journal of bone and joint surgery. British volume, 1996. 78(3): p. 441-445. 23. Falatyn, S., P.F. Lachiewicz, and F.C. Wilson, Survivorship analysis of cemented total condylar knee arthroplasty. Clinical orthopaedics and related research, 1995(317): p. 178-184. 24. Ranawat, C.S., et al., Long-term results of the total condylar knee arthroplasty. A 15-year survivorship study. Clinical orthopaedics and related research, 1993(286): p. 94-102. 25. Banks, S.A. and W.A. Hodge, Accurate measurement of three-dimensional knee replacement kinematics using single-plane fluoroscopy. IEEE Transactions on Biomedical Engineering, 1996. 43(6): p. 638-649. 26. Chen, C., et al., A method for measuring three-dimensional mandibular kinematics in vivo using single-plane fluoroscopy. Dentomaxillofacial Radiology, 2013. 42(1): p. 95958184-95958184. 27. Tsai, T.Y., et al., A volumetric model‐based 2D to 3D registration method for measuring kinematics of natural knees with single‐plane fluoroscopy. Medical physics, 2010. 37(3): p. 1273-1284. 28. Amoako, A.O. and G.G.A. Pujalte, Osteoarthritis in young, active, and athletic individuals. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, 2014. 7: p. CMAMD. S14386. 29. Zhang, Y. and J.M. Jordan, Epidemiology of osteoarthritis. Clinics in geriatric medicine, 2010. 26(3): p. 355-369. 30. Amendola, A. and D.E. Bonasia, Results of high tibial osteotomy: review of the literature. International orthopaedics, 2010. 34(2): p. 155-160. 31. Ivarsson, I., R. Myrnerts, and J. Gillquist, High tibial osteotomy for medial osteoarthritis of the knee. A 5 to 7 and 11 year follow-up. The Journal of bone and joint surgery. British volume, 1990. 72(2): p. 238-244. 32. Kim, S.-J., et al., Medial opening wedge high-tibial osteotomy using a kinematic navigation system versus a conventional method: a 1-year retrospective, comparative study. Knee Surgery, Sports Traumatology, Arthroscopy, 2009. 17(2): p. 128-134. 33. Prymka, M. and J. Hassenpflug, High tibial osteotomy with a kinematic navigation system. Techniques in Orthopaedics, 2003. 18(2): p. 209-215. 34. Sabzevari, S., et al., High tibial osteotomy: a systematic review and current concept. Archives of Bone and Joint Surgery, 2016. 4(3): p. 204. 35. Spahn, G., Complications in high tibial (medial opening wedge) osteotomy. Archives of orthopaedic and trauma surgery, 2004. 124(10): p. 649-653. 36. Paley, D. and K. Tetsworth, Mechanical axis deviation of the lower limbs. Preoperative planning of uniapical angular deformities of the tibia or femur. Clinical orthopaedics and related research, 1992(280): p. 48-64. 37. Fujisawa, Y., K. Masuhara, and S. Shiomi, The effect of high tibial osteotomy on osteoarthritis of the knee. An arthroscopic study of 54 knee joints. The Orthopedic clinics of North America, 1979. 10(3): p. 585-608. 38. Agneskirchner, J., et al., Effect of high tibial flexion osteotomy on cartilage pressure and joint kinematics: a biomechanical study in human cadaveric knees. Archives of orthopaedic and trauma surgery, 2004. 124(9): p. 575-584. 39. Giffin, J.R., et al., Effects of increasing tibial slope on the biomechanics of the knee. The American journal of sports medicine, 2004. 32(2): p. 376-382. 40. Ranawat, A.S., et al., Comparison of lateral closing-wedge versus medial opening-wedge high tibial osteotomy on knee joint alignment and kinematics in the ACL-deficient knee. The American journal of sports medicine, 2016. 44(12): p. 3103-3110. 41. Yamaguchi, K.T., et al., Effects of anterior closing wedge tibial osteotomy on anterior cruciate ligament force and knee kinematics. The American journal of sports medicine, 2018. 46(2): p. 370-377. 42. Black, M.S., et al., The effect of wedge and tibial slope angles on knee contact pressure and kinematics following medial opening-wedge high tibial osteotomy. Clinical Biomechanics, 2018. 51: p. 17-25. 43. Lobenhoffer, P. and J.D. Agneskirchner, Improvements in surgical technique of valgus high tibial osteotomy. Knee Surgery, Sports Traumatology, Arthroscopy, 2003. 11(3): p. 132-138. 44. Kadaba, M.P., H. Ramakrishnan, and M. Wootten, Measurement of lower extremity kinematics during level walking. Journal of orthopaedic research, 1990. 8(3): p. 383-392. 45. Kuo, M.-Y., et al., Influence of soft tissue artifacts on the calculated kinematics and kinetics of total knee replacements during sit-to-stand. Gait posture, 2011. 33(3): p. 379-384. 46. Lafortune, M., et al., Three-dimensional kinematics of the human knee during walking. Journal of biomechanics, 1992. 25(4): p. 347-357. 47. Camomilla, V., et al., A model of the soft tissue artefact rigid component. Journal of biomechanics, 2015. 48(10): p. 1752-1759. 48. Lu, T.-W. and J. O’connor, Bone position estimation from skin marker co-ordinates using global optimisation with joint constraints. Journal of biomechanics, 1999. 32(2): p. 129-134. 49. Kärrholm, J., Roentgen stereophotogrammetry: review of orthopedic applications. Acta Orthopaedica Scandinavica, 1989. 60(4): p. 491-503. 50. Selvik, G., Roentgen stereophotogrammetry: a method for the study of the kinematics of the skeletal system. Acta Orthopaedica Scandinavica, 1989. 60(sup232): p. 1-51. 51. Dennis, D.A., et al., Range of motion after total knee arthroplasty The effect of implant design and weight-bearing conditions. The Journal of arthroplasty, 1998. 13(7): p. 748-752. 52. Komistek, R.D., D.A. Dennis, and M. Mahfouz, In vivo fluoroscopic analysis of the normal human knee. Clinical Orthopaedics and Related Research®, 2003. 410: p. 69-81. 53. Tashman, S. and W. Anderst, In-vivo measurement of dynamic joint motion using high speed biplane radiography and CT: application to canine ACL deficiency. J. Biomech. Eng., 2003. 125(2): p. 238-245. 54. Lemieux, L., et al., A patient‐to‐computed‐tomography image registration method based on digitally reconstructed radiographs. Medical physics, 1994. 21(11): p. 1749-1760. 55. Lu, T.-W., et al., In vivo three-dimensional kinematics of the normal knee during active extension under unloaded and loaded conditions using single-plane fluoroscopy. Medical Engineering Physics, 2008. 30(8): p. 1004-1012. 56. Lin, C.-C., et al., Comparisons of surface vs. volumetric model-based registration methods using single-plane vs. bi-plane fluoroscopy in measuring spinal kinematics. Medical engineering physics, 2014. 36(2): p. 267-274. 57. Lin, C.-C., et al., In vivo three-dimensional intervertebral kinematics of the subaxial cervical spine during seated axial rotation and lateral bending via a fluoroscopy-to-CT registration approach. Journal of biomechanics, 2014. 47(13): p. 3310-3317. 58. Nordin, M. and V.H. Frankel, Basic biomechanics of the musculoskeletal system. 2001: Lippincott Williams Wilkins. 59. Hallen, L. and O. Lindahl, The “screw-home” movement in the knee-joint. Acta Orthopaedica Scandinavica, 1966. 37(1): p. 97-106. 60. Mahesh, M., Fluoroscopy: patient radiation exposure issues. Radiographics, 2001. 21(4): p. 1033-1045. 61. Van Lysel, M.S., The AAPM/RSNA physics tutorial for residents: Fluoroscopy: Optical coupling and the video system. Radiographics, 2000. 20(6): p. 1769-1786. 62. Baltzopoulos, V., A videofluoroscopy method for optical distortion correction and measurement of knee-joint kinematics. Clinical Biomechanics, 1995. 10(2): p. 85-92. 63. Abdel-Aziz, Y. and H. Karara. Direct linear transformation from comparator coordinates into object space coordinates into object space coordinates in close-range photogrammetry. in Proceedings of the ASP Symposium on Close-range Photogrammetry, Urbana, IL, USA. 1971. 64. Abdel-Aziz, Y., H. Karara, and M. Hauck, Direct linear transformation from comparator coordinates into object space coordinates in close-range photogrammetry. Photogrammetric Engineering Remote Sensing, 2015. 81(2): p. 103-107. 65. Lin, C.C., et al., A model‐based tracking method for measuring 3D dynamic joint motion using an alternating biplane x‐ray imaging system. Medical physics, 2018. 45(8): p. 3637-3649. 66. Penney, G.P., et al., Validation of a two‐to three‐dimensional registration algorithm for aligning preoperative CT images and intraoperative fluoroscopy images. Medical physics, 2001. 28(6): p. 1024-1032. 67. Lagarias, J.C., et al., Convergence properties of the Nelder--Mead simplex method in low dimensions. SIAM Journal on optimization, 1998. 9(1): p. 112-147. 68. Miranda, D.L., et al., Automatic determination of anatomical coordinate systems for three-dimensional bone models of the isolated human knee. Journal of biomechanics, 2010. 43(8): p. 1623-1626. 69. Kornaropoulos, E.I., et al., Frontal plane alignment: An imageless method to predict the mechanical femoral–tibial angle (mFTA) based on functional determination of joint centres and axes. Gait posture, 2010. 31(2): p. 204-208. 70. Lin, Y.-H., et al., Mismatch between femur and tibia coronal alignment in the knee joint: classification of five lower limb types according to femoral and tibial mechanical alignment. BMC musculoskeletal disorders, 2018. 19(1): p. 411. 71. Wu, G. and P.R. Cavanagh, ISB recommendations for standardization in the reporting of kinematic data. Journal of biomechanics, 1995. 28(10): p. 1257-1261. 72. Bowers, M.E., et al., Quantitative MR imaging using “LiveWire” to measure tibiofemoral articular cartilage thickness. Osteoarthritis and cartilage, 2008. 16(10): p. 1167-1173. 73. Gunston, F.H., Polycentric knee arthroplasty: prosthetic simulation of normal knee movement. The Journal of bone and joint surgery. British volume, 1971. 53(2): p. 272-277. 74. Greene, M.P., Four bar linkage knee analysis. Orthot Prosthet, 1983. 37(1): p. 15-24. 75. Kurtz, S., Chapter 7: The origins and adaptations of UHMWPE for knee replacements. 2004, The UHMWPE Handbook. San Diego, CA: Academic Press. 76. Terada, H., et al., Developments of a knee motion assist mechanism for wearable robot with a non-circular gear and grooved cams, in Mechanisms, Transmissions and Applications. 2012, Springer. p. 69-76. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/78247 | - |
| dc.description.abstract | 退化性膝關節炎是一種常見的關節疾病之一，致病原因主要是膝關節在長期受力下造成關節軟骨退化磨損，進而產生關節疼痛和僵硬，甚至影響活動功能。目前治療退化性膝關節炎的手術方法有全膝關節置換術、單側膝關節置換術、高位脛骨矯正術等等。其中，高位脛骨矯正術是透過矯正下肢機械軸角度來達到減輕膝關節內側承重及減緩退化性膝關節炎惡化之目的。因其無須像關節置換術一般裝入植入物，因此手術後的膝關節面不會有所改變。然而，目前對於高位脛骨矯正手術前後相關的關節運動學參數變化以及手術對於活體膝關節生物力學表現之影響尚未有完整研究。 本研究結果發現，相同動作下，高位脛骨矯正手術對於關節角度產生最顯著的影響在於矢狀面的關節活動度增加，且在相同膝關節屈曲角度下，手術後冠狀面的外展角度顯著增加，符合手術對下肢機械軸所造成的改變。在功能性動作過程中，相同膝關節屈曲角度下，高位脛骨矯正手術使得膝關節內側之平均關節內間距顯著增加、膝關節內側之表面接觸面積顯著變小，且膝關節內側之表面接觸點顯著往後側移動。 本研究結果呈現之退化性膝關節炎患者在接受高位脛骨矯正術前後於功能性動作過程中的運動學量化資訊，其有助於瞭解該手術對膝關節及其運動學表現造成的改變。本研究之結果不僅能作為手術效果評估之參考，亦能提供治療與後續復健計畫評估所需的重要訊息。 | zh_TW |
| dc.description.abstract | Knee osteoarthritis (OA) is one of the common joint diseases caused by articular cartilage degeneration which causes joint pain, joint stiffness and affect the joint movement. The current treatments for knee OA include total or unilateral knee arthroplasty and high tibial osteotomy (HTO). Unlike the arthroplasty, HTO surgery neither requires implants nor alters the articular surface. However, the related changes of in vivo knee kinematic pre and post HTO surgery have not been fully studied. Obtaining quantitative kinematic of patients with knee OA pre and post HTO provides necessary knowledge for the surgery outcome assessment, as well as the planning and evaluation of subsequent treatment and rehabilitation programs. The finding of the current research are as follows, the range of motion on sagittal plane and abduction angles are significantly increased during some functional activities, which corresponded with the alignment change of tibia after HTO surgery. The surgery also affected the mean inter-articular distance, the contact area and the position of the articular contact points on tibial plateau of medial compartment of knee joint during functional tasks. The finding presented in the current study of patients with knee OA during functional activities pre and post HTO surgery can provide a better understanding of the effect of HTO surgery on the knee joint kinematics and biomechanics, which can be helpful for surgery outcome assessment and future rehabilitation planning. | en |
| dc.description.provenance | Made available in DSpace on 2021-07-11T14:47:42Z (GMT). No. of bitstreams: 1 U0001-1208202021163500.pdf: 3993481 bytes, checksum: 5af738467cb1a7827b93e4a803030b3e (MD5) Previous issue date: 2020 | en |
| dc.description.tableofcontents | 致謝 I 中文摘要 II Abstract III 目錄 IV 圖目錄 VI 表目錄 IX 第一章 緒論 1 第一節 研究背景 1 第二節 膝關節功能解剖構造 2 第三節 退化性膝關節炎 3 第四節 退化性膝關節炎之手術治療 4 第五節 活體膝關節運動學量測 7 一、 立體攝影術 7 二、 醫學影像技術 8 第六節 膝關節剛體運動 10 第七節 研究目的 12 第二章 材料與方法 13 第一節 受試者 13 第二節 高位脛骨矯正術 13 第三節 實驗設備與儀器 14 一、 動態X光系統成像原理 14 二、 雙平面動態X光系統校正流程 16 三、 動態X光校正方法 19 第四節 三維骨模型建立 22 一、 術前模型 22 二、 術後模型 24 第五節 活體膝關節影像資料收集 25 第六節 關節運動分析 27 一、 數位化重建投影影像 27 二、 模擬動態X光投影介面 27 三、 影像對位 (Image registration) 29 四、 膝關節運動學分析 33 五、 統計分析 36 第三章 結果 37 第一節 股骨-脛骨角度 37 第二節 膝關節活動度 37 第三節 膝關節平均關節內間距 45 第四節 膝關節表面接觸型態、接觸面積與接觸點軌跡 49 一、 膝關節表面接觸型態 49 二、 膝關節表面接觸面積 49 三、 膝關節接觸點軌跡與位移 50 第四章 討論 74 第一節 股骨-脛骨角度 74 第二節 膝關節活動度 74 第三節 膝關節平均關節內間距 76 第四節 膝關節表面接觸型態、接觸面積與接觸點軌跡 76 第五節 誤差來源 79 第五章 結論 80 參考文獻 82 | |
| dc.language.iso | zh-TW | |
| dc.subject | 退化性膝關節炎 | zh_TW |
| dc.subject | 膝關節表面運動學 | zh_TW |
| dc.subject | 膝關節運動學 | zh_TW |
| dc.subject | 功能性動作 | zh_TW |
| dc.subject | 動態 X 光 | zh_TW |
| dc.subject | 高位脛骨矯正術 | zh_TW |
| dc.subject | knee kinematics | en |
| dc.subject | functional activities | en |
| dc.subject | knee osteoarthritis | en |
| dc.subject | medial knee osteoarthritis | en |
| dc.subject | high tibial osteotomy | en |
| dc.subject | fluoroscopy | en |
| dc.title | 高位脛骨矯正術對退化性膝關節三維運動的影響 | zh_TW |
| dc.title | Effects of High Tibial Osteotomy on Three-dimensional Knee Kinematics in Patients with Knee Osteoarthritis during Activities | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 108-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.coadvisor | 林正忠(Cheng-Chung Lin) | |
| dc.contributor.oralexamcommittee | 陳文斌(Weng-Pin Chen),陳祥和(Hsiang-Ho Chen) | |
| dc.subject.keyword | 退化性膝關節炎,高位脛骨矯正術,動態 X 光,功能性動作,膝關節運動學,膝關節表面運動學, | zh_TW |
| dc.subject.keyword | knee osteoarthritis,medial knee osteoarthritis,high tibial osteotomy,fluoroscopy,functional activities,knee kinematics, | en |
| dc.relation.page | 88 | |
| dc.identifier.doi | 10.6342/NTU202003156 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2020-08-17 | |
| dc.contributor.author-college | 工學院 | zh_TW |
| dc.contributor.author-dept | 醫學工程學研究所 | zh_TW |
| dc.date.embargo-lift | 2025-08-14 | - |
| 顯示於系所單位： | 醫學工程學研究所 | |
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