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Journal of Chinese Integrative Medicine ›› 2004, Vol. 2 ›› Issue (6): 432-434.doi: 10.3736/jcim20040609

• Original Clinical Research • Previous Articles     Next Articles

Biomechanical and morphological measurement and analysis of roentgenograph for knee osteoarthritis patients

Li-xi Chu1, Feng Wang2   

  1. 1. School of Acupuncture and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai 210203, China
    2. Department of Orthopaedics and Traumatology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
  • Received:2004-07-05 Online:2004-11-20 Published:2018-10-20

Objective: To study the etiological factors of knee osteoarthritis and to provide the anatomical basis of corrective therapy for knee joint deformity by comparing the biomechanical differences of the knee joints between the osteoarthritis patients and the normal people.Methods: The sexes, ages, heights, weights, painful characters and accompanied symptoms were recorded, and the femoral angle, tibial angle, femorotibial angle, joint space angle, and the height and width of condylus medialis and lateralis were measured for 29 selected knee osteoarthritis patients. And the biomechanical data of the patients were compared with those of the 19 normal people.Results: The femoral angle of the osteoarthritis patients was smaller and the joint space angle was greater statistically than that of the normal people, and the ratios of height and width of condylus medialis and condylus lateralis of the osteoarthritis patients were greater than those of the normal people.Conclusion: In the patients, the gravity line of the lower limb inclines to the condylus medialis, so the condylus medialis is more vulnerable. And the configuration of the condylus of the patients, which is narrower and longer, is different from that of the normal people. It may be one of the etiological factors of knee osteoarthritis.

Key words: osteoarthritis, knee, X-ray, diagnosis, biomechanics, pathogeny

CLC Number: 

  • R684.3

Fig 1

Graph of knee joint F: Femoral angle; T: Tibial angle; JS: Joint space angle; FT: Femorotibial angle; H1: Height of condylus lateralis femoris; H2: Height of condylus medialis fomoris; W1: Width of condylus lateralis femoris; W2: Width of condylus medialis femoris"

Tab 1

Biomechanical data of 2 groups($\bar{x}$±s, degree )"

Measurement Normal knee joints
(n=19)
Osteoarthritis knee joints
(n=40)
Femoral angle 82.72±2.02 80.94±2.81*
Tibial angle 92.55±1.36 92.33±3.61
Joint space angle 0.88±1.07 1.75±1.55*
Femorotibial angle 175.71±1.90 175.69±4.71
Ratio of height and width of condylus medialis femoris 0.96±0.10 1.15±0.20**
Ratio of height and width of condylus lateralis femoris 0.81±0.08 1.11±0.17**
[1] 杜宁, 任峰, 杨琦 . 膝关节骨关节病体征与功能的相互关系的研究[J]. 中国中医骨伤科杂志, 1996,4(1):8-11
[2] Altman RD . Classification of disease:osteoarthritis[J]. Semin Arthritis Rheum, 1991,20(6 Suppl 2):40-47
doi: 10.1016/0049-0172(91)90026-V
[3] 袁成和 . 实用X线投照技术手册(第1版)[M]. 长沙: 湖南科学技术出版社, 1986,( 第1版):69
[4] 中国学生体质与健康研究组. 中国学生体质与健康调研报告(第1版)[M]. 长春: 吉林科学技术出版社, 1996,( 第1版):88-92
[5] 陈启明 . 骨科基础学(译本)(第2版)[M]. 北京: 人民卫生出版社, 2002,( 第2版):416
[6] 季卫平, 王小玲, 吕国强 , 等. 膝关节退变的X线量化分析[J]. 中国中医骨伤科杂志, 1995,3(6):9-13
[7] 颜平, 张文成 . 变形性膝关节病[J]. 日本医学介绍, 1998,19(1):32-33
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