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中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (01) : 78 -84. doi: 10.3877/cma.j.issn.1674-134X.2020.01.014

所属专题： 文献；

综述

新型膝关节运动分析系统的研制及临床应用
王文锦1, 田斐2, 李柠薇1, 李国安3, 蔡宗远4, 王少白1,†()   
  1. 1. 200438　上海体育学院运动科学学院运动健身科技省部共建教育部重点实验室
    2. 200438　上海体育学院运动科学学院运动健身科技省部共建教育部重点实验室；046000　山西，长治医学院附属和平医院康复医学科
    3. 02138　Boston, Massachusetts General Hospital/Harvard Medical School
    4. 200240　上海交通大学生物医学工程学院/上海交通大学医学院附属第九人民医院骨科
  • 收稿日期:2020-02-03 出版日期:2020-02-01
  • 通信作者: 王少白
  • 基金资助:
    国家自然科学基金(81702211); 科技部重点研发计划(2018YFF0300504)

Development and clinical application of novel motion analysis system for knee

Wenjin Wang1, Fei Tian2, Ningwei Li1, Guoan Li3, Zongyuan Cai4, Shaobai Wang1,†()   

  1. 1. Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China
    2. Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China; Department of Rehabilitation Medicine, Heping Hospital Affliated to Changzhi Medical College, Shanxi 046000, China
    3. Massachusetts General Hospital/Harvard Medical School, Boston 02138, U. S.A
    4. School of Biomedical Engineering, Shanghai Jiao Tong University Department of Orthopeadics/Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200240, China
  • Received:2020-02-03 Published:2020-02-01
  • Corresponding author: Shaobai Wang
  • About author:
    Corresponding author: Wang Shaobai, Email:
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王文锦, 田斐, 李柠薇, 李国安, 蔡宗远, 王少白. 新型膝关节运动分析系统的研制及临床应用[J/OL]. 中华关节外科杂志(电子版), 2020, 14(01): 78-84.

Wenjin Wang, Fei Tian, Ningwei Li, Guoan Li, Zongyuan Cai, Shaobai Wang. Development and clinical application of novel motion analysis system for knee[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(01): 78-84.

运动分析技术在临床步态分析以及肌骨系统的辅助诊断，功能评估和康复领域已有较多应用。而新型的Opti_Knee膝关节运动分析系统是一种临床操作简便，可移动便携设计，在体无创动态评估膝关节6自由度运动的分析系统，近年来也开始应用于骨科、运动医学、康复等领域。本文从技术原理和临床应用角度出发，对国内外近6年的相关文献进行了系统归纳和总结，回顾了该系统的起源与发展、结构与原理，归纳了在健康人群膝关节功能评估、膝关节运动损伤因素和膝关节疾病临床诊治方面的应用和成果，如步态特征观察、前交叉韧带损伤辅助诊断、膝骨关节炎手术疗效评价和科学指导康复等，总结了应用中遇到的问题和下一步需要攻克的难题，展望了该系统在运动损伤防治领域应用的未来。

关键词: 膝关节, 运动学, 步态分析, 诊断技术和方法

As a novel knee motion analysis system, the Opti_Knee system is capable to assess the 6-degree-of-freedom kinematics of the knee joint, with the advantages of portable clinical application, mobile design, in-vivo and non-invasive. In recent years, it has been used in the field of sports medicine.Based on the technical principle and clinical application, this study systematically summarized the relevant domestic and foreign literatures for nearly six years. The origin and development, structure and principle of the system were reviewed. The applicable achievements of the Opti_Knee system were summarized in normal knee functional assessment, knee injury factor research, clinical diagnosis and treatment of knee joint diseases, such as gait observation, assisted diagnosis for anterior cruciate ligament injury, efficacy evaluation of knee osteoarthritis surgery and rehabilitation program development. This review also summarized the problems encountered in the applications to be overcome in future. The future application prospects of this system in the field of sports injury prevention are prospected.

Key words: Knee joint, Kinematics, Gait analysis, Diagnostic techniques and procedures
图1 Opti_Knee膝关节运动分析系统(上海逸动医学科技有限公司)
表1 Opti_Knee系统和国际其他方法在膝关节6自由度运动范围的比较
作者 速度(km/h) 方法 6自由度运动学
屈－伸(deg) 内－外旋(deg) 内－外翻(deg) 前－后位移(mm) 上－下位移(mm) 内－外位移(mm)
Yao等[19] 3.0 基于皮肤标记 57.4 10.9 9.3 12.8 15.0 9.4
Andriacchi等[23] 4.3 基于皮肤标记 N 16.05 10.87 24.7 19.8 13.4
Lafortune等[26] 4.3 皮质骨骨钉 60.5 14.4 5.2 17.9 10.2 5.6
Li XM等[2] N 电动角度测量仪 54.1 12.4 8.2 6.5 11.5 4.0
Chao等[21] 4.2 电动角度测量仪 69.4 13.5 11.0 N N N
Gao等[24] 4.4 基于皮肤标记 60 13 9 32 20 20
Li G等[6] 3.2 双平面透视 44.7 8.94 N 7.14 N 5.71
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