免荷矫形器对膝骨关节炎的生物力学影响的研究进展  

Progress in unloading brace on biomechanics of knee osteoarthritis

作　　者：郭璐琦 赵雅琦 李霁欣 周兰 林金鹏 张子砚 李俊杰[1] 王少白 Guo Luqi;Zhao Yaqi;Li Jixin;Zhou Lan;Lin Jinpeng;Zhang Ziyan;Li Junjie;Wang Shaobai(Key Laboratory of Exercise and Health Sciences of Ministry of Education,Shanghai University of Sport,Shanghai 200438,China)

机构地区：[1]上海体育大学"运动健身科技"省部共建教育部重点实验室,200438

出　　处：《中华关节外科杂志（电子版）》2023年第4期560-565,共6页Chinese Journal of Joint Surgery(Electronic Edition)

基　　金：国家重点研发计划(2018YFF0300504);上海市优秀学术/技术带头人计划资助(21XD1434800)

摘　　要：膝骨关节炎是常见的关节退行性疾病,利用免荷矫形器的生物力学干预是该疾病的常用治疗手段之一。通过文献整理分析发现,大量研究表明单室性免荷矫形器可以卸载膝关节负荷,但目前仍存在争议,并且尚未有相关综述纳入最新型的多室性免荷矫形器。本文概述了目前免荷矫形器的分类及工作原理,分析了不同种类免荷矫形器对膝骨关节炎患者的生物力学影响以及现存的问题。针对这些问题和不足,未来还应继续开展相关研究和长期随访,为临床膝骨关节炎患者的干预及治疗提供参考。Knee osteoarthritis is a common chronic disease,and biomechanical intervention of unloading brace is one of the commonly used treatments for this disease.Through literature review and analysis,a large number of studies have shown that unicompartmental unloading brace can offload the knee joint load,but there are still controversis,and no relevant systematic review has included the latest tricompartmental unloading brace.This article summarized the classification and working principles of current unloading brace,and analyzed the biomechanical effects and existing problems of different types of unloading brace on patients with knee osteoarthritis.In view of these problems and deficiencies,relevant research and long-term follow-up should be continued in the future to provide reference for the intervention and treatment of clinical knee osteoarthritis patients.

关 键 词：膝关节 骨关节炎 膝 支架 生物力学现象 

分 类 号：R684.3[医药卫生—骨科学]