CAJ | 학술논문

目的：探究单侧初次人工髋关节置换康复期患者下肢关节的运动状况。方法选择100例单侧初次人工髋关节置换康复期患者作为观察组，纳入100例相匹配的健康体检者作为对照组，均进行下肢三维运动学与动力学监测。结果观察组患者术侧膝关节、踝关节、髋关节屈曲力矩峰值与对照组右下肢相比，差异有统计学意义(P<0.05)。观察组患者术侧矢状面髋后伸、额状面髋内收、额状面膝内收、额状面踝内收和外展、水平面髋内旋和外旋、水平面踝内旋和外旋等关节角度峰值分别与对照组右下肢相比，差异有统计学意义(P<0.05)。结论单侧初次人工髋关节置换康复期患者存在假体关节运动异常、术侧关节活动受限，相连运动链出现代偿性变化，应加强患者术侧髋部肌肉锻炼。
목적：탐구단측초차인공관관절치환강복기환자하지관절적운동상황。방법선택100례단측초차인공관관절치환강복기환자작위관찰조，납입100례상필배적건강체검자작위대조조，균진행하지삼유운동학여동역학감측。결과관찰조환자술측슬관절、과관절、관관절굴곡력구봉치여대조조우하지상비，차이유통계학의의(P<0.05)。관찰조환자술측시상면관후신、액상면관내수、액상면슬내수、액상면과내수화외전、수평면관내선화외선、수평면과내선화외선등관절각도봉치분별여대조조우하지상비，차이유통계학의의(P<0.05)。결론단측초차인공관관절치환강복기환자존재가체관절운동이상、술측관절활동수한，상련운동련출현대상성변화，응가강환자술측관부기육단련。
Objective To explore the lower limbs joints movement of patients with unilateral and primary artificial hip replacement in convalescence. Methods 100 cases of patients with unilateral and primary artificial hip replacement in convalescence were chosen as the ob-servation group,while 100 cases of matched healthy subjects were included as the control groups. The three-dimensional kinematics and mo-tion of lower extremities were monitored. Results The difference in operated knee flexion,operated ankle planter flexion and operated hip flexion of the observation group and the observation group were statistically significant(P<0. 05). The difference in the joint angle peak of hip backward extension of sagittal section,hip adduction of frontal plane,knee adduction of frontal plane,ankle adduction and outreach of frontal plane,hip internal rotation and extorsion of horizontal plane,ankle rotation and extorsion of horizontal plane in two groups were statisti-cally significant(P<0. 05). Conclusion There are abnormal prosthetic joint movement,limited range of operated movement in patients with unilateral and primary artificial hip replacement in convalescence,and coterminous kinematic chains appear compensatory changes,it should strengthen the muscle exercises of operated hip.