三维步态分析在髋膝关节置换术中的应用

Application of three-dimensional gait analysis in hip and knee arthroplasty

缓解髋膝关节炎终末期和部分严重关节创伤所致疼痛及恢复关节功能和步态,人工关节置换术是目前较好的治疗方法之一,但术后仍可能存在一定程度的疼痛和异常步态。三维步态分析系统作为具有全面、客观、高精度、高效率等优点的步态评估手段,目前已广泛应用于神经系统和运动系统等相关的临床研究,借助该系统可精准测量并分析髋膝关节置换术前后运动过程中的生物力学和运动学数据,为诊疗和康复训练提供客观数据支持。简述三维步态分析在髋膝关节置换术及后期康复训练过程中的应用,为三维步态分析系统在优化髋膝关节置换术前、术中和术后治疗方案的进一步应用提供借鉴。

For relieving pain and restoring joint function and gait of end-stage hip and knee arthritis and partial severe joint trauma,joint arthroplasty is one of the most effective treatments currently,despite of the fact that the patients may still have pain and abnormal gait in some extent postoperatively.Three-dimensional gait analysis system is a set of gait evaluation tool with the advantages of comprehensive⁃ness,objectivity,high accuracy,high efficiency,and is widely used in the clinical research related to the human nervous system and motor system.With the help of this system,it does accurately measure and analyze the biomechanical and kinematic data during the movement process before and after hip and knee arthroplasty,providing data support for diagnosis,treatment and rehabilitation training.This paper briefly summarizes the application of three-dimensional gait analysis system in hip and knee arthroplasty and following rehabilitation train⁃ing,providing a reference for the further application of three-dimensional gait analysis system in optimizing the preoperative,intraoperative and postoperative treatment plan.