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研究生： 吳進儒
Chin-Ju Wu
論文名稱： 可調式客製化器械與膝關節韌帶平衡系統於全人工關節置換術的開發與驗證
Development and In-vitro Experiments of Adjustable Patient Specific Instrumentation and Knee Collateral Ligaments Balancing System in Total Knee Arthroplasty
指導教授： 鄭正元
Jeng-Ywan Jeng
口試委員: 鄭正元
Jeng-Ywan Jeng
林上智
Shang-Chih Lin
許啟彬
Chi-Pin Hsu
學位類別： 碩士
Master
系所名稱： 工程學院 - 機械工程系
Department of Mechanical Engineering
論文出版年： 2021
畢業學年度： 109
語文別： 中文
論文頁數： 113
中文關鍵詞： 客製化器械 、全人工關節置換術 、運動軸對齊 、動態平衡感測器
外文關鍵詞： Patient specific instrumentation, Total knee arthroplasty, Kinematic alignment, Balance system
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    • 摘要 I ABSTRACT II 致謝 III 目錄 IV 圖目錄 VII 表目錄 XI 第一章 緒論 1 1.1 前言 1 1.2 研究動機 2 1.3 研究目的 3 1.3.1 設計運動對齊且可調式客製化器械 3 1.3.2 開發通用型動態平衡感測器械 4 1.3.3 體外實驗驗證 4 1.4 論文架構 5 第二章 文獻回顧 6 2.1 全人工膝關節置換術對齊方式 6 2.1.1 機械對齊(Mechanical alignment,MA) 6 2.1.2 解剖對齊(Anatomic Alignment) 7 2.1.3 調整後的機械對齊(Adjusted Mechanical Alignment) 8 2.1.4 運動對齊(Kinematic alignment,KA) 8 2.2 膝關節壓力感測器 11 2.2.1 機械式壓力感測器 12 2.2.2 電子式壓力感測器 12 2.2.3 整合式壓力感測器 12 第三張 材料與方法 15 3.1 運動對齊式的可調整式PSI設計 17 3.1.1 設計、製作體外實驗用的人工假骨 17 3.1.2 人工假骨裝上治具進行CT掃描 23 3.1.3 重建患者3D模型，做術前規劃 25 3.1.4 設計能可調整式的客製化手術器械 31 3.2 軟組織平衡用壓力感測器開發 41 3.2.1 開發能即時顯示數值的壓力感測系統 41 3.2.2 檢測並校正壓力感測器 46 3.2.3 設計壓力感測器上的壓力平衡機構 48 3.2.4 設計體外實驗用人工膝關節運動模擬機構與側韌帶 50 3.3 體外實驗 55 3.3.1 術前準備 56 3.3.2 脛骨切骨 56 3.3.3 進行內外側壓力平衡 56 3.3.4 股骨切骨 57 3.3.5 術後成果檢測 58 第四章 研究結果 66 4.1 列印模型誤差分析結果 67 4.2 CT重建模型誤差分析結果 69 4.3 PSI定位誤差分析結果 72 4.4 切骨平面誤差分析結果 79 4.5 壓力平衡測試分析結果 81 第五章 討論 84 第六章 結論與未來展望 91 第七章 參考文獻 92

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