[1]郑维蓬 刘治军 魏合伟△ 万雷 陈胜 廖志浩 赵国源 胡伟坚.单束类等长重建前交叉韧带术后骨道位置及直径变化[J].中国中医骨伤科杂志,2021,29(09):40-45.
　ZHENG Weipeng LIU Zhijun WEI Hewei WAN LeiCHEN Sheng LIAO Zhihao ZHAO Guoyuan HU Weijian.Study on the Location and Diameter Change of Bone Tunnel after SingleBundle Isometric Reconstruction of Anterior Cruciate Ligament[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(09):40-45.
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单束类等长重建前交叉韧带术后骨道位置及直径变化()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年09期
页码:
40-45
栏目:
临床论著
出版日期:
2021-09-15

文章信息/Info

Title:
Study on the Location and Diameter Change of Bone Tunnel after SingleBundle Isometric Reconstruction of Anterior Cruciate Ligament
文章编号:
1005-0205(2021)09-0040-06
作者:
郑维蓬1 刘治军1 魏合伟1△ 万雷1 陈胜1 廖志浩1 赵国源2 胡伟坚2
1广州中医药大学第三附属医院(广州,510375)
2广州中医药大学
Author(s):
ZHENG Weipeng1 LIU Zhijun1 WEI Hewei1△ WAN Lei1CHEN Sheng1 LIAO Zhihao1 ZHAO Guoyuan2 HU Weijian2
1The Third Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510375,China; 2Guangzhou University of Traditional Chinese Medicine,Guangzhou 510006,China.
关键词:
骨;  前交叉韧带;  重建;  骨道位置;  直径变化
Keywords:
bone;  anterior cruciate ligament;  reconstruction;  location and diameter change of bone tunnel;  diameter change
分类号:
R686.1
文献标志码:
A
摘要:
目的:探讨前交叉韧带类等长重建术后骨道的位置及其直径变化的情况。方法:回顾性分析2016年1月至2019年12月关节镜下单束类等长重建前交叉韧带的患者43例。所有患者术后1周内给予X线片检查,并测量胫骨和股骨骨道位置。术后12个月随访时给予X线片检查,并测量胫骨和股骨骨道位置和直径,所得数据进行统计分析。结果:根据X线片上骨道直径的测量结果,将患者分为骨道扩大组与非扩大组,两组间骨道直径比较,差异有统计学意义(P<0.05)。扩大组在矢状位上胫骨骨道位置为34.56%±2.16%,冠状位上胫骨骨道位置为42.97%±4.37%; 非扩大组在矢状位上胫骨骨道位置为38.62%±3.07%,冠状位上胫骨骨道位置为45.42%±5.73%。Bernard象限法测量扩大组的股骨骨道位置为30.78%±4.45%和38.80%±9.20%,非扩大组的股骨骨道位置为27.28%±3.47%和22.25%±5.58%。Segawa方法测量扩大组的股骨骨道位置为29.20%±4.06%,非扩大组的股骨骨道位置为26.53%±3.61%。扩大组与非扩大组在X线片的冠状面上,胫骨骨道内口相对位置的测量结果差异无统计学意义(P=0.124); 其他测量结果相比差异有统计学意义(P<0.05)。结论:骨道位置与骨道扩大两者具有一定相关性; 在一定范围内为减小骨道扩大的程度,股骨骨道位点应尽可能在足印区范围内偏后略高的位置,而胫骨骨道位点不应追求过于偏前,这对于单束前交叉韧带类等长重建术后评估有一定的指导意义。
Abstract:
Objective:To investigate the location and diameter change of bone tunnel after isometric reconstruction of Anterior Cruciate Ligament(ACL). Methods:43 patients with ACL reconstruction by arthroscopy were selected and retrospectively analyzed from January 2016 to December 2019.All patients were given X-ray examination within 1 week after operation,and the position of tibia and femoral tunnel was measured.X-ray examination was performed and the diameter of tibial and femoral tunnel was measured after operation for 1 year.Results:According to the measurement results of X-ray,the patients were divided into two groups: the enlarged group and the non-enlarged group.After comparison of bone canal diameter between the two groups,there was significant difference(P<0.05).In the enlarged group,the position of tibial tunnel in sagittal position was 34.56%±2.16%,and that in coronal view was 42.97%±4.37%.In non-enlargement group,the position of tibial tunnel in sagittal position was 38.62%±3.07%,and that in coronal view was 45.42%±5.73%.The position of femoral tunnel measured by Bernard quadrant method was 30.78%±4.45% and 38.80%±9.20% in enlarged group,and that in non-enlargement group was 27.28%±3.47% and 22.25%±5.58%.The position of femoral tunnel measured by Segawa method was 29.20%±4.06% in enlarged group and 26.53%±3.61% in non-enlargement group.By comparing the coronal plane of X-ray film between the enlarged group and the non-enlarged group,there were no significant differences in the measurement results of the relative position of tibial canal internal opening(P=0.124).There were significant differences in other measurement results(P<0.05).Conclusion:There was a certain correlation between the location of bone tunnel and the enlargement of bone tunnel.In order to reduce the expansion of the bone tunnel in a certain range,the femoral bone tunnel should be slightly higher to the back in the footprint area,while the tibial bone tunnel should not be too forward,which can be of guiding significance for the postoperative evaluation of single bundle ACL isometric reconstruction.

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备注/Memo

备注/Memo:
基金项目:广东省中医药科研项目(20191178)广东省中医药科研项目(20170283)广州中医药大学第三附属医院创新基金项目(SY2015001)
△通信作者 E-mail:whwhou@163.com
更新日期/Last Update: 1900-01-01