PCL双束重建术中股骨隧道定位对移植物等距特性的影响
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瑞安市科技局项目基金(20082085)


Isometricity of grafts in PCL reconstruction under femoral tunnel shifting condition
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    摘要:

    目的 探讨后交叉韧带(PCL)双束重建术中股骨隧道定位变化对移植物等距特性的影响。方法 取10具正常成人新鲜膝关节标本,将后交叉韧带分为前外侧束和后内侧束,分别在双束股骨附丽部上选前、后、中、近、远十个测试点,用细软钢丝将各点与胫骨附丽部中点相连,用百分表测量膝关节 0°~ 120°活动范围内各钢丝关节内长度的变化。结果 比较各点的钢丝在关节内长度变化发现,其中前外侧束的近点、后点和后内侧束的近点这3点长度的最大值均不超过2mm。且对前外侧束的近点、后点进行两两比较,发现差异无统计学差异(P>0.05)。结论 在后交叉韧带双束重建中,前外侧束应以其股骨附丽部上缘的中点(即近测试点)为中心钻孔;后内侧束应以其股骨附丽部上缘(即近测试点)为中心钻孔建立股骨骨隧道。

    Abstract:

    Objectives To explore the isometricity of grafts in PCL(posterior cruciate ligament)double-bundle reconstruction under femoral tunnel shifting condition . Methods Knee specimens from ten fresh frozen cadavers were used. PCL were divided into anterolateral bundles (ALB) and posteromedial bundles (PMB) to the insertion footprint .The anterior , posterior , proximal , distal and central points of the two bundles’ femoral attachment site were respectively anchored to the middle of the PCL’s tibial attachment site by the trial wires. Changes in length of the intra-articular part of the wires were recorded while the knee was flexed from 0°to 120°. Results The length changes in every points were compared. All of the maximal length changes of ALB’s proximal, posterior points and PMB’s proximal points were not greater than 2mm. No significant difference between the length changes of ALB’s proximal point and posterior (P=0.864>0.05) . Conclusions The femoral tunnel for the PCL double-bundle reconstruction should be located as follows: ALB should be at the middle point of upper edge of femoral attachment site (proximal point), while PMB at the middle point of femoral attachment site (proximal point).

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刘敏,林瑞新,杨国敬,张力成,蔡春元,张东升,汤呈宣,王伟良. PCL双束重建术中股骨隧道定位对移植物等距特性的影响[J].医用生物力学,2009,24(6):434-438

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  • 收稿日期:2009-06-22
  • 最后修改日期:2009-11-29
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