解剖双束前交叉韧带重建中的股骨隧道长度与身体大小和膝盖形态相关。

IF 1.6 4区 医学 Q3 ORTHOPEDICS Journal of Knee Surgery Pub Date : 2024-06-01 Epub Date: 2023-09-22 DOI:10.1055/a-2180-2265
Yoshiyuki Yahagi, Takanori Iriuchishima, Genki Iwama, Makoto Suruga, Yusuke Morimoto, Kazuyoshi Nakanishi
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引用次数: 0

摘要

目的:揭示解剖双束前交叉韧带(ACL)重建中股骨前内侧(AM)和后外侧(PL)隧道长度与身体大小和膝盖形态的相关性。方法:34例受试者接受解剖双束前交叉韧带重建。测量术前的体型(身高、体重和体重指数(BMI))。采用术前MRI测量膝关节股四头肌腱(QT)厚度和前后全长(AP)。使用术后CT,评估股骨髁的轴向和矢状位视图。统计分析术前MRI和术后CT参数测量的术中AM和PL股骨隧道长度与身体大小、膝盖形态之间的相关性。结果:AM和PL股骨隧道长度均与身高、体重、后髁长度和Blumensaat线长度显著相关。结论:这些结果表明,通过使用MRI或CT测量受试者的身体大小和/或膝盖形态,可以在术前估计使用经门静脉技术创建的股骨前交叉韧带隧道长度。出于临床相关性,外科医生在使用经门脉技术时应小心创建足够长度的股骨隧道,尤其是体型和膝盖形态较小的受试者。证据级别Ⅲ。
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Femoral Tunnel Length in Anatomical Double-Bundle Anterior Cruciate Ligament Reconstruction Is Correlated with Body Size and Knee Morphology.

The purpose of this study was to reveal the correlation between anteromedial (AM) and posterolateral (PL) femoral tunnel lengths in anatomical double-bundle anterior cruciate ligament (ACL) reconstruction and body size and knee morphology. Thirty-four subjects undergoing anatomical double-bundle ACL reconstruction were included in this study. Preoperative body size (height, body weight, and body mass index) was measured. Using preoperative magnetic resonance imaging (MRI), quadriceps tendon thickness and the whole anterior-posterior length of the knee were measured. Using postoperative computed tomography (CT), axial and sagittal views of the femoral condyle were evaluated. The correlation between measured intraoperative AM and PL femoral tunnel lengths, and body size and knee morphology using preoperative MRI and postoperative CT parameters was statistically analyzed. Both AM and PL femoral tunnel lengths were significantly correlated with height, body weight, posterior condylar length, and Blumensaat's line length. These results suggest that the femoral ACL tunnel length created using a transportal technique can be estimated preoperatively by measuring the subject's body size and/or the knee morphology using MRI or CT. For clinical relevance, surgeons should be careful to create femoral tunnel of sufficient length when using a transportal technique, especially in knees of subjects with smaller body size and knee morphology. Level of evidence is III.

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来源期刊
CiteScore
4.50
自引率
5.90%
发文量
139
期刊介绍: The Journal of Knee Surgery covers a range of issues relating to the orthopaedic techniques of arthroscopy, arthroplasty, and reconstructive surgery of the knee joint. In addition to original peer-review articles, this periodical provides details on emerging surgical techniques, as well as reviews and special focus sections. Topics of interest include cruciate ligament repair and reconstruction, bone grafting, cartilage regeneration, and magnetic resonance imaging.
期刊最新文献
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