| 前交叉韧带解剖重建股骨隧道的应用解剖学研究 |
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Received:November 12, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 董伊隆 |
DONG Yi-long |
瑞安市人民医院, 浙江 瑞安 325200 |
Department of Orthopaedics, the People's Hospital of Rui'an, Rui'an 325200, Zhejiang, China |
dongyilongdel@sina.com |
| 蔡春元 |
CAI Chun-yuan |
瑞安市人民医院, 浙江 瑞安 325200 |
Department of Orthopaedics, the People's Hospital of Rui'an, Rui'an 325200, Zhejiang, China |
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| 姜文辉 |
JIANG Wen-hui |
瑞安市人民医院, 浙江 瑞安 325200 |
Department of Orthopaedics, the People's Hospital of Rui'an, Rui'an 325200, Zhejiang, China |
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| 姜刚毅 |
JIANG Gang-yi |
瑞安市人民医院, 浙江 瑞安 325200 |
Department of Orthopaedics, the People's Hospital of Rui'an, Rui'an 325200, Zhejiang, China |
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| 钱约男 |
QIAN Yue-nan |
瑞安市人民医院, 浙江 瑞安 325200 |
Department of Orthopaedics, the People's Hospital of Rui'an, Rui'an 325200, Zhejiang, China |
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| 赵章伟 |
ZHAO Zhang-wei |
瑞安市人民医院, 浙江 瑞安 325200 |
Department of Orthopaedics, the People's Hospital of Rui'an, Rui'an 325200, Zhejiang, China |
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| 杨国敬 |
YANG Guo-jing |
瑞安市人民医院, 浙江 瑞安 325200 |
Department of Orthopaedics, the People's Hospital of Rui'an, Rui'an 325200, Zhejiang, China |
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| 期刊信息：《中国骨伤》2013年26卷，第9期，第757-759页 |
| DOI：10.3969/j.issn.1003-0034.2013.09.013 |
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目的：测量膝关节前交叉韧带解剖重建股骨隧道的解剖学数据,为临床前交叉韧带解剖重建提供解剖学基础.
方法：采用30例成人尸体膝部标本.屈膝120°关节镜下经前内辅助入路(AMP)解剖重建前交叉韧带股骨隧道,并用克氏针标记.去除标本的软组织,正中劈开股骨髁.测量股骨隧道长度;测量隧道内口至股骨后髁皮质边缘的距离与股骨髁间窝顶的垂直距离,记录隧道内口分位点位于髁间窝的钟点位置;测量隧道外口与股骨外髁的相对位置.
结果：股骨隧道长度平均(36.35±3.14)mm(30.65～42.35mm);隧道内口至股骨后髁皮质边缘的距离(17.84±3.35)mm(14.02～23.49mm),至股骨髁间窝顶的垂直距离(14.05±2.32)mm(9.17～20.08mm).根据表盘法,隧道内口位于左膝02:30±00:10(01:50～02:50),右膝09:30±0:15(08:30～10:40);股骨隧道外口位于股骨外上髁近端(3.16±2.51)mm(1.61～6.30mm),后方(4.25±2.16)mm(1.73～8.52mm).
结论：本研究揭示了前交叉韧带解剖重建股骨隧道的解剖学特点,为临床应用提供了解剖学基础. |
| [关键词]:膝关节 前交叉韧带 解剖 修复外科手术 |
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| Anatomical study on the femoral tunnel anatomy reconstruction of anterior cruciate ligament |
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Abstract:
Objective：To measure anatomical data of the femoral tunnel anatomy reconstruction of anterior cruciate ligament (ACL),so provide anatomical basis for clinical anatomy reconstruction of ACL.
Methods： There were 30 adults' cadaveric knee specimens.The ACL femoral tunnel was reconstructed through anterior medial approach (AMP) in genuflex position of 120 degree,and was marked by Kirschner.The soft tissue of the specimen was removed and the femoral condyle was split at the middle side.The index including length of the femoral tunnel,the distance from internal opening of tunnel to cortical edge of femoral condyle and vertical distance to the top of femoral intercondylar notch were measured.Then the time position of internal opening of tunnel in the intercondylar notch was recorded,and the location of outside opening of tunnel to the femoral condyle was detected.
Results：The mean length of the femoral tunnel was (36.35±3.14) mm(ranged,30.65 to 42.35 mm).The distance from internal opening of tunnel to cortical edge of femoral condyle was (17.84±3.35) mm(ranged,14.02 to 23.49 mm),vertical distance to the top of femoral intercondylar notch was (14.05±2.32) mm(ranged,9.17 to 20.08 mm).According to the way of circulardial,internal opening of tunnel located at 02:30±00:10(ranged,01:50 to 02:50) in the left knee,and 09:30±0:15(ranged,08:30 to 10:40) in the right knee.The outside opening of femoral tunnel located at (3.16±2.51) mm(ranged,1.61 to 6.30 mm) to the proximal end of external epicondyle of femur,and (4.25±2.16) mm(ranged,1.73 to 8.52 mm) to the posteri or of external epicondyle of femur.
Conclusion：The anatomical features of femoral tunnel for reconstruction of ACL is revealed,which will provide anatomical basis for clinical practice. |
| KEYWORDS:Knee joint Anterior cruciate ligament Anatomy Reconstructive surgical procedures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 董伊隆,蔡春元,姜文辉,姜刚毅,钱约男,赵章伟,杨国敬.前交叉韧带解剖重建股骨隧道的应用解剖学研究[J].中国骨伤,2013,26(9):757~759 |
| 英文格式: | DONG Yi-long,CAI Chun-yuan,JIANG Wen-hui,JIANG Gang-yi,QIAN Yue-nan,ZHAO Zhang-wei,YANG Guo-jing.Anatomical study on the femoral tunnel anatomy reconstruction of anterior cruciate ligament[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(9):757~759 |
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