| 后交叉韧带止点形态学测量及其重建骨道直径探讨 |
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| 引用本文： | 陈连旭,余家阔,敖英芳,王海军,林霖. 后交叉韧带止点形态学测量及其重建骨道直径探讨[J]. 中国运动医学杂志, 2011, 30(10) |
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| 作者姓名： | 陈连旭 余家阔 敖英芳 王海军 林霖 |
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| 作者单位： | 北京大学第三医院运动医学研究所,北京,100191 |
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| 摘 要： | 目的:在膝关节尸体标本上测量后交叉韧带(PCL)止点的形态大小,探讨重建PCL时骨道直径的选择。方法:解剖20具新鲜冷冻的膝关节尸体标本,标记PCL股骨和胫骨止点边界和前外束(AL)与后内束(PM)的分界。确定PCL、AL和PM纵轴并测量其长度,经过纵轴中点做其垂线,沿垂线测量其止点宽度,该宽度则为骨道最大直径。测量值用均数(第25百分位数~第75百分位数)表示。结果:PCL、AL和PM胫骨止点的纵轴宽度分别为10.64(9.52~11.51)mm,6.54(5.50~7.58)mm和5.85(5.37~6.56)mm。股骨止点纵轴宽度分别为11.01(10.27~12.04)mm,9.56(8.91~10.52)mm和9.47(8.85~10.28)mm。结论:根据解剖重建和胫骨、股骨骨道一致的原则,PCL单束重建的骨道直径可从9.5 mm到11.5 mm,均值10.5 mm;双束重建AL骨道直径可从6.5 mm到8.5 mm,均值7.5 mm;PL骨道直径可从6.0 mm到7.5 mm,均值6.5mm。
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| 关 键 词： | 后交叉韧带 解剖重建 骨道 直径 |
Morphological Measurement of PCL Insertion and Optimized Tunnel Diameter for PCL Reconstruction |
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| Chen Lianxu,Yu Jiakuo,Ao Yingfang,Wang Haijun,Lin Lin. Morphological Measurement of PCL Insertion and Optimized Tunnel Diameter for PCL Reconstruction[J]. Chinese Journal of Sports Medicine, 2011, 30(10) |
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| Authors: | Chen Lianxu Yu Jiakuo Ao Yingfang Wang Haijun Lin Lin |
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| Affiliation: | Chen Lianxu,Yu Jiakuo,Ao Yingfang,Wang Haijun,Lin Lin The Institute of Sports Medicine,Third Hospital,Peking University,Beijing,China 100191 |
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| Abstract: | Objective To measure the morphology of posterior cruciate ligament(PCL) insertion in human cadaver knee,and to search the optimized tunnel diameter for PCL reconstruction.Methods Twenty human cadaver knees were dissected,the periphery of PCL and boundary of anterolateral(AL)bundle and poteriomedial(PM)bundle in femoral and tibial attachment were marked,and the major axis and length of PCL,AL and PM bundles were confirmed and measured.The vertical line was drawn through the midpoint of the major axis,and the... |
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| Keywords: | posterior cruciate ligament anatomical reconstruction tunnel diameter |
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