首页 | 本学科首页   官方微博 | 高级检索  
检索        

前交叉韧带重建术失效是否与胫骨平台后倾角有关?一项病例对照研究
作者姓名:Li Yue  Hong Lei  Feng Hu  Wang Qianqian  Zhang Hui  Song Guanyang
作者单位:Sports Medicine Service, Beijing Jishuitan Hospital,Sports Medicine Service, Beijing Jishuitan Hospital,Sports Medicine Service, Beijing Jishuitan Hospital,Beijing Institute of Traumatology and Orthopaedics,Sports Medicine Service, Beijing Jishuitan Hospital,Sports Medicine Service, Beijing Jishuitan Hospital
基金项目:国家自然科学基金:有关骨质疏松膝关节后交叉韧带重建的相关研究
摘    要:Background Recently, increasing number of literature has identified the posterior tibial slope (PTS) as one of the risk factors of primary anterior cruciate ligament (ACL) injury. However, few studies concerning the association between failure of ACL reconstruction (ACLR) and PTS have been published. The objective of this study was to explore the association between the failure of ACLR and PTS at a minimum of two years follow-up. Methods Two hundred and thirty eight eligible patients from June 2009 to October 2010 were identified from our database. A total of 20 failure cases of ACLR and 20 randomly selected controls were included in this retrospective study. The demographic data and the results of manual maximum side-to-side difference with KT-1000 arthrometer at 30°of knee flexion and pivot-shift test before the ACLR and at the final follow-up were collected. The medial and lateral PTSs were measured using the magnetic resonance imaging (MRI) scan, based on Hudek's measurement. A comparison of PTS between the two groups was performed. Results The overall failure rate of the present study was 8.4%. Of the 40 participants, the mean medial PTS was 4.1°±3.2°and the mean lateral PTS was 4.6°±2.6°. The medial PTS of the ACLR failure group was significantly steeper than the control group (3.5°±2.5° vs. 6.1°±2.1°, P=0.000). Similarly, the lateral PTS of the ACLR failure group was significantly steeper than the control group (2.9°±2.1 °vs. 5.5°±3.0°, P=0.006). For medial PTS ≥5°, the odds ratio of ACLR failure was 6.8 (P=0.007); for lateral PTS ≥5°, the odds ratio of ACLR failure was 10.8 (P=0.000). Conclusion Both medial and lateral PTS were significantly steeper in failures of ACLR than the control group. Medial or lateral PTS ≥5° was a new risk factor of ACLR failure.

关 键 词:韧带  胫骨  病例  危险因素  磁共振成像  故障率  PTS  对照组

Are failures of anterior cruciate ligament reconstruction associated with steep posterior tibial slopes? A case control study
Li Yue,Hong Lei,Feng Hu,Wang Qianqian,Zhang Hui,Song Guanyang.Are failures of anterior cruciate ligament reconstruction associated with steep posterior tibial slopes? A case control study[J].Chinese Medical Journal,2014,127(14):2649-2653.
Authors:Li Yue  Hong Lei  Feng Hu  Wang Qianqian  Zhang Hui and Song Guanyang
Abstract:anterior cruciate ligament reconstruction medial posterior tibial slope lateral posterior tibial slope correlation failure
Keywords:anterior cruciate ligament reconstruction  medial posterior tibial slope  lateral posterior tibial slope  correlation  failure
本文献已被 维普 等数据库收录!
点击此处可从《中华医学杂志(英文版)》浏览原始摘要信息
点击此处可从《中华医学杂志(英文版)》下载免费的PDF全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号