| 前交叉韧带止点形态学测量及重建骨道直径探讨 |
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| 引用本文： | 陈连旭,余家阔,敖英芳,崔国庆,王健全. 前交叉韧带止点形态学测量及重建骨道直径探讨[J]. 中国运动医学杂志, 2011, 30(5) |
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| 作者姓名： | 陈连旭 余家阔 敖英芳 崔国庆 王健全 |
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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前交叉韧带(ACL)止点的形态大小,探讨重建ACL时骨道直径的最佳选择。方法:解剖26具新鲜冷冻的膝关节尸体标本,标记ACL股骨和胫骨止点边界和前内束(AM)和后外束(PL)的分界。确定ACL、AM和PL纵轴并测量其长度,经过纵轴中点作其垂线,沿垂线测量止点宽度,该宽度则为重建骨道的最大直径。结果:测量值用均数(第25百分位数～第75百分位数)表示。ACL、AM和PL胫骨止点纵轴宽度分别为9.06(7.65~9.88)mm,8.47(6.85~9.23)mm和6.43(5.01~7.88)mm;其股骨止点纵轴宽度分别为10.31(8.75~11.50)mm,8.60(7.79~9.23)mm和6.74(5.54~8.00)mm。根据解剖重建和胫骨、股骨骨道相一致的原则,依据镜下测量结果,决定ACL重建时骨道直径。单束重建骨道直径可从7.5 mm到9.5 mm,均值为9 mm。双束重建AM骨道直径可从6.5 mm到9.0 mm,均值为8 mm;PL骨道的直径可从5.0 mm到7.5 mm,均值为6 mm。
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| 关 键 词： | 前交叉韧带 解剖重建 骨道 直径 |
Morphological Measurement of ACL Insertion and Optimization of Tunnel Diameter in ACL Reconstruction |
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| Chen Lianxu,Yu Jiakuo,Ao Yingfang,Cui Guoqing,Wang Jianquan. Morphological Measurement of ACL Insertion and Optimization of Tunnel Diameter in ACL Reconstruction[J]. Chinese Journal of Sports Medicine, 2011, 30(5) |
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| Authors: | Chen Lianxu Yu Jiakuo Ao Yingfang Cui Guoqing Wang Jianquan |
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| Affiliation: | Chen Lianxu,Yu Jiakuo,Ao Yingfang,Cui Guoqing,Wang Jianquan The Institute of Sports Medicine,Third hospital,Beijing University,Beijing,China 100191 |
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| Abstract: | Objective To measure the morphology of anterior cruciate ligament(ACL)insertion in human cadaver knee,and to optimize the diameter of tunnel in ACL reconstruction.Methods Twenty six human cadaver knees were dissected,periphery of ACL and boundary of anteromedial(AM)bundle and poteriolateral(PL)bundle in femoral and tibial attachments were marked,and major axis of footprint of ACL,AM and PL were confirmed and its length were measured.The vertical line through the midpoint of the major axis was identified,and... |
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| Keywords: | anterior cruciate ligament anatomical reconstruction tunnel diameter |
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