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[1]謝凱羅,董伊隆,張力成.前交叉韌帶單束解剖重建術(shù)股骨隧道定位的X線評(píng)估[J].中醫(yī)正骨,2015,27(10):11-14.
　XIE Kailuo,DONG Yilong,ZHANG Licheng.Roentgenologic evaluation of femoral tunnel positioning in anterior cruciate ligament single-bundle anatomical reconstruction[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(10):11-14.
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前交叉韌帶單束解剖重建術(shù)股骨隧道定位的X線評(píng)估()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年10期
頁碼:
11-14
欄目:
臨床研究
出版日期:
2015-10-30

文章信息/Info

Title:
Roentgenologic evaluation of femoral tunnel positioning in anterior cruciate ligament single-bundle anatomical reconstruction
作者:
謝凱羅; 董伊隆; 張力成
溫州醫(yī)科大學(xué)附屬第三醫(yī)院,浙江 瑞安 325200
Author(s):
XIE Kailuo; DONG Yilong; ZHANG Licheng
The Third Affiliated Hospital of Wenzhou Medical University,Ruian 325200,Zhejiang,China
關(guān)鍵詞:
前交叉韌帶重建;  關(guān)節(jié)鏡檢查;  體層攝影術(shù); X線;  股骨隧道定位
Keywords:
anterior cruciate ligament reconstruction;  arthroscopy;  tomography; X-ray;  femoral tunnel positioning
摘要:
目的:探討應(yīng)用X線片評(píng)估前交叉韌帶(anterior cruciate ligament,ACL)單束解剖重建術(shù)股骨隧道定位的可行性。方法:選取57例因ACL斷裂接受ACL單束解剖重建術(shù)的患者,在術(shù)后患側(cè)膝關(guān)節(jié)標(biāo)準(zhǔn)正位片上測(cè)量股骨髁長(zhǎng)度ML、移植物股骨止點(diǎn)至股骨外髁外緣的距離NL及膝關(guān)節(jié)線與股骨隧道中心線的夾角α,在側(cè)位片上測(cè)量Blumensaat線的長(zhǎng)度BL、移植物股骨止點(diǎn)至股骨髁間凹頂?shù)木嚯xAL及股骨干長(zhǎng)軸與股骨隧道中心線的夾角β,以X線片上移植物股骨端在髁間窩處的中心點(diǎn)作為移植物股骨止點(diǎn)。為消除X線片放大率的影響,將所測(cè)得的長(zhǎng)度轉(zhuǎn)換成百分?jǐn)?shù),以NL/ML×100%表示移植物股骨止點(diǎn)在正位片上的位置,AL/BL×100%表示移植物股骨止點(diǎn)在側(cè)位片上的位置。將所測(cè)數(shù)據(jù)(解剖重建組)與我們以往采用ACL單束解剖重建術(shù)治療并完成隨訪的47例患者的數(shù)據(jù)進(jìn)行比較; 47例患者均已采用國(guó)際膝關(guān)節(jié)文獻(xiàn)委員會(huì)(the international knee documentation committee,IKDC)膝關(guān)節(jié)韌帶損傷評(píng)分量表評(píng)定療效,其中38例IKDC評(píng)分>90分(IKDC>90分組),9例IKDC評(píng)分<90分(IKDC<90分組)。結(jié)果:解剖重建組NL/ML×100%、AL/BL×100%、α角及β角分別為(55.71±4.78)%、(30.13±5.26)%、47.90°±3.57°、29.50°±4.52°。解剖重建組和IKDC>90分組NL/ML×100%、AL/BL×100%、α角及β角比較,組間差異均無統(tǒng)計(jì)學(xué)意義(t=1.201,P=0.233; t=0.389,P=0.698; t=1.879,P=0.063; t=1.803,P=0.075)。解剖重建組與IKDC<90分組的NL/ML×100%比較,差異無統(tǒng)計(jì)學(xué)意義(t=1.511,P=0.136); 解剖重建組的AL/BL×100%、α角及β角均小于IKDC<90分組(t=9.067,P=0.000; t=15.361,P=0.000; t=6.967,P=0.000)。結(jié)論:通過在術(shù)后X線片上進(jìn)行測(cè)量,可評(píng)估ACL單束解剖重建術(shù)股骨隧道定位的準(zhǔn)確性。
Abstract:
Objective:To explore the feasibility of roentgenologic evaluation of femoral tunnel positioning in anterior cruciate ligament(ACL)single-bundle anatomical reconstruction.Methods:Fifty-seven patients who received ACL single-bundle anatomical reconstruction for treatment of ACL rupture were selected.After the surgery,the length of femoral condyle(ML),the distance between femoral ending point of graft and lateral border of femoral lateral condyle(NL)and the angle(α)between the knee-joint line and the centre line of femoral tunnel were measured on the standard anteroposterior X-ray film of affected knee; while the length of Blumensaat line(BL),the distance between femoral ending point of graft and the top of femoral intercondyloid fossa(AL)and the angle(β)between the macroaxis of femoral shaft and the centre line of femoral tunnel were measured on the lateral X-ray film,with use of the central point of femoral ends of graft in intercondyloid fossa on the X-ray film as femoral ending point of graft.In order to eliminate the influence of magnification of X-ray film,above lengths were converted into percentage.NL/ML×100%represented the location of femoral ending point of graft on the anteroposterior X-ray film,and AL/BL×100%represented the location of femoral ending point of graft on the lateral X-ray film.Then the data(anatomic reconstruction group)were compared with previous data of 47 patients who were treated with ACL single bundle anatomical reconstruction and completed the follow-up visit.The therapeutic effects had been evaluated in the 47 patients by using the knee ligament injury rating scale issued by the international knee documentation committee(IKDC), the IKDC score of >90 points was found in 38 patients(IKDC>90 points group)and the IKDC score of <90 points was found in 9 patients(IKDC<90 points group).Results:NL/ML×100%,AL/BL×100%,angle α and angle β in anatomic reconstruction group were 55.71+/-4.78%,30.13+/-5.26%,47.90+/-3.57 degrees and 29.50+/-4.52 degrees respectively.There was no statistical difference in NL/ML×100%,AL/BL×100%,angle α and angle β between anatomic reconstruction group and IKDC>90 points group(t=1.201,P=0.233; t=0.389,P=0.698; t=1.879,P=0.063; t=1.803,P=0.075).There was no statistical difference in NL/ML×100% between anatomic reconstruction group and IKDC<90 points group(t=1.511,P=0.136).AL/BL×100%,angle α and angle β were less in anatomic reconstruction group compared to IKDC<90 points group(t=9.067,P=0.000; t=15.361,P=0.000; t=6.967,P=0.000).Conclusion:The accuracy of femoral tunnel positioning in surgery of ACL single-bundle anatomical reconstruction can be evaluated through measuring on the X-ray film after the surgery.

參考文獻(xiàn)/References:

[1] Tashman S,Kopf S,Fu FH.The Kinematic Basis of ACL Reconstruction[J].Oper Tech Sports Med,2008,16(3):116-118.
[2] Khalfayan EE,Sharkey PF,Alexander AH,et al.The relationship between tunnel placement and clinical results after anterior cruciate ligament reconstruction[J].Am J Sports Med,1996,24(3):335-341.
[3] 董伊隆,蔡春元,姜?jiǎng)傄?等.前交叉韌帶股骨側(cè)移植物的止點(diǎn)和角度對(duì)術(shù)后膝關(guān)節(jié)功能的影響[J].中國(guó)骨傷,2012,25(11):895-898.
[4] Denti M,Lo Vetere D,Bait C,et al.Revision anterior cruciate ligament Reconstruction: causes of failure,surgical technique,and clinical results[J].Am J Sports Med,2008,36(10):1896-1902.
[5] Zantop T,Diermann N,Schumacher T,et al.Anatomical and nonanatomical double-bundle anterior cruciate ligament reconstruction:importance of femoral tunnel location on knee kinematics[J].Am J Sports Med,2008,36(4):678-685.
[6] Gimn F,Buzzi R,Aglictti P.Femoral tunnel position in anterior cruciate ligament Reconstruction using three technique.A cadaver study[J].Arthosocopy,1999,15(7):750-756.
[7] Araujo PH,van Eck CF,Macalena JA,et al.Advances in the three-portal technique for anatomical single- or double-bundle ACL reconstruction[J].Knee Surg Sports Traumatol Arthrosc,2011,19(8):1239-1242.
[8] Van Eck CF,Lesniak BP,Schreiber VM.Anatomic single- and Double-Bundle anterior cruciate ligament Reconstruction flowchart[J].Arthroscopy-the Journal of Arthroscopic and Related Surgery,2010,26(2):258-268.
[9] Kato Y,Ingham SJ,Kramer S,et al.Effect of tunnel position for anatomic single-bundle ACL Reconstruction on knee biomechanics in a porcine model[J].Knee Surgery Sports Traumatology Arthroscopy,2010,18(1):2-10.
[10] Ekdahl M,Nozaki M,Ferretti M,et al.The effect of tunnel placement on Bone-Tendon healing in anterior cruciate ligament Reconstruction in a goat model[J].American Journal of Sports Medicine,2009,37(8):1522-1530.
[11] Xu Y,Ao Y,Wang J,et al. Relation of tunnel enlargement and tunnel placement after single-bundle anterior cruciate ligament reconstruction[J].Arthroscopy,2011,27(7):923-932.
[12] Bedi A,Raphael B,Maderazo A,et al.Transtibial versus anteromedial portal drilling for anterior cruciate ligament reconstruction:a cadaveric study of femoral tunnel length and obliquity[J].Arthroscopy,2010,26(3):342-350.
[13] Markolf KL,Jackson SR,Mcallister DR.A comparison of 11 O'clock versus oblique femoral tunnels in the anterior cruciate Ligament-Reconstructed knee knee kinematics during a simulated pivot test[J].American Journal of Sports Medicine,2010,38(5):912-917.

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備注/Memo

備注/Memo:
2015-04-09收稿 2015-07-03修回
通訊作者:張力成 E-mail:[email protected]
更新日期/Last Update: 2015-10-30