徐虎;张春礼;李光政;熊川;王迎春;朱庆生;裴国献;

• 1:第四军医大学西京骨科医院运动损伤科

摘要(Abstract)：

[目的]对关节镜下重建前交叉韧带(ACL)手术中,经胫骨隧道与髌下前内侧入路建立股骨隧道的长度、角度进行比较。[方法]在140例ACL移植重建患者中,70例采用经胫骨隧道、70例经前内入路建立股骨隧道,术中记录股骨隧道长度,术后行膝关节前后位及侧位X线检查,测量股骨隧道在冠状面与内外髁连线及矢状面与股骨干轴线夹角,并使用t检验进行统计分析。[结果]经胫骨隧道组及经前内入路组股骨隧道长度分别为(50.67±5.00)mm、(37.97±4.45)mm,后者股骨隧道长度短于前者,差异非常显著(P<0.01);冠状面股骨隧道角度两者分别为68.20°±6.92°;矢状面为45.45°±7.47°、32.81°±9.45°,无论在冠状面及矢状面,前内入路组股骨隧道角度均小于胫骨隧道组,差异非常显著(P<0.01)。[结论]在关节镜下ACL移植重建手术中,采用前内入路制备的股骨隧道,长度短、角度小。它可以减小"雨刮效应"和"蹦极效应"发生的可能,最终获得更好的临床效果。

关键词(KeyWords)： 前交叉韧带;关节镜检查术;股骨隧道定位;单束;经胫骨的;前内侧入路

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 徐虎;张春礼;李光政;熊川;王迎春;朱庆生;裴国献;

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参考文献(References)：

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