腓骨头至后交叉韧带胫骨部高度差距的测量及其意义
殷钦;陶坤;宋希玺;丛锐军;茅凌洲;蔡新宇;
摘要(Abstract):
[目的]通过MRI图像上测量腓骨头与后交叉韧带胫骨止点间的垂直距离,为术前评估全膝关节置换手术中后交叉韧带损伤的概率提供参考。[方法]随机选取86侧正常成人膝关节,行膝关节核磁共振扫描,获得图像经Photoshop CS5软件处理,测量腓骨头至后交叉韧带止点的距离,并分析年龄和性别因素对其影响。[结果]腓骨头与后交叉韧带胫骨部最高点的垂直距离为(8.6±3.5)mm,腓骨头至后交叉韧带胫骨部最低点的垂直距离为(2.8±2.8)mm,在不同年龄、性别之间均无明显差异。[结论]腓骨头是术前预测后交叉韧带胫骨止点位置的可靠参考标志,TKA术前应常规行膝关节X线片检查,评估后交叉韧带损伤概率。
关键词(KeyWords): 后交叉韧带保留;全膝关节置换术;后交叉韧带;胫骨截骨;腓骨头
基金项目(Foundation): 国家自然基金项目(编号:81000808)
作者(Author): 殷钦;陶坤;宋希玺;丛锐军;茅凌洲;蔡新宇;
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DOI:
参考文献(References):
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