Brinkman J-M, Schwering P J A, Blankevoort L, Kooloos J G, Luites J, Wymenga A B
Department of Orthopaedics, St. Maartenskliniek, P. O. Box 9011, 6500 GM Nijmegen, The Netherlands.
J Bone Joint Surg Br. 2005 Oct;87(10):1364-8. doi: 10.1302/0301-620X.87B10.16536.
We have quantitatively documented the insertion geometry of the main stabilising structures of the posterolateral corner of the knee in 34 human cadavers. The lateral collateral ligament inserted posterior (4.6 mm, sd 2) and proximal (1.3 mm, sd 3.6) to the lateral epicondyle of the femur and posterior (8.1 mm, sd 3.2) to the anterior point of the head of the fibula. On the femur, the popliteus tendon inserted distally (11 mm, sd 0.8) and either anterior or posterior (mean 0.84 mm anterior, sd 4) to the lateral collateral ligament. The popliteofibular ligament inserted distal (1.3 mm, sd 1.2) and anterior (0.5 mm, sd 2.0) to the tip of the styloid process of the fibula. The ligaments had a consistent pattern of insertion and, despite the variation between specimens, the standard deviations were less than the typical size of drill hole used in reconstruction of the posterolateral corner. The data provided in this study can be used in the anatomical repair and reconstruction of this region of the knee.
我们对34具人类尸体膝关节后外侧角主要稳定结构的插入几何形态进行了定量记录。外侧副韧带插入股骨外侧髁后方(4.6毫米,标准差2)及近端(1.3毫米,标准差3.6),并插入腓骨头前方点后方(8.1毫米,标准差3.2)。在股骨上,腘肌腱插入外侧副韧带远端(11毫米,标准差0.8),且位于外侧副韧带前方或后方(平均前方0.84毫米,标准差4)。腘腓韧带插入腓骨茎突尖端远端(1.3毫米,标准差1.2)及前方(0.5毫米,标准差2.0)。这些韧带具有一致的插入模式,尽管标本之间存在差异,但标准差小于后外侧角重建中使用的典型钻孔尺寸。本研究提供的数据可用于该膝关节区域的解剖修复和重建。