Griffith Chad J, Laprade Robert F, Coobs Benjamin R, Olson Erik J
Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue, R200, Minneapolis, Minnesota 55454, USA.
J Orthop Res. 2007 Sep;25(9):1231-42. doi: 10.1002/jor.20422.
The purpose of this study was to describe the anatomy and characterize the biomechanics of the posterolateral aspect of the canine knee. Ten adult canine knees were each used for anatomy and biomechanical testing. Distances and motion limits were measured using a 6 degree-of-freedom electromagnetic tracking system. Canine knee dissection reproducibly identified structures present in the human posterolateral knee. The course and attachment sites of the fibular collateral ligament, popliteofibular ligament, and popliteus tendon were similar to human anatomy. Sequential sectioning of the fibular collateral ligament, popliteofibular ligament, and popliteus tendon all significantly increased varus translation at full extension, 60 degrees , and 90 degrees of knee flexion. Sectioning of the fibular collateral ligament significantly increased external rotation at flexion angles near full extension, while popliteus tendon sectioning also significantly increased external rotation at 90 degrees of knee flexion. Based on the fact that the anatomy of the fibular collateral ligament, popliteus tendon, popliteofibular ligament, and the biomechanical properties of the canine posterolateral knee are similar to the human knee, we believe the canine knee is a suitable model to study the natural history of posterolateral knee injuries. The canine model will also prove valuable in the validation of reconstruction techniques and studying the potential development of medial compartment osteoarthritis following posterolateral knee injuries.
本研究的目的是描述犬膝关节后外侧的解剖结构并对其生物力学特性进行表征。十只成年犬的膝关节分别用于解剖和生物力学测试。使用六自由度电磁跟踪系统测量距离和运动极限。犬膝关节解剖可重复性地识别出人类膝关节后外侧存在的结构。腓侧副韧带、腘腓韧带和腘肌腱的走行及附着部位与人体解剖结构相似。依次切断腓侧副韧带、腘腓韧带和腘肌腱均显著增加了膝关节在完全伸直、60度和90度屈曲时的内翻平移。切断腓侧副韧带在接近完全伸直的屈曲角度时显著增加了外旋,而切断腘肌腱在膝关节90度屈曲时也显著增加了外旋。基于腓侧副韧带、腘肌腱、腘腓韧带的解剖结构以及犬膝关节后外侧的生物力学特性与人类膝关节相似这一事实,我们认为犬膝关节是研究膝关节后外侧损伤自然病程的合适模型。犬模型在重建技术的验证以及研究膝关节后外侧损伤后内侧间室骨关节炎的潜在发展方面也将被证明具有价值。