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后外侧角解剖结构及其采用单腓骨和双股吊带法的解剖重建:解剖学研究与手术技术

Posterolateral corner anatomy and its anatomical reconstruction with single fibula and double femoral sling method: anatomical study and surgical technique.

作者信息

Kim Jin Goo, Ha Jeong Gu, Lee Yong Seuk, Yang Sang Jin, Jung Jae Eun, Oh Soo Jin

机构信息

Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University, Seoul, Korea.

出版信息

Arch Orthop Trauma Surg. 2009 Mar;129(3):381-5. doi: 10.1007/s00402-008-0722-7. Epub 2008 Aug 15.

DOI:10.1007/s00402-008-0722-7
PMID:18704467
Abstract

This paper reports a novel method for reconstructing the posterolateral structures [lateral collateral ligament (LCL), popliteus tendon, popliteofibular ligament] based on an anatomical study of a cadaveric dissection. The popliteus tendon was found to always be attached to the anterior-inferior portion of the femoral attachment site of the LCL, and the average distance from the origin of the popliteal tendon in the femoral side to that of the LCL was 18.5 mm (17-20). The insertion site of the LCL in the fibular side was located anterior-inferior-superficially and the popliteofibular ligament was inserted into the posterior-superior-deep portion around the styloid process. Two femoral tunnels and one fibular head tunnel were made at the proximal and distal portion of the anatomical insertion sites.

摘要

本文报告了一种基于尸体解剖的解剖学研究重建后外侧结构[外侧副韧带(LCL)、腘肌腱、腘腓韧带]的新方法。发现腘肌腱总是附着于LCL股骨附着点的前下部,腘肌腱在股骨侧的起点与LCL起点的平均距离为18.5mm(17 - 20mm)。LCL在腓骨侧的止点位于前下表面,腘腓韧带插入到围绕茎突的后上深部。在解剖学止点的近端和远端制作了两个股骨隧道和一个腓骨头隧道。

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