闭合楔形高位胫骨截骨术后髌腱的长度、厚度及弹性：一项剪切波弹性成像研究
Length, thickness, and elasticity of the patellar tendon after closed wedge high tibial osteotomy: a shear wave elastographic study.
作者信息
Botanlioglu H, Kaynak G, Kantarci F, Guven M F, Zengin G, Aydingoz O
机构信息
Department of Orthopedics and Traumatology, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.
Department of Radiology, Istanbul University Cerrahpasa Medical Faculty, Istanbul, Turkey.
出版信息
J Orthop Surg (Hong Kong). 2016 Aug;24(2):194-7. doi: 10.1177/1602400215.
PURPOSE
To compare the length, thickness, and elasticity of the patellar tendon between operated and non-operated knees following closed wedge high tibial osteotomy (CWHTO).
METHODS
Three men and 17 women aged 52 to 75 (mean, 64.8) years who underwent unilateral CWHTO by a single surgeon and were followed up for a mean of 11 (range, 5-22) years were included, as were 3 male and 17 female healthy controls aged 35 to 61 (mean, 47.9) years. The length, thickness, and elasticity of the bilateral patellar tendons in the patients and healthy controls were measured using shear wave elastography.
RESULTS
In the CWHTO patients, the patellar tendon on the operated side was thicker (4.4 vs. 3.3 mm, p=0.001) and stiffer (74.1 vs. 47.7 kPa, p<0.001) than on the non-operated side.
CONCLUSION
Patellar tendon contracture (thickening and stiffening) is associated with CWHTO.
目的
比较闭合楔形高位胫骨截骨术（CWHTO）后手术侧与非手术侧膝关节髌腱的长度、厚度和弹性。
方法
纳入3名男性和17名女性，年龄在52至75岁（平均64.8岁）之间，均由同一位外科医生进行单侧CWHTO手术，并平均随访11年（范围5 - 22年），同时纳入3名男性和17名女性健康对照，年龄在35至61岁（平均47.9岁）之间。使用剪切波弹性成像测量患者和健康对照双侧髌腱的长度、厚度和弹性。
结果
在接受CWHTO手术的患者中，手术侧髌腱比非手术侧更厚（4.4对3.3毫米，p = 0.001）且更硬（74.1对47.7千帕，p < 0.001）。
结论
髌腱挛缩（增厚和变硬）与CWHTO有关。
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