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骨隧道挤压减少了胫骨隧道扩大。

Bone Tunnel Impaction Reduced the Tibial Tunnel Enlargement.

作者信息

Xu Huan, Zheng Rongzong, Ying Jinhe

机构信息

Department of Joint SurgeryLishui Central Hospital and Fifth Affiliated Hospital of Wenzhou Medical CollegeLishuiZhejiang 323000, P.R. China.

出版信息

Open Med (Wars). 2017 May 11;12:99-106. doi: 10.1515/med-2017-0016. eCollection 2017.

DOI:10.1515/med-2017-0016
PMID:28730168
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5444407/
Abstract

UNLABELLED

The purpose of this study was to investigate whether the bone tunnel impaction technique performed by dilators could dwindle the tibial tunnel enlargement after anterior cruciate ligament (ACL) reconstruction with hamstring tendon using both extracortical suspensory fixation devices at femoral and tibial site. Thirty-one consecutive patients undergoing primary ACL reconstruction with the hamstring autograft were enrolled in this research. Patients were randomly allotted to group A (bone tunnel impaction technique using dilators) or group B (regular extraction bone tunnel drilling).

RESULTS

The average follow-up was 16.2 months. The mean femoral tunnel widening was 1.05 mm and 1.02 mm respectively in group A and B. The mean tibial tunnel widening was 0.61 mm and 1.08 mm respectively in group A and B. There was no statistical difference for tunnel enlargement between the two groups at the femoral site (P = 0.62) but significant difference at the tibial site (P < 0.0001).

CONCLUSION

Bone tunnel impaction technique leaded to a reduction of tibial bone tunnel enlargement after ACL reconstruction with hamstring tendon using both extracortical suspensory fixation devices at femoral and tibial site.

摘要

未标注

本研究的目的是调查在使用股部和胫骨部位的皮质外悬吊固定装置进行自体腘绳肌腱前交叉韧带（ACL）重建后，使用扩张器进行骨隧道挤压技术是否能减少胫骨隧道扩大。31例连续接受初次自体腘绳肌腱ACL重建的患者纳入本研究。患者被随机分配到A组（使用扩张器的骨隧道挤压技术）或B组（常规抽提骨隧道钻孔）。

结果

平均随访16.2个月。A组和B组股隧道平均增宽分别为1.05mm和1.02mm。A组和B组胫骨隧道平均增宽分别为0.61mm和1.08mm。两组在股部部位的隧道扩大无统计学差异（P = 0.62），但在胫骨部位有显著差异（P < 0.0001）。

结论

在使用股部和胫骨部位的皮质外悬吊固定装置进行自体腘绳肌腱ACL重建后，骨隧道挤压技术可减少胫骨骨隧道扩大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/932cea9b98bd/med-12-099-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/3f13b863635c/med-12-099-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/d42ae32ddc27/med-12-099-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/a5fb5944b85e/med-12-099-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/93a085f87cd1/med-12-099-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/932cea9b98bd/med-12-099-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/3f13b863635c/med-12-099-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/d42ae32ddc27/med-12-099-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/a5fb5944b85e/med-12-099-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/93a085f87cd1/med-12-099-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1839/5444407/932cea9b98bd/med-12-099-g005.jpg

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Comparison of different femoral fixation implants and fit techniques for tunnel widening and clinical outcome in ACL reconstruction using hamstring autograft.使用自体腘绳肌腱进行前交叉韧带重建时，不同股骨固定植入物及适配技术对隧道扩大和临床结果的比较
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The Potentially Positive Role of PRPs in Preventing Femoral Tunnel Widening in ACL Reconstruction Surgery Using Hamstrings: A Clinical Study in 51 Patients.富血小板血浆在使用腘绳肌进行前交叉韧带重建手术中预防股骨隧道扩大的潜在积极作用：一项针对51例患者的临床研究
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