Lansdown Drew, Ma Chunbong Benjamin
Department of Orthopaedic Surgery, University of California, San Francisco, 1500 Owens Street, Suite 186, San Francisco, CA 94158, USA.
Department of Orthopaedic Surgery, University of California, San Francisco, 1500 Owens Street, Suite 186, San Francisco, CA 94158, USA.
Clin Sports Med. 2018 Jan;37(1):127-136. doi: 10.1016/j.csm.2017.07.012. Epub 2017 Sep 6.
Bone morphology is one feature that contributes to knee kinematics. The geometry of the tibia and femur vary across individuals, and these differences can influence the risk of anterior cruciate ligament (ACL) injury and of failure after isolated ACL reconstruction. There has been renewed interest in lateral extra-articular stabilization procedures to supplement an ACL reconstruction, although which patients benefit most from these procedures remains unclear. This article reviews the impact of bone morphology on knee kinematics, including tibial slope, depth of the medial tibial plateau, intercondylar notch shape, tibial eminence volume, and sphericity of the femoral condyles.
骨形态是影响膝关节运动学的一个特征。胫骨和股骨的几何形状因人而异，这些差异会影响前交叉韧带（ACL）损伤的风险以及单纯ACL重建术后失败的风险。尽管哪些患者能从这些外侧关节外稳定手术中获益最大仍不清楚，但人们对其补充ACL重建的兴趣再度燃起。本文综述了骨形态对膝关节运动学的影响，包括胫骨坡度、内侧胫骨平台深度、髁间窝形状、胫骨髁间隆起体积以及股骨髁的球形度。
