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二法则:关于腘绳肌移植物获取的一致解剖标志的技术说明。

The rule of twos: Technical note on consistent anatomical landmarks for hamstring graft harvesting.

作者信息

Jiang Lei, Kaesian Tay, Hwee Chye Andrew Tan

机构信息

Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, 169608, Singapore.

出版信息

J Orthop. 2019 Nov 6;19:118-121. doi: 10.1016/j.jor.2019.10.017. eCollection 2020 May-Jun.

Abstract

We describe a novel hamstring harvesting technique using the "Rule of Twos" as an aide-memoire to dissect the conjoint tendon in an Asian population undergoing anterior cruciate ligament reconstruction. In a prospective study performed on 17 patients to validate this technique, a 2cm incision is placed 2cm distal and medial to the tip of the tibial tubercle. The surgeon then measured the following variables and calculated their means: 1) Distance from the tip of the tibial tuberosity to the proximal edge of the conjoint tendon (19.4 ± 1.4mm), 2) Width of the conjoint tendon insertion (18.8 ± 1.0mm), 3) Conjoint tendon length (20.1 ± 1.0mm).

摘要

我们描述了一种新颖的腘绳肌取材技术,该技术使用“双二规则”作为记忆辅助工具,用于在接受前交叉韧带重建的亚洲人群中解剖联合腱。在对17例患者进行的一项前瞻性研究中,为验证该技术,在胫骨结节尖端远端内侧2cm处做一个2cm的切口。然后外科医生测量了以下变量并计算其平均值:1)从胫骨结节尖端到联合腱近端边缘的距离(19.4±1.4mm),2)联合腱插入部的宽度(18.8±1.0mm),3)联合腱长度(20.1±1.0mm)。

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