Gali Julio Cesar, Del Giglio David Braz, Patriarcha Luís Fernando, Cruz Bruno Azi Pacileo, Gali Filho Julio Cesar
Departamento de Ortopedia, Faculdade de Ciências Médicas e da Saúde, Pontifícia Universidade Católica de São Paulo, Sorocaba, SP, Brasil.
Serviço de Cirurgia de Joelho, Hospital Santa Lucinda, Sorocaba, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2020 Feb;55(1):88-94. doi: 10.1055/s-0039-1700816. Epub 2019 Dec 19.
To evaluate possible connections between the weight and height of patients submitted to total knee arthroplasty (TKA), with the length, width and area of the anterior cruciate ligament (ACL) fovea, as verified during surgery. A total of 33 proximal tibial joint surfaces, obtained from TKA tibial sections of 33 patients, were used in the present study. The ACL was resected with a delicate scalpel to expose the ACL tibial fovea. Then the periphery of this fovea was delimited with a marker pen by means of small dots. Each piece was photographed, and the ACL tibial fovea length, width, and area were measured with the ImageJ (National Institutes of Health, Bethesda, MD, USA) software. Statistical analysis studied the correlation between anthropometrics data of the patients and the measurements of the ACL tibial fovea. The ACL tibial fovea length, width, and area were, respectively, 11.7 ± 2.0 mm, 7.1 ± 1.4 mm and 151.3 ± 22.2 mm . There was a statistically significant relationship between the height of the patients and the width of the ACL tibial fovea. The width of the ACL fovea could be predicted by the formula: width = 107.294-(133.179 × height) + (44.009 × squared height). The height of the patients may predict the width of the ACL tibial fovea, and therefore, may allow surgeons to choose the more adequate graft for each patient in ACL reconstruction.
为评估接受全膝关节置换术(TKA)患者的体重和身高与手术中所证实的前交叉韧带(ACL)凹的长度、宽度和面积之间可能存在的关联。
本研究使用了从33例患者的TKA胫骨切片中获取的33个近端胫骨关节面。用精细手术刀切除ACL以暴露ACL胫骨凹。然后用记号笔通过小点标记该凹的周边。对每一片进行拍照,并使用ImageJ(美国国立卫生研究院,马里兰州贝塞斯达)软件测量ACL胫骨凹的长度、宽度和面积。统计分析研究了患者人体测量数据与ACL胫骨凹测量值之间的相关性。
ACL胫骨凹的长度、宽度和面积分别为11.7±2.0毫米、7.1±1.4毫米和151.3±22.2平方毫米。患者身高与ACL胫骨凹宽度之间存在统计学上的显著关系。ACL凹的宽度可用公式预测:宽度 = 107.294 - (133.179×身高) + (44.009×身高的平方)。
患者的身高可能预测ACL胫骨凹的宽度,因此,这可能有助于外科医生在ACL重建中为每位患者选择更合适的移植物。