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胫骨隧道在经胫骨后交叉韧带重建术中的允许安全角度:一项三维模拟研究。

The Permissive Safe Angle of the Tibial Tunnel in Transtibial Posterior Cruciate Ligament Reconstruction: A Three-Dimensional Simulation Study.

机构信息

Department of Orthopaedics, Lanzhou University Second Hospital, Lanzhou, PR China.

Orthopaedics Key Laboratory of Gansu Province, Lanzhou University Second Hospital, Lanzhou University, Lanzhou, PR China.

出版信息

Orthop Surg. 2022 Jun;14(6):1193-1202. doi: 10.1111/os.13266. Epub 2022 Apr 27.

DOI:10.1111/os.13266
PMID:35478490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9163973/
Abstract

OBJECTIVE

To determine the permissive safe angle (PSA) of the tibial tunnel in transtibial posterior cruciate ligament (PCL) reconstruction based on a three-dimensional (3D) simulation study.

METHODS

This was a computer simulation study of transtibial PCL reconstruction using 3D knee models. CT images of 90 normal knee joints from 2017 to 2020 were collected in this study, and 3D knee models were established based on CT data. The tunnel approaches were subdivided into the anterior 1/3 of the anteromedial tibia (T1), middle 1/2 of the anteromedial tibia (T2), the tibial crest (T3), anterior 1/3 of the anterolateral tibia (T4), middle 1/2 of the anterolateral tibia (T5). Five tibial tunnels (T1-T5) were simulated on the 3D knee models. The PSAs, in different tibial tunnel approaches were measured, and subgroup analyses of sex, age and height were also carried out.

RESULTS

The mean PSAs of the tibial tunnels with 5 different approaches (T1-T5) were 58.49° ± 6.82°, 61.14° ± 6.69°, 56.12° ± 7.53°, 52.01° ± 8.89° and 49.90° ± 10.53°, respectively. The differences of the mean PSAs between the anteromedial and anterolateral approaches were significant (P < 0.05). However, there was no significant difference of the mean PSA value between the two anteromedial tibial tunnel approaches (T1-T2) (P > 0.05), as well as between the two anterolateral tibial tunnel approaches (T4-T5). The patient's anthropomorphic characteristics of sex, age, and height were not associated with the PSAs.

CONCLUSIONS

The PSA varied with the anteromedial, tibial crest and anterolateral approaches for transtibial PCL reconstruction, and surgeons should limit the PCL drill guide by referring to the specific PSA for different surgical approaches.

摘要

目的

通过三维(3D)模拟研究,确定经胫骨后交叉韧带(PCL)重建胫骨隧道的许可安全角度(PSA)。

方法

这是一项使用 3D 膝关节模型的经胫骨 PCL 重建的计算机模拟研究。本研究收集了 2017 年至 2020 年 90 例正常膝关节的 CT 图像,并基于 CT 数据建立了 3D 膝关节模型。隧道入路分为胫骨前内 1/3(T1)、胫骨前内中 1/2(T2)、胫骨嵴(T3)、胫骨前外 1/3(T4)、胫骨前外中 1/2(T5)。在 3D 膝关节模型上模拟了 5 个胫骨隧道(T1-T5)。测量了不同胫骨隧道入路的 PSA,并进行了性别、年龄和身高的亚组分析。

结果

5 种不同入路(T1-T5)胫骨隧道的平均 PSA 分别为 58.49°±6.82°、61.14°±6.69°、56.12°±7.53°、52.01°±8.89°和 49.90°±10.53°。前内、前外入路的平均 PSA 差异有统计学意义(P<0.05)。然而,胫骨前内隧道的两种入路(T1-T2)的平均 PSA 值差异无统计学意义(P>0.05),胫骨前外隧道的两种入路(T4-T5)也是如此。患者的性别、年龄和身高的人体测量特征与 PSA 无关。

结论

PSA 随经胫骨后交叉韧带重建的前内、胫骨嵴和前外入路而变化,外科医生应根据不同的手术入路参考特定的 PSA 来限制 PCL 钻头导向器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/fb9619958d25/OS-14-1193-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/d10625226fce/OS-14-1193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/e99fa9216bcd/OS-14-1193-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/2a8c5b57eddf/OS-14-1193-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/ed0deb848217/OS-14-1193-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/55789d0687bf/OS-14-1193-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/fb9619958d25/OS-14-1193-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/d10625226fce/OS-14-1193-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/e99fa9216bcd/OS-14-1193-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/2a8c5b57eddf/OS-14-1193-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/ed0deb848217/OS-14-1193-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/55789d0687bf/OS-14-1193-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9af/9163973/fb9619958d25/OS-14-1193-g005.jpg

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3
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