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外侧髁间嵴、布卢姆萨尔特线与股骨外侧髁后缘关系的影像学分析

RADIOGRAPHIC ANALYSIS OF THE RELATIONSHIP OF THE LATERAL INTERCONDYLAR RIDGE, BLUMENSAAT'S LINE, AND POSTERIOR MARGIN OF THE LATERAL FEMORAL CONDYLE.

作者信息

Gulan Leo, Jurdana Hari, Franić Miljenko, Gulan Gordan

机构信息

Clinic for Orthopaedic Surgery Lovran, University of Rijeka, Faculty of Medicine, Croatia.

Special Hospital for Orthopedics and Rehabilitation ''Martin Horvat'' Rovinj, Croatia.

出版信息

Acta Clin Croat. 2023 Aug;62(Suppl3):37-41. doi: 10.20471/acc.2023.62.s3.5.

Abstract

The aim of this study is to determine the radiographic position of the lateral intercondylar ridge (LIR) and its relationship with the Blumensaat line (BL) and the tangent to the posterior cortex (PCT) of the distal femur. On 35 femur specimens, the LIR was labeled by using a 1 gauge wire. A true lateral view with the distal femur was taken. On the taken plain radiographs, we measured angles that close between BL and LIR, PCT and LIR. We also measured the ratio in which LIR crosses the BL. The mean angle between BL and LIR was 70,130 (SD 12,690), and the mean angle that BL closes with PCT was 143,610 (SD 7,910). The point where LIR intersects the BL divides it in a 1:6 ratio. Using these radiological measurements will allow surgeons to quickly estimate the position of the LIR and also allow quick and convenient preoperative planning, intraoperative tunnel placement as well as postoperative analysis.

摘要

本研究的目的是确定外侧髁间嵴(LIR)的影像学位置及其与股骨远端的布卢姆萨尔特线(BL)和后皮质切线(PCT)的关系。在35个股骨标本上,使用1号钢丝标记LIR。拍摄股骨远端的真正侧位片。在拍摄的X线平片上,我们测量了BL与LIR、PCT与LIR之间的夹角。我们还测量了LIR与BL交叉处的比例。BL与LIR之间的平均夹角为70.13°(标准差12.69°),BL与PCT的平均夹角为143.61°(标准差7.91°)。LIR与BL相交的点将其分为1:6的比例。使用这些影像学测量方法将使外科医生能够快速估计LIR的位置,并便于进行快速便捷的术前规划、术中隧道放置以及术后分析。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c25d/12054453/d63e5142d35a/acc-62_supp3-37-f1.jpg

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