采用微创技术获取的股四头肌肌腱浅层带可提供足够的移植物尺寸：一项尸体研究。
Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study.
作者信息
Thamrongskulsiri Napatpong, Khwanjaipanich Varachaya, Limskul Danaithep, Tanpowpong Thanathep, Kuptniratsaikul Somsak, Itthipanichpong Thun
机构信息
Sports Medicine Research Group, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Rd, Pathumwan 10330, Bangkok, Thailand - Department of Anatomy, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Rd, Pathumwan 10330, Bangkok, Thailand - Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Rd, Pathumwan 10330, Bangkok, Thailand.
Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, 1873 Rama IV Rd, Pathumwan 10330, Bangkok, Thailand.
出版信息
SICOT J. 2025;11:37. doi: 10.1051/sicotj/2025037. Epub 2025 Jul 16.
INTRODUCTION
This study explored a minimally invasive technique for harvesting the superficial band of the quadriceps tendon. By using a conventional graft tendon stripper, the procedure aims to obtain the full length of tendon fibers necessary for anterior cruciate ligament (ACL) reconstruction. The study aimed to determine if this technique can produce grafts of sufficient length and diameter.
METHODS
From September to October 2023, we conducted a study using full-body Thiel-embalmed cadavers over 18 years of age without pathology-related alterations in lower limb anatomy. The mid-diameter of the graft was measured at its midpoint, and the peripheral diameter was taken at the ends. The length of the triple-folded graft was measured from end to end. A digital vernier caliper measured the length and mid-diameter, and a graft sizer measured the peripheral diameter.
RESULTS
Sixteen quadriceps tendon autografts were harvested from 16 knees of 8 cadavers (mean age: 64.7 ± 9.9 years). The minimally invasive harvesting technique yielded a mean graft length of 289.0 ± 10.3 mm before folding, a mean mid-diameter of 9.7 ± 0.7 mm, a mean peripheral diameter of 8.5 ± 0.4 mm, and a mean length of 93.1 ± 4.7 mm after triple folding. Gender-based comparisons showed no significant differences. Correlations between graft dimensions and height were not statistically significant.
DISCUSSION
The findings of this study indicate that the minimally invasive harvesting of the superficial band of the quadriceps tendon resulted in adequate graft dimension. Gender-based comparisons revealed no statistically significant differences in these dimensions between males and females. Additionally, correlation analysis showed weak to moderate correlations between graft dimensions and height, none of which were statistically significant, indicating no meaningful relationship between height and graft dimensions.
引言
本研究探索了一种用于获取股四头肌腱浅层带的微创技术。通过使用传统的移植物肌腱剥离器，该手术旨在获取前交叉韧带（ACL）重建所需的全长肌腱纤维。本研究旨在确定该技术能否产生足够长度和直径的移植物。
方法
2023年9月至10月，我们使用18岁以上全身经蒂尔固定的尸体进行了一项研究，这些尸体下肢解剖结构无病理相关改变。移植物的中径在中点测量，外周直径在两端测量。对折后移植物的长度从一端到另一端进行测量。用数字游标卡尺测量长度和中径，用移植物尺寸测量仪测量外周直径。
结果
从8具尸体的16个膝关节中获取了16条股四头肌肌腱自体移植物（平均年龄：64.7±9.9岁）。微创获取技术在折叠前产生的移植物平均长度为289.0±10.3毫米，平均中径为9.7±0.7毫米，平均外周直径为8.5±0.4毫米，对折后平均长度为93.1±4.7毫米。基于性别的比较未显示出显著差异。移植物尺寸与身高之间的相关性无统计学意义。
讨论
本研究结果表明，股四头肌腱浅层带的微创获取产生了足够的移植物尺寸。基于性别的比较显示，男性和女性在这些尺寸上无统计学显著差异。此外，相关性分析显示移植物尺寸与身高之间的相关性较弱至中等，均无统计学意义，表明身高与移植物尺寸之间无有意义的关系。
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