Hang Y S, Fung W C, Hang D
Department of Orthopedic Surgery, National Taiwan University Hospital, Taipei, R.O.C.
J Formos Med Assoc. 1993 Oct;92(10):907-10.
Anterior knee laxity of 100 Chinese male subjects who had no history of previous injuries to their knees was examined with an instrumented knee arthrometer (MEDmetric Knee Arthrometer, model KT-1000). Two measurements were used to evaluate the anterior laxity: 1) anterior displacement produced by anterior force of 89 newtons (20 lbs); and 2) anterior compliance index (ACI), the displacement difference between an anterior force of 89 newtons (20 lbs) and 67 newtons (15 lbs). All knees were examined at a flexion angle of 20 +/- 5 degrees and an external tibial rotation of 10 +/- 5 degrees with the use of thigh and foot supports. The mean anterior displacement for the right and left knee were 4.5 +/- 2.0 mm and 4.3 +/- 1.9 mm, respectively, while 84% of the study subjects had right and left differences (anterior displacement difference, ADD) of less than 2 mm. The anterior compliance index was 0.85 +/- 0.4 mm for the right knee and 0.78 +/- 0.33 mm for the left knee. The mean anterior compliance index difference (CID), that is the difference between the right and left ACI, was 0.25 +/- 0.3 mm. A total of 93% of the subjects had a difference in the right-left CID of less than 0.5 mm. Variation between the right and left knee does exist, but the difference is not statistically significant (p > 0.05). Therefore, comparison of the right-left ADD and CID can be a useful reference in the assessment of a ligamentous injury.
使用仪器化膝关节测径仪(MEDmetric膝关节测径仪,型号KT - 1000)对100名无膝关节既往损伤史的中国男性受试者的膝关节前向松弛度进行了检查。采用两项测量来评估前向松弛度:1)89牛顿(20磅)前向力产生的前向位移;2)前向顺应性指数(ACI),即89牛顿(20磅)前向力与67牛顿(15磅)前向力之间的位移差。使用大腿和足部支撑装置,在膝关节屈曲角度为20±5度、胫骨外旋角度为10±5度的情况下对所有膝关节进行检查。右膝和左膝的平均前向位移分别为4.5±2.0毫米和4.3±1.9毫米,而84%的研究对象左右膝差异(前向位移差,ADD)小于2毫米。右膝的前向顺应性指数为0.85±0.4毫米,左膝为0.78±0.33毫米。平均前向顺应性指数差(CID),即左右ACI之间的差值为0.25±0.3毫米。共有93%的受试者左右CID差异小于0.5毫米。左右膝之间确实存在差异,但差异无统计学意义(p>0.05)。因此,左右ADD和CID的比较在评估韧带损伤时可作为有用的参考。