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后交叉韧带和后外侧复合体离断对膝关节内关节接触压力的影响。

The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee.

作者信息

Skyhar M J, Warren R F, Ortiz G J, Schwartz E, Otis J C

机构信息

Sports Medicine Service, Hospital for Special Surgery, New York, N.Y. 10021.

出版信息

J Bone Joint Surg Am. 1993 May;75(5):694-9. doi: 10.2106/00004623-199305000-00008.

DOI:10.2106/00004623-199305000-00008
PMID:8501084
Abstract

Articular contact pressures in ten cadaveric knees with intact ligaments were measured with the use of film and a model that simulated non-weight-bearing resistive extension of the knee. The measurements were repeated after sequential sectioning of the posterior cruciate ligament and the posterolateral complex (the posterolateral capsule, the popliteus muscle and tendon, and the lateral collateral ligament). Patellofemoral pressures and quadriceps load were most significantly elevated after combined sectioning of the posterior cruciate ligament and the posterolateral complex. Medial compartment pressure was significantly elevated after sectioning of the posterior cruciate ligament. The results coincided with, and may partially explain, the clinical findings associated with these types of ligamentous injuries.

摘要

使用薄膜和模拟膝关节非负重抵抗伸展的模型,测量了10个韧带完整的尸体膝关节的关节接触压力。在依次切断后交叉韧带和后外侧复合体(后外侧关节囊、腘肌及其肌腱和外侧副韧带)后重复测量。后交叉韧带和后外侧复合体联合切断后,髌股压力和股四头肌负荷升高最为显著。后交叉韧带切断后,内侧间室压力显著升高。这些结果与这些类型韧带损伤相关的临床发现相符,并且可能部分解释了这些临床发现。

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