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中国人群中的Sustentaculum tali:解剖学和临床意义
Li-Qing Liao1, Zi-Yu Feng1, Han Yang1
1Department of TCM Orthopedics and Traumatology, School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, China.
Journal of orthopaedic surgery (Hong Kong)
|June 21, 2023
概括
在中国成年人中,对sustentaculum tali (ST) 的定量分析揭示了螺丝固定安全性和下耳结合预测. ST形态受联盟的影响,检测的长度切线为16.815毫米.
科学领域:
- 整形外科手术 整形外科手术
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
背景情况:
- 有限的定量数据存在于sustentaculum tali (ST) 形态,特别是在中国人口中.
- 了解ST解剖学对于手术程序和诊断脚部异常至关重要.
研究的目的:
- 在中国成年人中使用干骨样本对sustentaculum tali (ST) 形态进行定量分析.
- 评估ST形态对螺丝固定,塔拉关节面变异和亚塔拉结合的影响.
主要方法:
- 在中国成年捐献者的965个干燥卡尔卡尼体上使用数字尺测量线性参数.
- 由两个独立观察员进行评估,以确保可靠性.
主要成果:
- 支柱形 (ST) 可以容纳4毫米的螺丝,但前部ST高度是最小的 (4.02毫米).
- 亚联盟可能会增加ST大小,发病率为14.09%. 骨性连接往往涉及A型关节表面和中间/后面的口腔面.
- 通过ROC曲线分析,ST长度大于16.815毫米可以预测底线联盟.
结论:
- 由于其尺寸有限,建议使用3.5毫米的螺丝来更安全地固定ST.
- 细侧联结显著影响ST形状,比左右或侧面变化更重要.
- 识别的ST长度切断线有助于预测亚联盟.
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