需要什么才能有高档的旋转转移 - - 专注于骨形态
Sahil Dadoo1, Emre Anil Ozbek2,3, Koji Nukuto2,4
1Department of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. sahildadoo@gmail.com.
概括
骨形态变异,特别是较小的侧股骨和骨尺寸和较小的侧骨关节距离 (LTAD),与前十字带 (ACL) 损伤后在转轴转移测试期间增加的骨加速相关. 这些发现可能有助于识别患有旋转膝盖不稳定性风险的患者.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 运动医学 运动医学
背景情况:
- 前十字带 (ACL) 损伤可能导致旋转膝盖不稳定.
- 腿骨和骨形态变异与转转移测试结果有关.
- 以前的研究将形态学与临床分级和骨转换联系起来,但不是加速.
研究的目的:
- 为了研究大腿骨和骨形态对在旋转转移试验期间定量骨加速的影响.
- 评估骨形态之间的关系,包括侧侧骨关节距离 (LTAD) 和未来的ACL损伤率.
主要方法:
- 对51名接受初级ACL重建的患者进行了回顾性审查,并提供了定量脚加速数据.
- 在麻醉下使用三轴加速度计检查旋转转移.
- 通过MRI和X射线图进行骨和骨形态的术前评估.
主要成果:
- 增加后侧状元外置比率和状平原和侧状元状元宽度的减少与更高的状元加速相关.
- 减少的LTAD显示出与增加的小腿加速的最强相关性 (1.24 m/s2增加每1 mm减少).
- 骨形态测量和未来的ACL损伤率之间没有发现显著的关联.
结论:
- 增加的侧骨和骨凸度和较小的骨形态与旋转转移期间更大的骨加速有关.
- LTAD是预测骨加速增加和旋转膝盖不稳定的关键测量.
- 对这些形态参数的术前评估可以帮助识别患有增加旋转膝盖不稳定性风险的患者.
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