中间腿筋对膝关节状稳定性的贡献
Pierre-Henri Vermorel1, Rodolphe Testa1, Antonio Klasan2,3
1Department of Orthopaedic Surgery, University Hospital Centre of Saint-Étienne, Saint-Étienne, France.
Orthopaedic journal of sports medicine
|October 16, 2023
概括
中间腿筋肌 (半端肌和骨) 显著稳定了膝,特别是在中侧带受伤后. 摘取这些肌进行重建会增加膝盖松,特别是在0°和30°的曲时.
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:
- 中侧多关节膝盖损伤很普遍.
- 使用中部腿筋肌 (HS) 作为移植用于手术重建是有争议的.
研究的目的:
- 为了研究中枢HS在各种中枢侧膝关节损伤中的膝稳定性中的稳定作用.
主要方法:
- 一项生物机械研究使用了10个尸体膝盖,在不同的曲角度承受了valgus负荷.
- 膝盖状态包括完好无损,表面MCL (sMCL) 损伤,深层MCL (dMCL) 损伤和后斜带 (POL) 损伤.
- 评估了半肌 (ST) 和肌 (GRA) 肌负荷 (负载/卸载) 对肌松的影响.
主要成果:
- 在完整和受伤的膝盖中,卸载ST和GRA显著增加了valgus松,特别是在0°和30°的曲.
- 瓦尔古斯松随着中侧带损伤的严重程度而增加.
- 孤立的ST卸载增加了松性,而孤立的GRA卸载没有显著的影响.
结论:
- 中间HS对于膝稳定至关重要,特别是当中间结构如POL受到损害时.
- 外科医生必须考虑在多关节重建过程中中介质HS收获对膝盖稳定性的影响.
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