长节肌移植来重建膝关节的后侧角
Diego Escudeiro de Oliveira1, Melanie Mayumi Horita1, Victor Eduardo Roman Salas1
1Membro do Grupo de Trauma do Esporte, Departamento de Ortopedia e Traumatologia, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brasil.
Revista brasileira de ortopedia
|December 11, 2023
概括
这项研究介绍了长肌移植作为膝盖受伤后侧侧角重建的新选择. 这种技术为恢复膝盖稳定提供了一个可行的替代方案,当其他方法失败时.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物医学工程 生物医学工程
背景情况:
- 如果忽视前后侧角 (PLC) 损伤,则会显著影响膝盖稳定性和患者的预后.
- 目前的PLC重建技术往往使用自或同移植,肌移植的探索有限.
- 长肌移植,虽然用于前十字带重建,但仍未用于PLC重建.
研究的目的:
- 描述一种用于非解剖学前后侧角重建的新技术,使用长肌移植.
- 突出长肌移植的潜力,作为复杂的膝盖不稳定性的可行选择.
- 强调对PLC损伤的准确诊断和及时干预的重要性.
主要方法:
- 病例报告详细介绍了一名患者,之前的移植失败,需要进行PLC重建.
- 在非解剖学PLC重建中使用了一种ipsilateral peroneus longus肌移植.
- 审查了关于长肌移植属性和脚发病率的文献.
主要成果:
- 在以前不稳定的膝盖中,成功地使用长肌移植重建了后侧角.
- 长肌移植证明了有利于带重建的长度和直径.
- 在使用这种移植用于其他带重建的研究中,没有报告明显的脚发病率.
结论:
- 长肌移植代表了一个有价值的,但未被充分利用的选项,用于前后侧角的重建.
- 准确的带损伤急性诊断对于最佳的外科手术结果至关重要.
- 这种技术扩大了手术师管理复杂膝盖不稳定的武器库,提供了一个新的技术选择.
相关概念视频
01:23Knee Joint
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
01:23Muscles that Move the Leg
The movement of the legs is facilitated by numerous muscles located within the anterior, medial, and posterior compartments of the thigh.
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed to...
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed to...