在ACL重建后,PEEK干扰螺丝显示了重要的道扩张,与可调长度环皮层按固定相比
Christian Coppola1, Sandra Krost1, Armin Runer1
1Department of Orthopaedics and Trauma Surgery, Medical University Innsbruck, Innsbruck, Austria.
Indian journal of orthopaedics
|January 1, 2024
概括
在前十字带 (ACL) 重建中使用的聚乙基 (PEEK) 干扰螺丝可能会导致道显著扩大. 虽然PEEK螺丝和按固定之间的大腿道扩张是可比的,但最终的PEEK螺丝道显著更大.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料科学 生物材料科学
- 放射学 放射学是一门学科.
背景情况:
- 在前十字带 (ACL) 重建中使用聚乙基 (PEEK) 干扰螺丝的用途以及它们可能导致手术后道扩大仍然不清楚.
- 本研究将PEEK干扰螺丝和可调长环皮质固定之间的股骨道扩大进行比较.
研究的目的:
- 为了评估ACL重建后道扩张的发生率和程度,使用PEEK干扰螺丝与可调长环皮质按相比.
- 评估两种固定方法之间的股骨道直径和体积变化的差异.
主要方法:
- 这是一项对18名用腿筋移植进行ACL重建的患者的回顾性研究.
- 患者被分为两组:PEEK干扰螺丝固定 (n=11) 和可调节长度的循环皮质按固定 (n=7) 为股骨.
- 计算机断层扫描 (CT) 扫描被用来测量道体积变化和最大直径在手术后1年.
主要成果:
- 两种PEEK螺丝和按固定组都在骨和股骨侧增加了道体积.
- 在PEEK螺丝和按固定组之间,股骨道体积变化没有显著差异 (P=0.562).
- 与按固定相比,12个月后,用PEEK螺丝固定的腿部道显示最大直径显著增加 (13.02 ± 1.43毫米与10.46 ± 1.29毫米相比,P < 0.001).
结论:
- 在ACL重建后,PEEK干扰螺丝与明显的骨和大腿道扩大有关.
- 虽然大腿道扩大体积相似,但使用PEEK干扰螺丝与按固定相比,大腿道的最终直径显著更大.
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