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仅靠高骨切除术并不能减少中介半径外挤在中介半径后部根裂的设置中:一个尸体研究.

Kazushi Horita¹, Yohei Okada¹, Kousuke Shiwaku¹

¹Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association

|July 10, 2024

概括

高骨切除术 (HTO) 单独并不能减少中介阴囊外挤出 (MME) 在中介阴囊后部根撕裂 (MMPRT). 单独进行中介阴茎修复 (MMR) 就会降低MME,而HTO与MMR相结合则会进一步降低MME.

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科学领域:

整形外科手术整形外科手术
生物力学生物力学
医学成像医学成像

背景情况:

中介半月体后部根撕裂 (MMPRT) 可能导致中介半月体挤出 (MME).
高骨切除术 (HTO) 的目的是改变膝盖的对齐和负载的分配.
单独HTO对MMPRT中MME的影响还不清楚.

研究的目的:

评估单独使用HTO是否可以通过MMPRT降低膝盖中的MME.
为了比较不同膝关节状况的MME:完整的,MMPRT,中间半阴囊修复 (MMR),HTO + MMR和HTO + MMPRT.

主要方法:

通过使用机器人系统和超声波测试了8个人类尸体的膝盖.
标本经历了五种条件:完好无损,MMPRT,MMR,HTO + MMR和HTO + MMPRT.
在0°,30°和90°曲时,在轴负下测量了中间半径的挤出.

主要成果:

与单独的MMPRT相比,HTO + MMPRT在MME上没有显著差异.
与单独使用MMPRT相比,MMR显著减少了MME.
与单独的MMR相比,HTO + MMR显示了MME的显著减少.

结论:

单独的HTO并不能减少MME在MMPRT中的作用.
在MMPRT后,MMR有效减少MME.
将HTO与MMR结合起来,可以在减少MME方面提供额外的好处.