低前关闭骨切除术纠正了斜面对齐,而不影响冠状对齐或形高度
Shintaro Onishi1,2, Youngji Kim1,3, Hiroshi Nakayama2
1Institute for Locomotion, Aix-Marseille University, Assistance Publiqu-Hôpitaux de Marseille, Centre National de la Recherche Scientifique, Institut des Sciences du Mouvement, Sainte-Marguerite Hospital, 13009 Marseille, France.
Journal of clinical medicine
|August 29, 2024
概括
在前交叉带重建患者中,infratubercle前关骨切除术有效地减少了过度的后部斜率. 这种手术可以保持冠状元对齐和形高度,而不会损害膝盖的稳定性.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 放射学 放射学是一门学科.
背景情况:
- 在前交叉带重建 (ACLR) 后,过度的后部带斜率 (PTS) 会增加移植失败的风险.
- 前侧关闭骨切除术 (ACWO) 可以纠正PTS,但可能会影响冠状元对齐和骨高度.
研究的目的:
- 为了评估下ACWO与ACLR相结合的放射性结果.
- 具体评估下ACWO对外科手术期间皮带高度变化的影响.
主要方法:
- 包括在内的患者接受了以ACLR为PTS>12°的低基ACWO,ACLR为PTS>12°.
- 放射性评估包括关节-膝盖-脚角 (HKA),PTS,大腿骨高度指数 (FPHI) 和Caton-Deschamps指数 (CDI) 在手术前和后.
- 在手术前和最后的随访时测量了膝盖复发.
主要成果:
- 实现了显著的PTS校正 (14.5°至5.7°,p<0.001),没有显著的HKA变化.
- 没有观察到FPHI或骨高度类别的显著变化.
- 膝关节复发显著增加 (4.9°至7.8°,p < 0.001).
结论:
- 在不改变冠状线对齐或骨高度的情况下,Infratubercle ACWO提供了对PTS的精确的斜腰正.
- 该程序有效地管理过度PTS在ACLR患者.
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