前臂旋转在肘部腰侧带重建时 移植张力不会影响术后中间肘部关节间隙
Ryan S Selley1, Cort D Lawton2, Kwadwo Owusu-Akyaw3
1Northwestern University Fienberg School of Medicine, Chicago, Illinois, USA.
Orthopaedic journal of sports medicine
|September 18, 2025
概括
前臂旋转位置在侧带重建 (UCLR) 过程中不会影响中间肘部关节间隙. 这一发现适用于完整的带和重建后,无论肘部曲角度如何.
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:
- 对于侧带重建 (UCLR) 的最佳移植张力技术仍然不清楚.
- 在UCLR移植紧张过程中前臂旋转的作用还不清楚.
研究的目的:
- 为了比较UCLR移植与前臂紧张后的中部肘部关节间隙,在俯卧与俯卧.
- 为了评估前臂旋转对肘部关节后UCLR稳定的影响.
主要方法:
- 描述性实验室研究使用18个尸体肘部标本.
- 用3D运动捕捉测量在各种曲角度下在valgus应力下测量的中部肘部间隙.
- 用对接技术切断并重建关节侧带,随机地在置或置中进行移植张力.
主要成果:
- 前臂旋转位置没有显著影响中部肘部关节间隙与一个完整的侧带.
- 术后的中间肘部关节间隙不受前臂旋转的影响,在移植器在经过测试的屈曲角度的张力过程中.
结论:
- 在侧带移植紧张过程中前臂旋转不会改变中间肘部关节的隙.
- 这表明前臂位置不是实现UCLR稳定的关键因素.
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