CAJ | 학술논문

目的探讨前交叉韧带重建术中经胫骨技术起止点骨隧道的解剖定位.方法2010年1月-2012年3月行自体半腱肌腱和股薄肌腱单束重建前交叉韧带手术患者98例，均采用关节镜下修复，术后通过膝关节正侧位X线片回顾性评价了骨隧道位置.其中88例获得随访，随访时间24-36个月，平均：27个月.患者在术后12、24个月进行了前抽屉试验及Lachman 试验、Lysholm 评分，检查膝关节稳定性以及关节功能.以Spearman 相关分析进行统计.结果术后膝关节稳定以及Lysholm 评分优良的(83-100分)为71例(81%).在71例中进行膝关节X 线片测评，侧位股骨骨道位于Blumensaat′s 线的79%(SD4)，胫骨骨道位于胫骨平台的41%(SD6)，在正位胫骨骨道与关节线向内呈25°(SD3).骨隧道位置与Lysholm 评分有相关性(P<0.01).结论标准化手术操作和解剖标志可使经胫骨技术的ACL 重建建立良好的骨道位置.
목적탐토전교차인대중건술중경경골기술기지점골수도적해부정위.방법2010년1월-2012년3월행자체반건기건화고박기건단속중건전교차인대수술환자98례，균채용관절경하수복，술후통과슬관절정측위X선편회고성평개료골수도위치.기중88례획득수방，수방시간24-36개월，평균：27개월.환자재술후12、24개월진행료전추체시험급Lachman 시험、Lysholm 평분，검사슬관절은정성이급관절공능.이Spearman 상관분석진행통계.결과술후슬관절은정이급Lysholm 평분우량적(83-100분)위71례(81%).재71례중진행슬관절X 선편측평，측위고골골도위우Blumensaat′s 선적79%(SD4)，경골골도위우경골평태적41%(SD6)，재정위경골골도여관절선향내정25°(SD3).골수도위치여Lysholm 평분유상관성(P<0.01).결론표준화수술조작화해부표지가사경경골기술적ACL 중건건립량호적골도위치.
Objective To study whether transtibial technique in anterior cruciate ligament(ACL) reconstruction can locate the anatomical femoral tunnel. Methods A total of 98 patients underwent arthroscopic single-bundle ACL reconstruction with autogenous semitendinosus tendon and gracilis tendon from January 2010 to march 2012. The position of femoral tunnel was retrospectively evaluated by plain radiography. Of the 98 patients,88 were followed up for an average period of 27 months(range 24-36 months). The stability and function of knee were evaluated by anterior drawer test, Lachman test and Lycholm scores 12 and 24 months after ACL reconstruction. Spearman correlation analysis was performed. Results Of the 98 patients,71(81%) had an excellent knee stability and a high Lysholm score(83-100). Radiography showed that femoral tunnel was located in 79%(SD4) of blumensaat′s line and tibial tunnel was located in 41%(SD6) of tibial plateau. The mean inclination of tibial tunnel in the coronal plane was 250(SD3). The position of bone tunnel was correlated with the Lysholm score. Conclusion Standard surgical technique and anatomical landmarks can achieve optimal tunnel positioning using the transtibial technique for ACL reconstruction.