| 基于Mimics的三维CT重建评估不同技术重建前交叉韧带的骨隧道位置 |
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投稿时间：2021-03-26
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| 作者 | Author | 单位 | Address | E-Mail |
| 俞涵 |
YU Han |
浙江中医药大学第四临床医学院, 浙江 杭州 310053
嘉兴学院附属第二医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, the Second Affiliated Hospital of Jiaxing College, Jiaxing 314000, Zhejing, China |
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| 黄成龙 |
HUANG Cheng-long |
嘉兴学院附属第二医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, the Second Affiliated Hospital of Jiaxing College, Jiaxing 314000, Zhejing, China |
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| 陈嘉毅 |
CHEN Jia-yi |
嘉兴学院附属第二医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, the Second Affiliated Hospital of Jiaxing College, Jiaxing 314000, Zhejing, China |
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| 孔祥嘉 |
KONG Xiang-jia |
浙江中医药大学第四临床医学院, 浙江 杭州 310053
嘉兴学院附属第二医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, the Second Affiliated Hospital of Jiaxing College, Jiaxing 314000, Zhejing, China |
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| 任朋 |
REN Peng |
嘉兴学院附属第二医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, the Second Affiliated Hospital of Jiaxing College, Jiaxing 314000, Zhejing, China |
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| 徐红伟 |
XU Hong-wei |
嘉兴学院附属第二医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, the Second Affiliated Hospital of Jiaxing College, Jiaxing 314000, Zhejing, China |
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| 宋丹丹 |
SONG Dan-dan |
嘉兴学院附属第二医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, the Second Affiliated Hospital of Jiaxing College, Jiaxing 314000, Zhejing, China |
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| 陈刚 |
CHEN Gang |
嘉兴学院附属第二医院骨科, 浙江 嘉兴 314000 |
Department of Orthopaedics, the Second Affiliated Hospital of Jiaxing College, Jiaxing 314000, Zhejing, China |
adcyy@aliyun.com |
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| 期刊信息：《中国骨伤》2021年，第34卷，第12期，第1126-1131页 |
| DOI：10.12200/j.issn.1003-0034.2021.12.007 |
| 基金项目:浙江省医药卫生科技项目（编号：2018PY068） |
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中文摘要:
目的：比较改良经胫骨隧道（modified transtibial，MTT）技术与经前内侧入路（anteromedial portal，AM）技术进行单束前交叉韧带重建的骨隧道定位情况。
方法：回顾性分析2017年1月至2020年9月进行单束前交叉韧带重建的78例患者的临床资料。其中39例采用MTT技术重建（MTT组），男25例，女14例，年龄（37.0±2.3）岁；39例采用AM技术重建（AM组），男27例，女12例，年龄（37.5±2.2）岁。术后1周内行膝关节CT平扫，运用Mimics软件测量并比较两组患者股骨隧道中心点的相对位置百分比（Fx、Fy），胫骨冠状面骨隧道中心点的相对位置百分比（Tx1），胫骨矢状面骨隧道中心点的相对位置百分比（Ty1）及胫骨轴面骨隧道中心点的相对位置百分比（Tx2、Ty2）。
结果：78例患者均成功重建骨隧道，MTT组患者的Fx、Fy分别为（25.2±2.1）%、（34.9±3.0）%；Tx1、Ty1分别为（45.5±3.3）%、（44.7±3.0）%；Tx2、Ty2分别为（47.0±3.0）%、（39.9±4.2）%。AM组患者的Fx、Fy分别为（26.0±2.0）%、（36.1±3.9）%；Tx1、Ty1分别为（46.5±3.1）%、（45.6±3.1）%；Tx2、Ty2分别为（47.4±2.5）%、（39.6±3.9）%。两组骨隧道中心点的相对位置百分比比较差异均无统计学意义（P>0.05），两组患者均获得解剖重建。
结论：采用改良经胫骨隧道技术和经前内侧入路技术重建前交叉韧带，均可实现解剖重建，骨隧道位置无明显差异。 |
| 【关键词】前交叉韧带 解剖重建 三维重建 Mimics软件 |
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| Bone tunnel positions in anterior cruciate ligament reconstruction evaluated by three-dimensional CT reconstruction based on Mimics software: modified transtibial versus anteromedial portal technique |
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ABSTRACT
Objective: To compare the femoral and tibial tunnel positions of anterior cruciate ligament reconstruction using the modified transtibial(MTT) technique and anteromedial(AM) portal technique.
Methods: Between January 2017 and September 2020,78 patients with anterior cruciate ligament rupture underwent single-bundle reconstruction with the modified transtibial technique in 39 cases (group MTT) and through anteromedial approach in 39 cases(group AM). There were 25 males and 14 females in group MTT,with an average age of (37.0±2.3) years old; 27 males and 12 females in group AM,with an average age of (37.5±2.2) years old. CT scan of the affected knee was conducted one week after the surgery to measure and compare the femoral tunnels positioning (Fx,Fy),tibial tunnels positioning in the frontal plane(Tx1),tibial tunnels positioning in the sagittal plane (Ty1),and tibial tunnels positioning in the axial plane (Tx2,Ty2) in patients undergoing anterior cruciate ligament reconstruction through Mimics software.
Results: Three-dimensional CT reconstruction after the surgery showed that the average Fx and Fy were(25.2±2.1)% and (34.9±3.0)% respectively and the Tx1 and Ty1 were (45.5±3.3)% and (44.7±3.0)% respectively,while the Tx2 and Ty2 were (47.0±3.0)% and (39.9±4.2)% respectively in group MTT. In group AM,the average Fx and Fy were (26.0±2.0)% and (36.1±3.9)% respectively and the Tx1 and Ty1 were (46.5±3.1)% and (45.6±3.1)% respectively,while the Tx2 and Ty2 were (47.4±2.5)% and (39.6±3.9)% respectively. There were no statistically significant differences in the femoral and tibial tunnels between the two groups(P>0.05). Patients in both two groups obtained anatomic anterior cruciate ligament reconstruction.
Conclusion: Both the MTT and AM technique can achieve good anatomical positioning of the femoral and tibial tunnels,without significant differences in the positioning of the bone tunnels. |
| KEY WORDS Anterior cruciate ligament Anatomic reconstruction Three-dimensional reconstruction Mimics software |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 俞涵,黄成龙,陈嘉毅,孔祥嘉,任朋,徐红伟,宋丹丹,陈刚.基于Mimics的三维CT重建评估不同技术重建前交叉韧带的骨隧道位置[J].中国骨伤,2021,34(12):1126~1131 |
| 英文格式: | YU Han,HUANG Cheng-long,CHEN Jia-yi,KONG Xiang-jia,REN Peng,XU Hong-wei,SONG Dan-dan,CHEN Gang.Bone tunnel positions in anterior cruciate ligament reconstruction evaluated by three-dimensional CT reconstruction based on Mimics software: modified transtibial versus anteromedial portal technique[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(12):1126~1131 |
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