本文選題：三維重建 + ACL重建　； 參考：《空軍醫(yī)學(xué)雜志》2016年06期

【摘要】：目的通過(guò)對(duì)飛行員膝關(guān)節(jié)前交叉韌帶重建術(shù)后股骨、脛骨骨道的CT三維重建及骨道三軸直徑改變的測(cè)定,評(píng)價(jià)骨道改變與臨床隨訪(fǎng)結(jié)果的相關(guān)性。方法入選病例均為單純前交叉韌帶斷裂,使用雙股半腱肌股薄肌肌腱單束重建,上止點(diǎn)固定均采用endo-button固定,下止點(diǎn)采用可吸收擠壓螺釘+門(mén)形釘固定。進(jìn)行術(shù)前、術(shù)后6、12個(gè)月的Lysholm功能評(píng)分及骨道的CT三維重建,應(yīng)用SPSS 12.0軟件對(duì)隨訪(fǎng)數(shù)據(jù)資料進(jìn)行統(tǒng)計(jì)分析。結(jié)果入組病例共21例。術(shù)前Lysholm評(píng)分27~68分,平均(48.85±11.39)分;術(shù)后6個(gè)月Lysholm評(píng)分61~92分,平均(80.31±7.96)分(P0.01)。術(shù)后12個(gè)月Lysholm評(píng)分74~96分,平均(87.31±6.74)分(P0.01)。術(shù)后6、12個(gè)月股骨骨道改變,2組間總體上差異有統(tǒng)計(jì)學(xué)意義(F=0.03,P0.05)。術(shù)后6、12個(gè)月脛骨骨道改變,差異無(wú)統(tǒng)計(jì)學(xué)意義(F=0.8 6,P0.05)。骨道改變與臨床效果無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論從股骨道或者脛骨道的近點(diǎn)、中點(diǎn)、遠(yuǎn)點(diǎn)中任何一點(diǎn)都可以測(cè)量骨道的增寬改變,其結(jié)果均可進(jìn)行相關(guān)的研究。其中股骨骨道的增寬較脛骨骨道明顯,但二者的改變與臨床效果無(wú)相關(guān)性。
[Abstract]:Objective to evaluate the correlation between bone canal changes and clinical follow-up results by measuring CT 3D reconstruction and triaxial diameter changes of femoral and tibial bone canal after anterior cruciate ligament reconstruction of knee joint in pilots. Methods all patients were treated with simple rupture of anterior cruciate ligament. Single bundle of double semitendinosus tendinosus tendinis was reconstructed with endo-button fixation at upper and end point and portal nail with absorbable compression screw at lower end point. Lysholm functional score and CT 3D reconstruction of bone tract were performed before, 6 and 12 months after operation. The follow-up data were statistically analyzed by SPSS 12.0 software. Results there were 21 cases in the group. The preoperative Lysholm score was 278.85 鹵11.39, and the average Lysholm score was 80.31 鹵7.96 at 6 months after operation (P 0.01). 12 months after operation, the Lysholm score was 74 to 96, with an average score of 87.31 鹵6.74 (P 0.01). There was a significant difference between the two groups in the changes of femoral bone canal at 6 and 12 months after operation, and there was significant difference between the two groups in terms of F0. 03 and P0. 05. There was no significant difference in the change of tibial bone canal between 6 months and 12 months after operation, and there was no significant difference between the two groups (P 0.05, P 0. 05, P 0. 05). There was no significant difference between the changes of bone canal and clinical effect (P 0.05). Conclusion the changes of bone canal width can be measured from the proximal, midpoint and distal point of the femoral or tibial tract, and the results can be studied. The widening of the femoral bone canal was more obvious than that of the tibial bone canal, but there was no correlation between the changes and the clinical effect.
【作者單位】： 空軍總醫(yī)院骨科;
【分類(lèi)號(hào)】：R856

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本文編號(hào)：1870268