X线评估后交叉韧带胫骨隧道安全范围的初步分析.pdfVIP

目 录 中文摘要·············································································1 英文摘要·············································································2 英文缩写·············································································4 研究论文 X 线评估后交叉韧带胫骨隧道安全范围的初步分析 前言·············································································5 材料与方法····································································6 结果·············································································7 附图·············································································8 附表·············································································9 讨论·············································································11 结论·············································································13 参考文献·······································································14 综述 后交叉韧带重建手术的研究进展········································17 致谢···················································································25 个人简历·············································································26 万方数据 中 文 摘 要 X 线评估后交叉韧带胫骨隧道安全范围的初步分析 摘 要 目的：通过膝关节侧位片模拟Transtibial 技术中胫骨隧道与胫骨平台 平面的夹角，初步探讨Transtibial 技术中一个可行的安全角度范围 方法： 1 选择2014年1月1 日至2015年3月1 日之间和河北医科大学第三医院 骨科标准膝关节正侧位 X 线198 例，其中男性91例， 女性107例， 平 均年龄34.5±8.61岁； 2 使用影像归档和通信(PACS)系统确定后叉韧带胫骨止点中心， 作 双平行线形模拟胫骨隧道，下切线与胫骨后缘保持2mm距离，取下切线与 胫骨平台夹角为隧道与胫骨平台最大安全角度，取上切线与胫骨前方交点 为胫骨隧道入口上缘位置，测量胫骨结节与此点距离。 3 两个骨科主治医师分别对每个夹角及距离进行测量。比较男、女夹 角度数值及胫骨隧道入口上缘距胫骨平台距离。 结果：1 男，女及总的测量值均符合正态分布。2 胫骨最大安全角度