采用微创技术收获的股四头肌肌腱浅层带提供了足够的移植物尺寸:尸体研究。

IF 1.8 Q2 ORTHOPEDICS
SICOT-J Pub Date : 2025-01-01 Epub Date: 2025-07-16 DOI:10.1051/sicotj/2025037
Napatpong Thamrongskulsiri, Varachaya Khwanjaipanich, Danaithep Limskul, Thanathep Tanpowpong, Somsak Kuptniratsaikul, Thun Itthipanichpong
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引用次数: 0

摘要

简介:本研究探索了一种微创技术,用于收获股四头肌肌腱的浅层带。通过使用传统的移植物肌腱剥离器,该手术旨在获得重建前交叉韧带(ACL)所需的全长肌腱纤维。这项研究旨在确定这种技术是否能产生足够长度和直径的移植物。方法:我们于2023年9月至10月对18岁以上的全身thiel防腐尸体进行了研究,这些尸体没有病理相关的下肢解剖改变。在移植物的中点处测量移植物的中径,在末端处测量移植物的外周直径。从端到端测量三折移植物的长度。数字游标卡尺测量长度和中径,移植物大小仪测量外径。结果:8具尸体共16个膝关节,平均年龄64.7±9.9岁,共收获16根自体股四头肌肌腱。采用微创采收技术,折叠前平均移植物长度为289.0±10.3 mm,中径平均为9.7±0.7 mm,外径平均为8.5±0.4 mm,三次折叠后平均长度为93.1±4.7 mm。基于性别的比较显示无显著差异。嫁接尺寸与嫁接高度的相关性无统计学意义。讨论:本研究结果表明,微创摘取股四头肌肌腱浅层带可获得足够的移植物尺寸。基于性别的比较显示,男性和女性在这些方面没有统计学上的显著差异。此外,相关分析显示接枝尺寸与株高呈弱至中度相关,但均无统计学意义,说明株高与接枝尺寸之间无显著关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Superficial band of the quadriceps tendon harvested with a minimally invasive technique provides adequate graft dimensions: a cadaveric study.

Introduction: This study explored a minimally invasive technique for harvesting the superficial band of the quadriceps tendon. By using a conventional graft tendon stripper, the procedure aims to obtain the full length of tendon fibers necessary for anterior cruciate ligament (ACL) reconstruction. The study aimed to determine if this technique can produce grafts of sufficient length and diameter.

Methods: From September to October 2023, we conducted a study using full-body Thiel-embalmed cadavers over 18 years of age without pathology-related alterations in lower limb anatomy. The mid-diameter of the graft was measured at its midpoint, and the peripheral diameter was taken at the ends. The length of the triple-folded graft was measured from end to end. A digital vernier caliper measured the length and mid-diameter, and a graft sizer measured the peripheral diameter.

Results: Sixteen quadriceps tendon autografts were harvested from 16 knees of 8 cadavers (mean age: 64.7 ± 9.9 years). The minimally invasive harvesting technique yielded a mean graft length of 289.0 ± 10.3 mm before folding, a mean mid-diameter of 9.7 ± 0.7 mm, a mean peripheral diameter of 8.5 ± 0.4 mm, and a mean length of 93.1 ± 4.7 mm after triple folding. Gender-based comparisons showed no significant differences. Correlations between graft dimensions and height were not statistically significant.

Discussion: The findings of this study indicate that the minimally invasive harvesting of the superficial band of the quadriceps tendon resulted in adequate graft dimension. Gender-based comparisons revealed no statistically significant differences in these dimensions between males and females. Additionally, correlation analysis showed weak to moderate correlations between graft dimensions and height, none of which were statistically significant, indicating no meaningful relationship between height and graft dimensions.

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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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