关节镜下前交叉韧带重建股骨隧道的定位和定位方法的研究进展  

Research Progress of Positioning and Positioning Methods of Femoral Tunnel for Arthroscopic Anterior Cruciate Ligament Reconstruction

作　　者：袁弛龙 彭岳文 贾真[3] YUAN Chilong;PENG Yuewen;JIA Zhen(Department of Health Management,Hunan Aerospace Hospital,Changsha 410221,China;Department of Joint Sports Medicine,Yueyang People′s Hospital,Yueyang 414020,China;Department of Joint and Sports Medicine,Hunan Provincial People′s Hospital,Changsha 410005,China)

机构地区：[1]湖南航天医院健康管理部,长沙410221 [2]岳阳市人民医院关节运动医学科,湖南岳阳414020 [3]湖南省人民医院关节与运动医学科,长沙410005

出　　处：《医学综述》2023年第13期2611-2616,共6页Medical Recapitulate

基　　金：湖南省卫生健康委科研计划项目(20200519)。

摘　　要：在单束前交叉韧带(ACL)重建术中,精准定位股骨隧道位点是手术成功的关键要点之一。目前,ACL重建手术方法包括等长重建和解剖重建,而大部分手术医师选择解剖重建。随着生物力学和解剖学的不断发展,在上述手术方式基础上提出了最佳股骨隧道位点I.D.E.A.L点。ACL重建股骨隧道定位技术发展出多种定位方法,如过顶点位置技术、时钟定位法、骨性标志定位法、Mochizuki法和Takahashi法、导向器的辅助下定位法、计算机辅助导航定位技术和Bernard网格象限法,每种定位方法各有优劣,目前尚无ACL重建股骨隧道定位方法的金标准,如何实现更简单、高效的定位是未来的研究热点之一。Accurate positioning of the femoral tunnel site is one of the key points for successful surgery in single bundle anterior cruciate ligament(ACL)reconstruction.Currently,ACL reconstruction surgery methods include isometric reconstruction and anatomical reconstruction,with most surgeons choosing anatomical reconstruction.With the continuous development of biomechanics and anatomy,the optimal femoral tunnel site I.D.E.A.L point has been proposed based on the above surgical methods.The femoral tunnel positioning technology of ACL reconstruction has developed various positioning methods,such as vertex positioning technology,clock positioning method,bone marker positioning method,Mochizuki method and Takahashi method,guided positioning method,computer-aided navigation positioning technology,and Bernard grid quadrant method.Each positioning method has its own advantages and disadvantages,and there is currently no gold standard for ACL reconstruction femoral tunnel positioning method.How to achieve a simpler and more efficient positioning is one of the future research hotspots.

关 键 词：前交叉韧带重建 股骨隧道定位 定位方法 

分 类 号：R686.5[医药卫生—骨科学]