胫骨前肌肌腱在膝关节置换术胫骨髓外定位系统中的作用分析

doi:10.13418/j.issn.1001-165x.2015.03.023

中国临床解剖学杂志 ›› 2015, Vol. 33 ›› Issue (3): 341-343.doi: 10.13418/j.issn.1001-165x.2015.03.023

胫骨前肌肌腱在膝关节置换术胫骨髓外定位系统中的作用分析

王新光^1,2，郭汉明² ，肖军¹，郑少伟³，史占军¹

1.南方医科大学南方医院关节与骨病外科，广州 510515； 2.惠州市中心人民医院骨科，广东惠州 516001;
3.惠州市第一人民医院骨科，广东惠州 516001

收稿日期:2014-11-18 出版日期:2015-05-25 发布日期:2015-07-24
通讯作者: 史占军，教授，博士生导师，Tel：02062787195，E-mail: nfgk@sohu.com
作者简介:王新光（1978-），广东梅州人，在读博士，副主任医师，主要从事关节外科的临床与基础研究，Tel：15811963768，E-mail：single0303@126.com
基金资助:
国家自然科学基金（81101389）；广东省自然科学基金博士启动项目（s2011040003467）；惠州市科技计划项目（20120802）

The tibialis anterior tendon as anatomical landmark in the extramedullary alignment system of the total knee arthroplasty

WANG Xin-guang ^1,2, GUO Han-ming ², XIAO Jun ¹, ZHENG Shao-wei ³, SHI Zhan-jun¹

1. Department of Orthopedic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515，China; 2. Department of Orthopedic Surgery, Huizhou Municipal Central Hospital, Huizhou 516001, Guangdong Province, China; 3. Department of Orthopedic Surgery, Huizhou First Hospital, Huizhou 516001, Guangdong Province, China

Received:2014-11-18 Online:2015-05-25 Published:2015-07-24

摘要/Abstract

摘要：

目的　探讨胫骨前肌肌腱在膝关节置换术胫骨髓外定位系统的作用。方法 59例行膝关节置换术中患者的59个下肢，用X线定位胫骨冠状位力线以及踝关节中点，并在皮肤上标志，标志胫骨前肌肌腱内侧缘纵轴，在内、外踝连线上测量胫骨前肌肌腱内侧缘距离踝关节中点的距离，测量胫骨力线与胫骨前肌肌腱交点到内、外踝连线距离，并用独立t检验做统计学分析。结果胫骨前肌肌腱内侧缘在内、外踝连线上与踝关节中点距离为(13.32±2.75) mm，胫骨前肌与胫骨力线交点与内外踝连线距离(71.23±6.45) mm，均有统计学意义(P<0.001)。结论胫骨前肌肌腱在胫骨远端有2个可以作为膝关节置换术中髓外定位系统中胫骨远端解剖标记，具有实际应用价值。

关键词: 膝关节置换术, 胫骨前肌肌腱, 力线, 解剖标志

Abstract:

Objective To explore the effect of the tibialis anterior tendon in the total knee arthroplasty of the extramedullary alignment. Methods The ankle center and the tibial coronal alignment in 59 lower limbs of the 59 osteoarthritis were confirmed with X-ray and was marked in the skin, the medial border of tibialis anterior tendon was also marked in the skin. The distance of the tibialis anterior tendon to the ankle center was measured at the ankle line, the distance of junction of tibialis anterior tendon and tibial coronal alignment to the ankle line also was measured. The independent t test was performed for both distances. Results The distance of the tibialis anterior tendon to the ankle center was (13.32±2.75) mm (P<0.001), and the distance of the junction of the tibialis anterior tendon and the tibial alignment to the ankle line was (71.23±6.45) mm (P<0.001). Conclusion The tibialis anterior tendon has 2 points that could serve as the distal tibial anatomical landmark in extramedullary alignment of total knee arthroplasty, it could be applied in the total knee arthroplasty clinically.

Key words: Total knee arthroplasty, Tibialis anterior tendon, Alignment, Anatomical landmark

王新光,郭汉明,肖军,郑少伟,史占军. 胫骨前肌肌腱在膝关节置换术胫骨髓外定位系统中的作用分析[J]. 中国临床解剖学杂志, 2015, 33(3): 341-343.

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胫骨前肌肌腱在膝关节置换术胫骨髓外定位系统中的作用分析

The tibialis anterior tendon as anatomical landmark in the extramedullary alignment system of the total knee arthroplasty

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