MENISCUS INSERTION ANATOMY AS A BASIS FOR MENISCUS REPLACEMENT - A MORPHOLOGICAL CADAVERIC STUDY
MENISCUS INSERTION ANATOMY AS A BASIS FOR MENISCUS REPLACEMENT - A MORPHOLOGICAL CADAVERIC STUDY
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DOI：
10.1016/0749-8063(95)90095-0
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发表时间：
1995-02-01
期刊：
影响因子：
4.7
通讯作者：
MORENO, B
中科院分区：
文献类型：
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作者：
KOHN, D;MORENO, B
进行了形态身体研究，以获得有关半月板植入到骨的位置、形状和大小的准确数据。共解剖膝关节92个(供者46个，年龄18~58岁)。测量半月板的周长，包括其插入韧带。内侧半月板周长为111±14 mm，外侧半月板周长为111±-10 mm。内侧半月板的胫骨插入韧带固定在可由骨性标志确定的区域。后起止区为80+/-10 mm(2例)，前起止区为139+/-43 mm(2例)。外侧半月板的骨性胫骨附着点不太清楚。后半月板股韧带(Wrisberg)出现在76%的膝关节中，前半月板股韧带(Humphry)出现在50%的标本中。同一个体右膝和左膝的半月板股韧带经常不同。前横韧带在标本中的出现率为%。我们的结论是，内侧半月板替代物的解剖连接应该是可能的，但从解剖学上恢复外侧半月板将复杂得多。
A morphological cadaveric study was carried out to gain exact data concerning location, shape, and size of the meniscal insertions to bone. Ninety-two knee joints were dissected (46 donors; age 18 to 58 years). Peripheral length of the menisci, including their insertion ligaments, was measured. The peripheral length was 111 +/- 14 mm for the medial and 111 +/- 10 for the lateral meniscus. The tibial insertion Ligaments for the medial meniscus were fixed in areas that could be defined by bony landmarks. The posterior insertion area measured 80 +/- 10 mm(2), the anterior insertion area measured 139 +/- 43 mm(2). Bony tibial insertions of the lateral meniscus were less well defined. The posterior meniscofemoral ligament (Wrisberg) was found in 76% of the knees; the anterior meniscofemoral ligament (Humphry) was found in 50% of the specimens. The meniscofemoral ligaments in the right knee and the left knee of the same individual were frequently different. The anterior transverse ligament was found in 64% of the specimens. We concluded that an anatomical attachment of a medial meniscus substitute should be possible but to restore the lateral meniscus anatomically would be far more complicated.