腓骨长肌腱与腘绳肌腱的解剖学形态、力学特性对比研究(1)
摘要：目的 对比腓骨长肌腱、腘绳肌腱(股薄肌腱、半腱肌腱)的解剖学形态和生物力学特性，证明腓骨长肌腱单股可以作为同时重建ACL、PCL(ACL、PCL)比较理想的移植物。方法 将16例19～56岁因某些原因行大腿中下段以上截肢的新鲜标本，取腱器取下腓骨长肌腱、腘绳肌腱(股薄肌腱、半腱肌腱)，ACL、PCL，用精度0.02的游标卡尺进行测量各肌腱的长度、宽度、厚度。肌腱兩端锁边缝合，每端用3根丝线，缝合长度为3 cm，拉力试验机测试。结果 前后交叉韧带、腘绳肌腱(股薄肌腱、半腱肌腱)、腓骨长肌腱长、宽、厚度与前后交叉韧带数据对比差异无统计学意义。前后交叉韧带、腘绳肌腱(股薄肌腱、半腱肌腱)、腓骨长肌腱极限拉伸强度与最大变形数据对比差异无统计学意义。结论 腓骨长肌腱单股的最大形变、极限拉伸强度与腘绳肌腱、前后交叉韧带进行数据比较，均无显著性差异。表明腓骨长肌腱单股从中间切断可以作为同时重建ACL、PCL的理想移植物。
关键词：膝关节；交叉韧带；腓骨长肌腱；生物力学
, 百拇医药 Abstract：Objective To compare the peroneus longus tendon and hamstring tendon(gracilis tendon，semitendinosus)anatomic morphology and biomechanical properties，proof of the peroneus longus tendon can be used as a single strand and reconstruction of ACL，PCL，(ACL，PCL)ideal graft. Methods 16 cases of 19 to 56 years of age for some reason thigh in the lower part of the amputation of fresh specimens，take the tendon to remove the fibular long tendon， hamstring tendon (femur tendon， semitendinosus tendon)ACL，PCL，measuring the length of the tendon，with 0.02 precision vernier caliper width，thickness.Tendon at both ends of the stitching，each with 3 threads，suture length of 3 cm，tensile testing machine test.Results There were no significant differences in the data of anterior and posterior cruciate ligament，hamstring tendon(femur tendon，semitendinosus tendon)，peroneus longus tendon length，width，thickness and anterior and posterior cruciate ligament.There were no significant differences in the ultimate tensile strength between the anterior and posterior cruciate ligament，the hamstring tendon(the femoral tendon and the semitendinosus tendon)，the maximal tendon of the peroneus and the maximal deformation data.Conclusion The maximum deformation of the peroneus longus tendon single strand，the ultimate tensile strength and hamstring tendon，posterior cruciate ligament are compared，the difference was not significant.It shows that the single strand of the long peroneal tendon can be cut off from the middle and can serve as an ideal graft for the simultaneous reconstruction of ACL and PCL.
, 百拇医药
Key words：Knee joint；Cruciate ligament；Long peroneal tendon；Biomechanics；
膝关节交叉韧带损伤损伤多用腘绳肌腱、骨-髌腱-骨(B-PT-B)、同种异体肌腱等材料进行重建[1]。自体腓骨长肌腱重建交叉韧带的报道较少。从1988年陈展辉采用腓骨长肌腱转位重建交叉韧带以来，许多学者[2]对腓骨长肌腱的形态、血液供应、生物力学进行了报道，但目前仍缺乏腓骨长肌腱与ACL、PCL在解剖形态与生物力学等方面的对比研究。本文对16例大腿中下段以上截肢的新鲜标本进行研究，为腓骨长腱移植同时重建ACL、PCL提供解剖和生物力学基础。
1资料与方法
1.1一般资料 16例19～56岁因不同原因行大腿中下段以上截肢的标本，取腱器取下腓骨长肌腱、腘绳肌腱(股薄肌腱、半腱肌腱)，前后交叉韧带，进行分析对比。
1.2方法
1.2.1解剖学形态测量, http://www.100md.com(王雪臣 史福东 刘仕杰 崔泽军 石磊 张子明)
关键词：膝关节；交叉韧带；腓骨长肌腱；生物力学
, 百拇医药 Abstract：Objective To compare the peroneus longus tendon and hamstring tendon(gracilis tendon，semitendinosus)anatomic morphology and biomechanical properties，proof of the peroneus longus tendon can be used as a single strand and reconstruction of ACL，PCL，(ACL，PCL)ideal graft. Methods 16 cases of 19 to 56 years of age for some reason thigh in the lower part of the amputation of fresh specimens，take the tendon to remove the fibular long tendon， hamstring tendon (femur tendon， semitendinosus tendon)ACL，PCL，measuring the length of the tendon，with 0.02 precision vernier caliper width，thickness.Tendon at both ends of the stitching，each with 3 threads，suture length of 3 cm，tensile testing machine test.Results There were no significant differences in the data of anterior and posterior cruciate ligament，hamstring tendon(femur tendon，semitendinosus tendon)，peroneus longus tendon length，width，thickness and anterior and posterior cruciate ligament.There were no significant differences in the ultimate tensile strength between the anterior and posterior cruciate ligament，the hamstring tendon(the femoral tendon and the semitendinosus tendon)，the maximal tendon of the peroneus and the maximal deformation data.Conclusion The maximum deformation of the peroneus longus tendon single strand，the ultimate tensile strength and hamstring tendon，posterior cruciate ligament are compared，the difference was not significant.It shows that the single strand of the long peroneal tendon can be cut off from the middle and can serve as an ideal graft for the simultaneous reconstruction of ACL and PCL.
, 百拇医药
Key words：Knee joint；Cruciate ligament；Long peroneal tendon；Biomechanics；
膝关节交叉韧带损伤损伤多用腘绳肌腱、骨-髌腱-骨(B-PT-B)、同种异体肌腱等材料进行重建[1]。自体腓骨长肌腱重建交叉韧带的报道较少。从1988年陈展辉采用腓骨长肌腱转位重建交叉韧带以来，许多学者[2]对腓骨长肌腱的形态、血液供应、生物力学进行了报道，但目前仍缺乏腓骨长肌腱与ACL、PCL在解剖形态与生物力学等方面的对比研究。本文对16例大腿中下段以上截肢的新鲜标本进行研究，为腓骨长腱移植同时重建ACL、PCL提供解剖和生物力学基础。
1资料与方法
1.1一般资料 16例19～56岁因不同原因行大腿中下段以上截肢的标本，取腱器取下腓骨长肌腱、腘绳肌腱(股薄肌腱、半腱肌腱)，前后交叉韧带，进行分析对比。
1.2方法
1.2.1解剖学形态测量, http://www.100md.com(王雪臣 史福东 刘仕杰 崔泽军 石磊 张子明)