정상 성인의 슬개건의 길이
The Length of the Patellar Tendon in Normal Adults
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
목적: 정상 성인에서 슬개건의 길이를 측정하고 그 길이에 영향을 미치는 요소를 분석하고자 하였다. 대상 및 방법: 전방십자인대 파열 진단 하에 자가 슬개건을 이용한 전방십자인대 재건술을 시행 받은 슬관절 316예(남자 278예, 여자 38예)를 대상으로 분석하였다. 슬개건의 길이는 수술 시 환측에서 채취한 슬개건의 중앙 1/3 부위를 측정하였으며 이 측정치와 신장, 체중, 체질량 지수, 연령 및 성별과의 관련성을 단순 상관 분석 및 선형 회귀 분석을 통해 분석하였다. 결과: 슬개건의 평균 길이는 42.6 mm (30∼60 mm)이었고 연령은 평균 32.7세, 체중은 평균 72.8 kg, 신장은 평균 170.2 cm이었다. 슬개건의 길이와 연령은 약한 음의 상관관계(Pearson correlation r=−0.187), 체중과는 약한 양의 상관관계(r=0.288)를 보였으나, 체질량 지수(body mass index)와는 통계적 유의성이 없었다(p=0.282). 신장과는 비교적 뚜렷한 상관관계(r=0.434)를 보였다. 성별에 따른 차이도 있었으나(p＜0.001) 신장의 차이를 보정한 결과 남녀의 차이는 통계학적으로 유의하지 않았다(beta=−0.041, p= 0.491). 슬개건의 길이(y, cm)와 신장(x, cm)간의 관계는 y = 0.032×−1.183으로 예측할 수 있었다. 결론: 슬개건의 길이는 신장과 관련이 있었으며 이를 통하여 슬개건의 길이를 예측할 수 있을 것으로 생각되었다.
Abstract
Purpose: This study was conducted to measure the length of the patellar tendon in normal adults and to analyze the effect of several anthropological variables on the patellar tendon length. Materials and Methods: The study included 316 knees (278 males, 38 females) that were undergoing anterior cruciate ligament reconstruction with a bone-patellar-bone autograft. The patellar tendon length was measured on the middle 1/3 of the ipsilateral patellar tendon taken during the operation and we analyzed the relationships between the tendon length and age, weight, height and gender using simple correlation tests and linear regression analysis. Results: The mean tendon length was 42.6 mm (range: 30∼60 mm) and the mean age, mean weight and mean height was 32.7 years, 72.8 kg and 170.2 cm, respectively. There was weak negative correlation between the tendon length and age (Pearson correlation r=−0.187) and weak positive correlation between the tendon length and weight (r=0.288) but there was no significant correlation between tendon length and the body mass index (p=0.282) There was a positive correlation between tendon length and height (r=0.434). There was a significant difference between the males and females for the length of tendon (p＜0.001), yet after removing the variance of height, the difference was statistically insignificant (beta=−0.041, p=0.491). The linear regression equation for the patellar tendon length (y, in centimeters) as a function of height (x, in centimeter) can be expressed as y=0.032×1.183. Conclusion: The length of the patellar tendon is correlated with height, and a patient’s height can predict the length of the patellar tendon.
참고문헌 (16)
- Aglietti P, "Patellofemoral problems after intraarticular anterior cruciate ligament reconstruction", Clin Orthop Relat Res, 288, pp.195~204 (1993)
- Augé WK 2nd, "A technique for resolution of graft-tunnel length mismatch in central third bone- patellar tendon-bone anterior cruciate ligament reconstruction", Arthroscopy, 15, pp.877~881 (1999)
- Barber FA, "Flipped patellar tendon autograft anterior cruciate ligament reconstruction", Arthroscopy, 16, pp.483~490 (2000)
- Bin SI, "Clinical application of N+7 method for the solution of graft-tibial tunnel discrepancy in anterior cruciate ligament reconstruction", J Korean Knee Soc, 13, pp.62~66 (2001)
- Brown JA, "Avoiding allograft length mismatch during anterior cruciate ligament reconstruction: patient height as an indicator of appropriate graft length", Am J Sports Med, 35, pp.986~989 (2007)
- Denti M, "Graft-tunnel mismatch in endoscopic anterior cruciate ligament reconstruction. Intraoperative and cadaver measurement of the intra-articular graft length and the length of the patellar tendon", Knee Surg Sports Traumatol Arthrosc, 6, pp.165~168 (1998)
- Fowler BL, "Tibial tunnel bone grafting: a new technique for dealing with graft-tunnel mismatch in endoscopic anterior cruciate ligament reconstruction", Arthroscopy, 14, pp.224~228 (1998)
- Girgis FG, "The cruciate ligaments of the knee joint. Anatomical, functional and experimental analysis", Clin Orthop Relat Res, 106, pp.216~231 (1975)
- Kennedy JC, "The anatomy and function of the anterior cruciate ligament. As determined by clinical and morphological studies", J Bone Joint Surg Am, 56, pp.223~235 (1974)
- Kim DW, "The calculation of the tibial tunnel depth in the endoscopic ACL reconstruction", J Korean Knee Soc, 7, pp.21~25 (1995)
- Kurosaka M, "A biomechanical comparison of different surgical techniques of graft fixation in anterior cruciate ligament reconstruction", Am J Sports Med, 15, pp.225~229 (1987)
- McAllister DR, "A comparison of preoperative imaging techniques for predicting patellar tendon graft length before cruciate ligament reconstruction", Am J Sports Med, 29, pp.461~465 (2001)
- Odensten M, "Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction", J Bone Joint Surg Am, 67, pp.257~262 (1985)
- Shaffer B, "Graft-tunnel mismatch in endoscopic anterior cruciate ligament reconstruction: a new technique of intraarticular measurement and modified graft harvesting", Arthroscopy, 9, pp.633~646 (1993)
- Taylor DE, "Femoral bone plug recession in endoscopic anterior cruciate ligament reconstruction", Arthroscopy, 12, pp.513~515 (1996)
- Yoo JH, "The geometry of patella and patellar tendon measured on knee MRI", Surg Radiol Anat, 29, pp.623~628 (2007)