中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (43): 8104-8108.doi: 10.3969/j.issn.1673-8225.2010.43.031

• 骨与关节综述 bone and joint review • 上一篇    下一篇

计算机辅助导航下膝关节后交叉韧带重建的现状和展望

熊健斌，韦庆军，赵劲民   

  1. 广西医科大学第五附属医院柳州市人民医院创伤骨科，广西壮族自治区柳州市  545006　
  • 出版日期:2010-10-22 发布日期:2010-10-22
  • 作者简介:熊健斌★，男，1977年生，广西壮族自治区柳州市人，汉族，2000年广西医科大学毕业，硕士，主治医师，主要从事创伤关节的研究。 xiongjianbin@163.com
  • 基金资助:

    桂卫重(200835)，课题名称“计算机辅助骨科手术系统在股骨骨折内固定中的应用研究”。

Current status and prospect of knee joint posterior cruciate ligament reconstruction under computer-assisted navigation

Xiong Jian-bin, Wei Qing-jun, Zhao Jin-min   

  1. Department of Orthopaedic Traumatology, Liuzhou People’s Hospital, Fifth Affiliated Hospital of Guangxi Medical University, Liuzhou  545006, Guangxi Zhuang Autonomous Region, China
  • Online:2010-10-22 Published:2010-10-22
  • About author:Xiong Jian-bin★, Master, Attending physician, Department of Orthopaedic Traumatology, Liuzhou People’s Hospital, Fifth Affiliated Hospital of Guangxi Medical University, Liuzhou 545006, Guangxi Zhuang Autonomous Region, China xiongjianbin@163.com
  • Supported by:

    he Key Subject of Health Department of Guangxi Zhuang Autonomous Region, No.200835*

PDF

495

被引次数

6

摘要：

背景：随着现代膝关节镜技术的发展与完善，镜下后交叉韧带重建技术已是目前学术界所公认的手术方法。计算机导航系统辅助下的重建定位精确、稳定性和可重复性高，通过对计算机辅助系统的进一步完善，计算机导航辅助下的关节镜手术将会成为后交叉韧带重建的又一个里程碑。
目的：阐述近年来后交叉韧带重建的治疗进展，探讨计算机导航系统在后交叉韧带重建中的应用。
方法：第一作者应用计算机检索1989-11/2009-06 PubMed数据库(网址http://www.ncbi.nlm.nih.gov/PubMed)相关文章，检索词为“computer navigation，posterior cruciate ligament，reconstruction”，并限定文章语言种类为English。同时计算机检索1989-11/2009-06中国期刊全文数据库(网址http://www.wanfangdata.com.cn)相关文章，检索词为“计算机导航，后交叉韧带，重建”，并限定文章语言种类为中文。共检索到文献112篇。
结果与结论：后交叉韧带由于解剖位置特殊，功能重要，在损伤后如何精确的重建后交叉韧带一直是关节镜医生致力解决的难题。随着20世纪计算机科技的迅猛发展，计算机辅助的手术导航系统进入外科领域。计算机辅助的后交叉韧带重建导航系统能更好地评估手术的精确度和可行性，满足了术者手术优化的要求，改善了重建的临床效果。

关键词: 计算机导航, 后交叉韧带, 重建, 数字化骨科技术, 综述文献　

Abstract:

BACKGROUND: With the development of knee arthroscopy, reconstruction of posterior cruciate ligament under arthroscopy has been accepted. Reconstruction under guidance of computer-assisted navigation is characterized by accurate positioning, high stability and repeatability. Thus, arthroscopic surgery under computer-assisted navigation would be a milestone for reconstruction of knee joint posterior cruciate ligament.
OBJECTIVE: To summarize the progress of reconstruction of knee joint posterior cruciate ligament, and to explore the application of computer-assisted navigation in reconstructing knee joint posterior cruciate ligament.
METHODS: A computer online search in Databases of PubMed (http://www.ncbi.nlm.nih.gov/PubMed) and CNKI (http://www.wanfangdata.com.cn) were performed by the first author using key words of “computer navigation, posterior cruciate ligament, reconstruction”. The languages were limited for English and Chinese. Totally 112 documents were initial searched by the computer.
RESULTS AND CONCLUSION: The posterior cruciate ligament injury is difficult to treat due to the special anatomical position and the important function. With the development of computer technology in the 20th century, computer navigation systems have been applied in the surgical field. By using computer navigation systems in the reconstruction of posterior cruciate ligament, we can better evaluate the precision and feasibility of surgery. This technology not only satisfies the needs of patients, but also improves the effect of clinical surgery.

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