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Medicinski pregled
2014, vol. 67, br. 7-8, str. 197-201
jezik rada: engleski
vrsta rada: izvorni naučni članak
objavljeno: 15/07/2014
doi: 10.2298/MPNS1408197N
Komparacija dužine lateralnog kolateralnog ligamenta i patelarne tetive magnetno-rezonantnim imidžingom
aInstitut za onkologiju Vojvodine, Sremska Kamenica
bKlinički centar Vojvodine, Klinika za ortopedsku hirurgiju i traumatologiju, Novi Sad

e-adresa: vesnanjagulj@gmail.com

Sažetak

Uvod. Problem korišćenja patelarne tetive kao autografta ili alografta za rekonstrukciju lateralnog kolateralnog ligamenta dovodi do pojave neusklađenosti dužine navedenih ligamenata. Dužina patelarne tetive ne odgovara dužini lateralnog kolateralnog ligamenta. Materijal i metode. Magnetno-rezonantnim imidžingom kolenog zgloba pregledan je 151 pacijent, 102 muškog pola, prosečne starosti 30 godina (18-54), 49 ženskog pola - prosečne starosti 34 godine (18-55). Oba ligamenta, patelarna tetiva i lateralni kolateralni ligament su mereni korišćenjem trodimenzionalne izovokselne sekvence (eng. true fast imaging with steady-state precession with water excitation), napravljene su sekundarne multiplanarne reformacije. Kako bi se precizno vizualizovalo mesto insercije lateralnog kolateralnog ligamenta, sagitalni tomogrami su rekonstruisani prema anatomskom toku vlakana - kosa pozicija ligamenta, sa parakoronalnim tiltom ravni. Dužina patelarne tetive merena je od vrha patele do mesta insercije na tuberozitas tibije. Rezultati. Prosečna dužina patelarne tetive bila je 52,88 ± 7,56 mm (37-75) sa signifikantnom razlikom između pacijenata muškog i ženskog pola. Prosečna dužina lateralnog kolateralnog ligamenta bila je 61,21 ± 5,77 mm (46-80) sa signifikantnom razlikom između polova. Prosečna razlika u dužini između lateralnog kolateralnog ligamenta i patelarne tetive iznosila je 8,38 ± 7,23 mm (-9 to 26) bez signifikantne razlike međupolovima. Kod 18 (11,92%) pacijenata patelarna tetiva je bila duža nego lateralni kolateralni ligament; kod 7 (4,63%) dužina je bila jednaka; a kod 126 (83,44%) pacijenata patelarna tetiva je bila kraća nego lateralni kolateralni ligament. Zaključak. Dužina patelarne tetive ne odgovara dužini lateralnog kolateralnog ligamenta. Ukoliko se kao autograft ili alograft koristi patelarni ligament za rekonstrukciju lateralnog kolateralnog ligamenta, oba ligamenta se preoperativno moraju izmeriti kako bi se izbegle intraoperativne komplikacije.

Ključne reči

Magnetna rezonanca; Patelarni ligament; Kost-tetiva-kost graft; Kolateralni ligament; Trodimenzionalni imidžing; Muško; Žensko; Odrasli; Preoperativnapriprema; Intraoperativne komplikacije

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