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2016, vol. 69, br. 3-4, str. 99-105
Analiza površine otvora tunela na golenjači prilikom rekonstrukcije prednjeg ukrštenog ligamenta
aUniverzitet u Novom Sadu, Fakultet tehničkih nauka
bKlinički centar Vojvodine, Klinika za ortopedsku hirurgiju i traumatologiju, Novi Sad

e-adresazormil@uns.ac.rs
Sažetak
Uvod. Kod rekonstrukcije prednjeg ukrštenog ligamenta kolena otvor tunela na golenjači prikazuje se i analizira kao elipsa koja nastaje u preseku zglobne površine golenjače i tunela u golenjači. Cilj ovog rada je da površinu otvora na golenjači prikazanu u prostoru (3D) uporedimo sa uobičajenim načinom prikazivanja otvora tunela kao elipse. Materijal i metode. Razvijen je interaktivni kompjuterski program za analizu površine otvora tunela na osnovu realne prostorne 3D površine dobijene iz serije snimaka kompjuterzovane tomografije kod deset muškaraca prosečne starosti 25 godina. U izračunavanju je korišćen transferzalni ugao bušenja od 10 stepeni, burgija prečnika 10 milimetara, dok su sagitalni uglovi bili 40, 50 i 60 stepeni. Realne 3D i 2D projekcije površina otvora tunela na golenjači su izračunate i upoređene sa površinama elipsa. Rezultati. Izvršena izračunavanja pokazala su da su 3D površine otvora tunela na golenjači različite za svakog pacijenta, sa istim parametrima bušenja. Za sagitalni ugao bušenja 40, 50 i 60 stepeni, prosečne razlike između 3D i 2D površine bile su 19,6 ± 5,4%, 21,1 ± 8% i 21,3 ± 9,6%. Prosečne razlike za iste uglove između 3D projekcije i površine elipse bile su 54,8 ± 16,3%, 39,6 ± 10,4% i 25 ± 8%. Zaključak. Površine otvora tunela na golenjači značajno se razlikuju od površine elipse koja se uobičajeno koristi u analizi rekonstrukcije prednjeg ukrštenog ligamenta kolena. Uvođenje prostornog 3D oblika pripoja prednjeg ukrštenog ligamenta kolena u preoperatrivno planiranje dovodi do preciznije i individulano anatomske rekonstrukcije na golenjači. Prostorna 3D površina otvora tunela na golenjači i njegova 2D projekcija na zglobnoj površini golenjače veći su nego površina elipse, te se moraju uzeti u obzir individualne karakteristike svakog pacijenta.
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O članku

jezik rada: engleski
vrsta rada: stručni članak
DOI: 10.2298/mpns1604099M
objavljen u SCIndeksu: 27.04.2016.