摘要
背景:全髋关节置换后关节囊及其周围韧带的修补与重建是预防置换后脱位的有效手段之一。近年来前外侧入路全髋关节置换被广泛应用,但髋前外侧关节囊及髂股韧带的应用解剖学研究国内外鲜有报道。目的:观测髋关节前外侧关节囊及髂股韧带的解剖学特点,为全髋关节置换入路及优化提供解剖参考数据。方法:使用30例经甲醛固定的成人髋关节标本,解剖出前外侧关节囊及髂股韧带,将其分为3区9部,分别测量每部的厚度、在转子间线附着点的宽度及到交汇点的距离。观测关节囊的起止、走行、分支及其组织学特点。结果与结论:髋前外侧关节囊与髂股韧带紧密愈合无法分开,形成关节囊髂股韧带复合体,其各部厚薄不一,其中BⅠ、BⅡ部最薄。此外,各区在转子间线的附着点的宽度和到交汇区的高度也不完全一样。关节囊起源于髂前下棘、髋臼缘向下走行分为3支止与转子间线。对髋前外侧关节囊及髂股韧带的了解有助于临床全髋关节置换过程中置换入路的选择及置换方式的设计与优化。
BACKGROUND： To repair and reconstruct the joint capsule and surrounding ligaments is one of effective methods against displacement and dislocation after total hip arthroplasty. In recent years, anterolateral total hip arthroplasty has been widely used, but little is reported on the anatomic features of the anterolateral hip joint capsule and iliofemoral ligament. OBJECTIVE： To investigate the anatomic features of the anterolateral hip joint capsule and iliofemoral ligaments,thereby providing anatomic evidence for selecting and optimizing the approach for total hip arthroplasty and for clinical practice. METHODS： Thirty adult cadaver hips fixed with formalin were used for this study. The anterolateral hip jointcapsule and the iliofemoral ligaments were dissected and anterolateral hip joint capsules were divided into three sections and nine parts. The average thickness of each part and the average height and width of each section were measured. The anterolateral hip joint capsule was observed by its beginning and ending, course, branch and histological features. RESULTS AND CONCLUSION： The anterolateral hip joint capsule was tightly connected with the iliofemoral ligaments to form a complex. The thickness of the capsule was varied. The thinnest parts of the complex were BI and BⅡ. In addition, the average height and width of each section were different. The joint capsule originating from the anterior inferior iliac spine and acetabulum was divided into three branches and fixed on the intertrochanteric line. Understanding of the anterolateral hip joint capsule and iliofemoral ligaments may make for the approach selection, design and optimization of total hip arthroplasty.
出处
《中国组织工程研究》
CAS
北大核心
2016年第2期218-223,共6页
Chinese Journal of Tissue Engineering Research
基金
广西卫生厅2008年广西研究与技术开发计划第八批基金资助项目[桂科计字(2008)98号
项目编号:6]。课题名称:闭孔神经切断术对激素性股骨头坏死骨内高压及血液流变学影响~~
