Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2023, Aug-15, Volume: 37, Issue:8
To investigate the relationship between the vertical distance from semitendinosus insertion to tibial plateau (S-T) and the physical characteristics of patients, in order to provide reference for incision design to expose the semitendinosus insertion.. The patients with ligament injury who underwent primary anterior cruciate ligament reconstruction between January 2022 and December 2022 were selected as the research subjects. The patients' baseline data were collected, including age, gender, height, and body mass. During reconstruction operation, the S-T was measured. Considering the S-T as the dependent variable and baseline data as the independent variable, multiple linear regression analysis was used to establish a regression equation to determine the possible influencing factors of semitendinosus insertion location.. There was a linear relationship between the height and semitendinosus insertion. The location of semitendinosus insertion estimated by the formula (S-T=-14.701+0.407×height) is reasonable, which provides a theoretical basis for rapid, accurate, and safe location of semitendinosus insertion and design of surgical incision in clinic.. 探讨半腱肌止点至胫骨平台垂直距离（S-T）与患者体格特征间的关系，为临床设计半腱肌止点切口提供参考。.. 以2022年1月—12月接受初次前交叉韧带重建治疗的韧带损伤患者为研究对象。收集患者基线资料，包括年龄、性别、身高、体质量，在韧带重建术中测量S-T。以S-T为因变量、患者基线资料为自变量，行多重线性回归分析并建立回归方程，判断半腱肌止点位置影响因素。.. 患者身高与半腱肌止点位置存在线性关系，通过公式S-T=−14.701+0.407×身高可估计半腱肌止点位置，为临床快速、准确、安全定位半腱肌止点，设计手术切口提供参考。.. 探讨艾瑞昔布超前镇痛方案在前交叉韧带（anterior cruciate ligament，ACL）重建术后镇痛的效果。.. 选取2020年11月—2021年8月收治且符合选择标准的ACL损伤患者160例，按照随机数字表法分为4组，每组40例。A组术前3 d开始服用艾瑞昔布（100 mg/次，2次/d）；B组术前1 d开始服用艾瑞昔布（100 mg/次，2次/d）；C组术前2 h服用200 mg艾瑞昔布，5 mL水顿服；D组术前不服用任何止痛药物。4组患者性别、年龄、身体质量指数、术前半月板损伤MRI分级≥3级构成比、软骨损伤Outerbridge分级≥3级构成比及术前受伤时和静息时疼痛视觉模拟评分（VAS）等基线资料比较，差异均无统计学意义（. 所有患者均完成1年随访，4组患者手术时间、住院时间、围术期ASA 1级构成比比较差异均无统计学意义（. 与传统镇痛方案比较，ACL重建围术期应用艾瑞昔布超前镇痛理念管理，能够有效减轻患者术后早期疼痛，减少阿片类药物使用量，促进患者肢体功能尽早恢复。. Topics: Analgesia; Analgesics, Opioid; Anterior Cruciate Ligament Reconstruction; Correlation of Data; Female; Hamstring Muscles; Humans; Knee Injuries; Male; Osteoarthritis, Knee; Pain, Postoperative; Physical Examination; Plastic Surgery Procedures; Quality of Life | 2023 |