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Biomechanical Study of Bone-Patellar Tendon-Bone and Bone-ACL-Bone Grafts

骨-髕骨韌帶-骨與骨-前十字韌帶-骨移植之生物力學研究

摘要


本研究探討骨-髕骨韌帶-骨與骨-前十字韌帶-骨作為前十字韌帶重建的移植材料的生物力學特性,研究方法以20隻Rottweier狗為實驗對象,其中18隻為實驗組,2隻為控制組,實驗組又區分為第一組:重建後三個月;第二組:六個月;第三組:十二個月犧牲做拉伸實驗以比較這兩種移植材料的最大抗拉強度。在骨-髕骨韌帶-骨組最大的抗拉強度三個月為117.1牛頓、六個月為232.8牛頓、十二個月為777.4牛頓;在骨-前十字韌帶-骨組最大的抗拉強度三個月為458.7牛頓、六個月為814.8牛頓、十二個月為1064.1牛頓;而控制組前十字韌帶最大抗拉強度為1461.7牛頓。本研究證實骨-前十字韌帶-骨作為前十字韌帶的重建材料比骨-髕骨韌帶-骨在生物力學的特性上較佳。

並列摘要


Twenty Rottweier dogs were included to investigate the biomechanical behaviors of bone-patellar tendon-bone and bone-ACL-bone grafts for ACL reconstruction. Those dogs were further divided into three experimental groups and one control group. The group Ⅰ was sacrificed three months after ACL reconstruction, the group Ⅱ, six months and the group Ⅲ, twelve months. For bone-patellar tendon-bone graft, the mean maximum tensile strength was 117.1 N in the group Ⅰ, 232.8 N in the group Ⅱ and 777.4 N in the group Ⅲ. For bone-ACL-bone autograft, the mean maximum tensile strength was 458.7 N in the group Ⅰ, 814.4 N in the group Ⅱ and 1064.1 N in the group Ⅲ. The mean maximum tensile strength was 1461.7 N in the control group. This study revealed the bone-ACL-bone graft has a better result than bone-patellar tendon-bone graft for ACL reconstruction in the dog model.

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