·786·中国骨伤2023年8月第36卷第8期ChinaJOrthopTraumatol,Aug.2023,Vol.36,No.8·综述·胫骨平台后倾角在前交叉韧带中的应用研究徐文杰1,刘沛东1,王斌1,2,许晓栋1,杨自权1（1.山西医科大学第二医院，山西太原030001;2.南京大学附属鼓楼医院，江苏南京210000）【摘要】胫骨平台后倾角（posteriortibialslopeangle,PTSA）作为前交叉韧带（anteriorcruciateligament,ACL)损伤的危险因素，引起学者的广泛关注,但其作用机制及诊断治疗在运动医学领域仍旧缺乏系统研究。PTSA的测量目前存在多种方式，本文通过复习文献认为应通过下肢全长X线片进行测量，并结合多种影像资料进行综合评估可以减少误差。较大的PTSA会增加ACL损伤的风险，因此，对于>12°的患者在ACL重建术中应尽可能保留半月板及必要时联合胫骨截骨术矫正治疗，可有效预防韧带再损伤的风险。步态分析对于术前致病模式及术后的康复功能有着重要的参考价值,将对以PTSA为依据的个体化康复策略的制定有着指导意义,以期达到最佳的治疗效果。【关键词】前交叉韧带；胫骨平台后倾角；翻修率；胫骨高位截骨术；步态分析中图分类号：R686.5D0I:10.12200/j.issn.1003-0034.2023.08.017StudyonapplicationofposteriortibialslopeangleinanteriorcruciateligamentXUWen-jie',LIUPei-dong',WANGBin'2,XUXiao-dong',YANGZi-quan'(1.TheSecondHosipitalofShangxiMedicalUni-versity,Taiyuan030001,Shanxi,China;2.NanjingDrumTowerHospital,Nanjing210000,Jiangsu,China)ABSTRACTPosteriortibialslopeangle(PTSA)isariskfactorforanteriorcruciateligament(ACL)injuryandhasattract-edalotofattention,butitsmechanismofactionanddiagnosisarestillnotsystematicallystudiedinthefieldofsportsmedicine.Inthispaper,webelievethatPTSAshouldbemeasuredbyfll-lengthlowerextremityfilmsandcombinedwithmultipleimag-ingdataforcomprehensiveassessmenttoreduceerrors.AlargePTSAmayincreasesriskofanteriorcruciateligamentinjury,sopatientswithmorethan12degreesofPTSAshouldbetreatedbypreservingmeniscusasmuchaspossibleduringACLrecon-structionandcombiningwithtibialosteotomyifnecessary,whichcouldeffectivelypreventriskofligamentre-injury.Atthesametime,gaitanalysishasanimportantreferencevalueforpreoperativepathogenicpatternandpostoperativerehabilitationfunction,sotheauthorbeliev...
