Fanelli G C
Sports Injury Clinic and Arthroscopic Surgery, Fanelli Sports Injury Clinic, Danville, Pennsylvania, USA.
Clin Sports Med. 2000 Jul;19(3):493-502. doi: 10.1016/s0278-5919(05)70220-9.
ACL-PCL-posterolateral corner injuries most frequently are seen in multiple trauma patients but do occur in the athletic injury population. Acute three-ligament-injured knees may have been tibiofemoral dislocations with spontaneous reduction in the field. Careful documentation of the neurovascular status is essential in these cases to avoid the complications associated with limb ischemia. Systematic evaluation of these patients with history, physical examination, imaging studies, examination under anesthesia, and diagnostic arthroscopy will aid in the correct diagnosis and treatment plan formulation. Arthroscopically assisted, combined ACL-PCL-posterolateral complex reconstructions, using strong graft material, and performed in a timely fashion, have provided consistent and predictable results with few complications.
前交叉韧带-后交叉韧带-后外侧角损伤最常见于多发伤患者，但在运动损伤人群中也确实会发生。急性三条韧带损伤的膝关节可能曾发生过胫股关节脱位并在现场自行复位。在这些病例中，仔细记录神经血管状况对于避免与肢体缺血相关的并发症至关重要。通过病史、体格检查、影像学检查、麻醉下检查和诊断性关节镜检查对这些患者进行系统评估，将有助于正确诊断和制定治疗方案。采用坚固的移植物材料并及时进行关节镜辅助下的前交叉韧带-后交叉韧带-后外侧复合体联合重建，已取得了一致且可预测的结果，并发症较少。
