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后交叉韧带和后外侧角损伤的手术治疗。解剖学、生物力学及临床综述。

Surgical treatment of posterior cruciate ligament and posterolateral corner injuries. An anatomical, biomechanical and clinical review.

作者信息

Mariani Pier Paolo, Becker Roland, Rihn Jeff, Margheritini Fabrizio

机构信息

Department of Sports Traumatology, IUSM, University of Motor Sciences, P.zza Lauro de Bosis 15, 00135 Rome, Italy.

出版信息

Knee. 2003 Dec;10(4):311-24. doi: 10.1016/s0968-0160(02)00141-2.

Abstract

The posterior cruciate ligament has become an increasingly popular subject of orthopaedic research and debate. While biomechanical studies have shown its role as major stabilizer of the knee, clinical studies have shown its increasing incidence. Furthermore, injuries to posterolateral structures are frequently encountered and failure to recognize and treat this associated injury may lead to stretching or failure of the cruciate reconstruction. Surgical reconstruction of isolated/combined injuries is now more effective than before and different technical options are now available for the surgeon, even if much work remains ahead of us as we try to understand how to successfully treat these complex knee injuries.

摘要

后交叉韧带已成为骨科研究和辩论中越来越热门的话题。虽然生物力学研究表明其作为膝关节主要稳定器的作用,但临床研究显示其发病率在不断上升。此外,后外侧结构损伤经常出现,未能识别和治疗这种相关损伤可能导致交叉韧带重建的拉伸或失败。孤立/合并损伤的手术重建现在比以前更有效,并且外科医生现在有不同的技术选择,尽管在我们试图了解如何成功治疗这些复杂的膝关节损伤方面,仍有许多工作要做。

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