Chuang Tai-Yuan, Ho Wei-Pin, Chen Chih-Hwa, Liao Yi-Shyan, Chen Wen-Jer
Department of Orthopaedic Surgery, Taipei Medical University, Wan Fang Hospital, Taipei, Taiwan.
Arthroscopy. 2004 Apr;20(4):e23-8. doi: 10.1016/j.arthro.2004.01.039.
Surgical reconstruction of the posterior cruciate ligament (PCL) is indicated in a PCL-deficient knee with symptomatic instability and multiple ligament injuries. The results of the traditional tunnel method for PCL reconstruction remain uncertain. The tibial inlay method offers the benefit of preventing the acute-turn associated with transtibial reconstruction. Additionally, the double-bundled graft appears to restore normal knee laxity across the full range of flexion. This study presents an inlay technique for arthroscopic PCL reconstruction with double-bundled quadriceps tendon-patellar bone autograft. This technique offers a reasonable alternative for PCL reconstruction.
对于存在症状性不稳定且有多韧带损伤的后交叉韧带(PCL)损伤膝关节,需进行PCL手术重建。传统的PCL重建隧道法的效果仍不明确。胫骨嵌体法具有防止与经胫骨重建相关的急转的优点。此外,双束移植物似乎能在整个屈曲范围内恢复正常的膝关节松弛度。本研究介绍了一种使用双束股四头肌腱-髌骨骨自体移植物进行关节镜下PCL重建的嵌体技术。该技术为PCL重建提供了一种合理的替代方法。