Zhao Jinzhong, He Yaohua, Wang Jianhua
Department of Arthroscopic Surgery, Shangai Sixth People's Hospital, Shanghai Jiaotong University, Shanghai 200233, China.
Am J Sports Med. 2006 Oct;34(10):1615-22. doi: 10.1177/0363546506288112. Epub 2006 May 30.
There is no consensus about the best way to reconstruct the knee posterolateral complex.
Anatomical reconstruction of the knee posterolateral complex with the tendon of the long head of biceps femoris can restore knee posterolateral stability.
Case series; Level of evidence, 4.
Anatomical reconstruction of the fibular collateral ligament, popliteofibular ligament, and popliteus tendon was performed consecutively in 28 patients with chronic posterolateral knee injuries. Two distally pedicled tendon slips more than 16 cm long were created from the tendon of the long head of the biceps femoris. The posterior tendon slip was used to reconstruct the popliteofibular ligament and popliteus tendon, and the anterior slip were doubled to reconstruct the lateral collateral ligament. The patients were followed up for 2 to 4 years.
At the latest follow-up, examinations showed that 96.4% (27/28) of the patients had a normal or nearly normal reconstructed fibular collateral ligament as judged by manual examination. All patients had a normal or nearly normal reconstructed popliteofibular ligament and popliteus tendon as judged by manual examination.
Anatomical reconstruction of the knee posterolateral complex with the tendon of the long head of biceps femoris is effective in restoring knee posterolateral stability.
对于重建膝关节后外侧复合体的最佳方法尚无共识。
用股二头肌长头肌腱对膝关节后外侧复合体进行解剖重建可恢复膝关节后外侧稳定性。
病例系列；证据等级，4级。
对28例慢性膝关节后外侧损伤患者连续进行腓侧副韧带、腘腓韧带和腘肌腱的解剖重建。从股二头肌长头肌腱制作两条长度超过16 cm的远端带蒂肌腱束。后侧肌腱束用于重建腘腓韧带和腘肌腱，前侧肌腱束加倍用于重建外侧副韧带。对患者进行了2至4年的随访。
在最近一次随访时，检查显示，通过手法检查判断，96.4%（27/28）的患者重建的腓侧副韧带正常或接近正常。通过手法检查判断，所有患者重建的腘腓韧带和腘肌腱均正常或接近正常。
用股二头肌长头肌腱对膝关节后外侧复合体进行解剖重建可有效恢复膝关节后外侧稳定性。
