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后交叉韧带损伤

Posterior cruciate ligament injuries.

作者信息

Whipple T L, Ellis F D

机构信息

Orthopedic Research of Virginia, Richmond.

出版信息

Clin Sports Med. 1991 Jul;10(3):515-27.

PMID:1868557
Abstract

PCL reconstruction is not often necessary. Arthroscopic techniques using autograft or allograft substitution for the PCL probably bear more physiologic and anatomic likeness to the normal ligament than to tissue transfers posteriorly. The arthroscopic procedure is exacting and technically demanding. It is advisable to supplement the PCL reconstruction with an appropriate capsulorrhaphy when the posterior capsule, arcuate complex, or oblique popliteal ligament are also injured. In combined cruciate injuries, PCL reconstruction is notably easier when staged before reconstruction of the ACL.

摘要

后交叉韧带重建通常并非必要。使用自体移植物或同种异体移植物替代后交叉韧带的关节镜技术,与正常韧带相比,可能在生理和解剖学上更接近正常韧带,而不是向后的组织转移。关节镜手术精细且技术要求高。当后关节囊、弓状复合体或腘斜韧带也受损时,建议进行适当的关节囊缝合术以辅助后交叉韧带重建。在合并交叉韧带损伤时,若在后交叉韧带重建之前分期进行前交叉韧带重建,则后交叉韧带重建会明显更容易。

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引用本文的文献

1
The nonoperative treatment of acute, isolated (partial or complete) posterior cruciate ligament-deficient knees: an intermediate-term follow-up study.急性、单纯性(部分或完全性)后交叉韧带损伤膝关节的非手术治疗:中期随访研究
HSS J. 2007 Sep;3(2):137-46. doi: 10.1007/s11420-007-9058-z.
2
Diagnostic evaluation of posterior cruciate ligament injuries.
Knee Surg Sports Traumatol Arthrosc. 2003 Sep;11(5):282-8. doi: 10.1007/s00167-003-0409-0. Epub 2003 Aug 29.
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Posterior cruciate ligament injuries in the athlete: an anatomical, biomechanical and clinical review.运动员后交叉韧带损伤:解剖学、生物力学及临床综述
Sports Med. 2002;32(6):393-408. doi: 10.2165/00007256-200232060-00004.