Whipple T L, Ellis F D
Orthopedic Research of Virginia, Richmond.
Clin Sports Med. 1991 Jul;10(3):515-27.
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.
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。