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髓内钉固定同侧胫骨骨干骨折后采用胫骨嵌块技术行 PCL 重建:一种治疗方案。

PCL reconstruction with the tibial inlay technique following intra-medullary nail fixation of an ipsilateral tibial shaft fracture: a treatment algorithm.

机构信息

University of Toronto, 4410-763 Bay Street, Toronto, ON, M5G 2R3, Canada.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2010 Jun;18(6):777-80. doi: 10.1007/s00167-009-0930-x. Epub 2009 Sep 26.

DOI:10.1007/s00167-009-0930-x
PMID:19784623
Abstract

Our case report highlights the complexity of treating multi-ligament knee injuries in the setting of ipsilateral long bone trauma. We describe the use of the tibial inlay technique for PCL reconstruction in the setting of a tibial shaft fracture treated with an intramedullary nail. We also present a comprehensive treatment algorithm for the treatment of ligamentous knee injuries in the setting of long bone trauma.

摘要

我们的病例报告强调了在同侧长骨创伤的情况下治疗多韧带膝关节损伤的复杂性。我们描述了在胫骨骨干骨折伴髓内钉治疗的情况下使用胫骨嵌块技术进行 PCL 重建。我们还提出了一种综合治疗算法,用于治疗长骨创伤中韧带膝关节损伤。

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3

本文引用的文献

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Isolated posterior cruciate ligament injuries associated with closed tibial shaft fractures: a report of two cases.闭合性胫骨干骨折合并孤立性后交叉韧带损伤:2例报告
Arch Orthop Trauma Surg. 2009 Jul;129(7):895-9. doi: 10.1007/s00402-008-0730-7. Epub 2008 Aug 30.
2
Single-Achilles allograft posterior cruciate ligament and medial collateral ligament reconstruction: a technique to avoid osseous tunnel intersection, improve construct stiffness, and save on allograft utilization.单跟腱同种异体移植重建后交叉韧带和内侧副韧带:一种避免骨隧道交叉、提高结构刚度并节省同种异体移植物使用的技术。
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伴有胫骨平台骨折的膝关节多韧带损伤:两例报告。
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Am J Sports Med. 1980 May-Jun;8(3):172-4. doi: 10.1177/036354658000800305.
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J Bone Joint Surg Am. 1989 Oct;71(9):1392-5.
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Clin Orthop Relat Res. 1990 May(254):216-9.
9
Knee ligament injuries combined with ipsilateral tibial and femoral diaphyseal fractures: the "floating knee".膝关节韧带损伤合并同侧胫骨干和股骨干骨折:“浮动膝”
Arch Orthop Trauma Surg. 1991;110(2):75-7. doi: 10.1007/BF00393877.
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Knee-ligament injuries associated with leg fractures. Prospective study.
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