Fanelli Gregory C, Beck John D, Edson Craig J
Geisinger Sports Medicine, Orthopaedic Surgery Department, Danville, PA 17822-5212, USA.
Sports Med Arthrosc Rev. 2010 Dec;18(4):242-8. doi: 10.1097/JSA.0b013e3181f2faa1.
The keys to successful posterior cruciate ligament reconstruction are to identify and treat all pathology, use strong graft material, accurately place tunnels in anatomic insertion sites, minimize graft bending, use a mechanical graft tensioning device, use primary and back-up graft fixation, and use the appropriate postoperative rehabilitation program. Adherence to these technical principles results in successful single and double-bundle arthroscopic transtibial tunnel posterior cruciate ligament reconstruction based upon stress radiography, arthrometer, knee ligament rating scales, and patient satisfaction measurements.
成功进行后交叉韧带重建的关键在于识别并处理所有病变情况，使用坚固的移植物材料，在解剖学插入部位精确放置隧道，使移植物弯曲最小化，使用机械移植物张力调节装置，采用初次和备用移植物固定方法，并采用适当的术后康复计划。遵循这些技术原则可实现基于应力放射照相、关节测量仪、膝关节韧带评分量表以及患者满意度测量的成功单束和双束关节镜下经胫骨隧道后交叉韧带重建。
