Zawodny Sarah R, Miller Mark D
Department of Orthopedic Surgery, University of Virginia, Charlottesville, VA.
Sports Med Arthrosc Rev. 2010 Dec;18(4):269-74. doi: 10.1097/JSA.0b013e3181f2f4c2.
In addition to standard risks associated with all orthopedic surgical procedures, posterior cruciate ligament (PCL) reconstruction poses some relatively unique potential complications. These complications arise from a combination of several factors: the relative infrequency of PCL injuries, the lack of knowledge and experience in treating them, the proximity of neurovascular structures to the PCL, and the technically demanding nature of reconstructive procedures. This article discusses the anatomy, pathogenesis, and prevention of intraoperative and postoperative complications of PCL surgery including neurovascular injury, osteonecrosis, fracture, motion loss, and persistent laxity.
除了与所有骨科手术相关的标准风险外，后交叉韧带（PCL）重建还存在一些相对独特的潜在并发症。这些并发症是由多种因素共同导致的：PCL损伤相对少见，治疗此类损伤的知识和经验不足，神经血管结构与PCL相邻，以及重建手术对技术要求较高。本文讨论了PCL手术术中及术后并发症的解剖学、发病机制及预防，包括神经血管损伤、骨坏死、骨折、活动度丧失和持续松弛。
