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膝关节后交叉韧带重建术中胫骨固定的多重环扎技术

Multiple Looping Technique for Tibial Fixation in Posterior Cruciate Ligament Reconstruction of the Knee.

作者信息

Noh Jung Ho, Yoon Kyoung Ho, Song Sang Jun, Roh Young Hak, Lee Jae Woo

机构信息

Department of Orthopaedic Surgery, Graduate School of Medicine, Kangwon National University, Chuncheon, Republic of Korea.

Department of Orthopaedic Surgery, Kyunghee University School of Medicine, Seoul, Republic of Korea.

出版信息

Arthrosc Tech. 2015 Jan 12;4(1):e13-7. doi: 10.1016/j.eats.2014.09.011. eCollection 2015 Feb.

DOI:10.1016/j.eats.2014.09.011
PMID:25973367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4427648/
Abstract

The outcomes of posterior cruciate ligament reconstruction may be negatively affected by insufficient tibial tunnel fixation due to relatively lower bone density of the proximal tibia. We introduce a new technique of tibial fixation for posterior cruciate ligament reconstruction using free tendon Achilles allograft that is less affected by the bone density of the tibial metaphysis.

摘要

由于胫骨近端骨密度相对较低，后交叉韧带重建术后的效果可能会受到胫骨隧道固定不足的负面影响。我们介绍一种使用游离跟腱同种异体移植物进行后交叉韧带重建的胫骨固定新技术，该技术受胫骨干骺端骨密度的影响较小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6733/4427648/14c6135a6d02/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6733/4427648/d44f9f814671/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6733/4427648/1d0d26efee42/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6733/4427648/14c6135a6d02/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6733/4427648/d44f9f814671/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6733/4427648/1d0d26efee42/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6733/4427648/14c6135a6d02/gr3.jpg

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本文引用的文献

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Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3251-8. doi: 10.1007/s00167-014-3162-7. Epub 2014 Jul 20.
2
Double-bundle PCL reconstruction using autogenous quadriceps tendon and semitendinous graft: surgical technique with 2-year follow-up clinical results.使用自体股四头肌腱和半腱肌移植物进行双束后交叉韧带重建：手术技术及2年随访临床结果
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Graft tension of the posterior cruciate ligament using a finite element model.
使用有限元模型分析后交叉韧带的移植张力
Knee Surg Sports Traumatol Arthrosc. 2014 Sep;22(9):2057-63. doi: 10.1007/s00167-013-2609-6. Epub 2013 Jul 14.
4
Tibiofemoral and patellofemoral joint 3D-kinematics in patients with posterior cruciate ligament deficiency compared to healthy volunteers.与健康志愿者相比，后交叉韧带缺失患者的胫股和髌股关节三维运动学。
BMC Musculoskelet Disord. 2012 Nov 26;13:231. doi: 10.1186/1471-2474-13-231.
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A review of the anatomical, biomechanical and kinematic findings of posterior cruciate ligament injury with respect to non-operative management.关于后交叉韧带损伤非手术治疗的解剖学、生物力学和运动学研究结果综述。
Knee. 2012 Dec;19(6):738-45. doi: 10.1016/j.knee.2012.09.005. Epub 2012 Sep 28.
6
Anterolateral transtibial posterior cruciate ligament reconstruction combined with anatomical reconstruction of posterolateral corner insufficiency: comparison of single-bundle versus double-bundle posterior cruciate ligament reconstruction over a 2- to 6-year follow-up.前外侧经胫骨后十字韧带重建联合后外侧角结构重建：2 至 6 年随访的单束与双束后十字韧带重建的比较。
Am J Sports Med. 2011 Mar;39(3):481-9. doi: 10.1177/0363546510385398. Epub 2010 Dec 15.
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J Bone Joint Surg Br. 2010 Oct;92(10):1381-4. doi: 10.1302/0301-620X.92B10.24807.
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Clinical results of arthroscopic single-bundle transtibial posterior cruciate ligament reconstruction: a systematic review.关节镜下单束经胫骨后交叉韧带重建的临床疗效：系统评价。
Am J Sports Med. 2011 Feb;39(2):425-34. doi: 10.1177/0363546510374452. Epub 2010 Aug 11.
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