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当前关节镜下修复后交叉韧带胫骨侧撕脱伤的理念

Current Arthroscopic Concepts in Repairing Posterior Cruciate Ligament Tibial-Sided Avulsions.

作者信息

Malempati Chaitu, Felder Jerrod, Elliott Michael, Brunkhorst Joseph, Miller Mark, Johnson Darren L

出版信息

Orthopedics. 2015 Sep;38(9):563-9. doi: 10.3928/01477447-20150902-06.

DOI:10.3928/01477447-20150902-06
PMID:26375528
Abstract

Posterior cruciate ligament (PCL) injuries are extremely rare and most commonly occur in the trauma setting. They can lead to instability, pain, diminished function, and eventual arthrosis. Several techniques of arthroscopic PCL repair for tibial-sided bony avulsions have been described in the literature; however, no single technique has emerged as the gold standard to predictably restore posterior knee stability, PCL function, and knee biomechanics. The authors believe that the best results will come from procedures that re-create the normal human anatomy and knee kinematics. In this article, 3 arthroscopic methods of PCL avulsion repairs performed at 2 academic institutions are analyzed. The techniques described here provide good options for the treatment of these injuries.

摘要

后交叉韧带(PCL)损伤极为罕见,最常见于创伤情况下。它们可导致膝关节不稳定、疼痛、功能减退以及最终的关节病。文献中已描述了几种用于治疗胫骨侧骨撕脱的关节镜下PCL修复技术;然而,尚无单一技术成为可预测地恢复膝关节后向稳定性、PCL功能和膝关节生物力学的金标准。作者认为,最佳结果将来自于重建正常人体解剖结构和膝关节运动学的手术方法。在本文中,分析了在两家学术机构进行的3种关节镜下PCL撕脱修复方法。这里描述的技术为治疗这些损伤提供了良好的选择。

相似文献

1
Current Arthroscopic Concepts in Repairing Posterior Cruciate Ligament Tibial-Sided Avulsions.当前关节镜下修复后交叉韧带胫骨侧撕脱伤的理念
Orthopedics. 2015 Sep;38(9):563-9. doi: 10.3928/01477447-20150902-06.
2
Management of Posterior Cruciate Ligament Tibial Avulsion Injuries: A Systematic Review.后交叉韧带胫骨止点撕脱伤的治疗:系统评价。
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引用本文的文献

1
Stepping into the Unknown: Unveiling the Rarity of PCL Fracture-Avulsions.踏入未知领域:揭示后交叉韧带骨折撕脱伤的罕见性。
Trauma Case Rep. 2024 Apr 3;51:101012. doi: 10.1016/j.tcr.2024.101012. eCollection 2024 Jun.
2
Minimally invasive traditional inverted "L" approach for posterior cruciate ligament avulsion fractures: a retrospective study.微创传统反向"L"入路治疗后交叉韧带撕脱骨折:一项回顾性研究。
PeerJ. 2022 Jul 14;10:e13732. doi: 10.7717/peerj.13732. eCollection 2022.
3
A new method for tensioning of a chronic tibial bony avulsion of the posterior cruciate ligament as a posteromedial bundle and augmentation by anterolateral bundle reconstruction in a bicruciate ligament injury: A case report.
一种治疗慢性后交叉韧带胫骨骨撕脱伤的新方法,该损伤表现为后内侧束损伤,通过前外侧束重建进行双交叉韧带损伤的增强修复:病例报告
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2018 Nov 22;15:13-16. doi: 10.1016/j.asmart.2018.11.002. eCollection 2019 Jan.
4
Posterior Cruciate Ligament Avulsion Fractures.后交叉韧带撕脱骨折
Curr Rev Musculoskelet Med. 2018 Sep;11(3):503-509. doi: 10.1007/s12178-018-9491-2.