解剖双束后交叉韧带重建术
Anatomic Double-Bundle Posterior Cruciate Ligament Reconstruction.
作者信息
Chahla Jorge, Nitri Marco, Civitarese David, Dean Chase S, Moulton Samuel G, LaPrade Robert F
机构信息
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.
出版信息
Arthrosc Tech. 2016 Feb 15;5(1):e149-56. doi: 10.1016/j.eats.2015.10.014. eCollection 2016 Feb.
Abstract
The posterior cruciate ligament (PCL) is known to be the main posterior stabilizer of the knee. Anatomic single-bundle PCL reconstruction, focusing on reconstruction of the larger anterolateral bundle, is the most commonly performed procedure. Because of the residual posterior and rotational tibial instability after the single-bundle procedure and the inability to restore the normal knee kinematics, an anatomic double-bundle PCL reconstruction has been proposed in an effort to re-create the native PCL footprint more closely and to restore normal knee kinematics. We detail our technique for an anatomic double-bundle PCL reconstruction using Achilles and anterior tibialis tendon allografts.
摘要
后交叉韧带（PCL）是膝关节主要的后向稳定结构。解剖单束PCL重建，着重于重建较大的前外侧束，是最常施行的手术。由于单束手术后存在残留的胫骨后向及旋转不稳定，且无法恢复膝关节正常运动学，因此提出了解剖双束PCL重建，以期更接近地重建天然PCL附着点并恢复膝关节正常运动学。我们详细介绍使用跟腱和胫骨前肌腱同种异体移植物进行解剖双束PCL重建的技术。
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本文引用的文献
1
Emerging Updates on the Posterior Cruciate Ligament: A Review of the Current Literature.
Am J Sports Med. 2015 Dec;43(12):3077-92. doi: 10.1177/0363546515572770. Epub 2015 Mar 16.
2
Posterior cruciate ligament graft fixation angles, part 1: biomechanical evaluation for anatomic single-bundle reconstruction.
Am J Sports Med. 2014 Oct;42(10):2338-45. doi: 10.1177/0363546514541225. Epub 2014 Aug 4.
3
Posterior cruciate ligament graft fixation angles, part 2: biomechanical evaluation for anatomic double-bundle reconstruction.
Am J Sports Med. 2014 Oct;42(10):2346-55. doi: 10.1177/0363546514541226. Epub 2014 Aug 4.
4
Comparison of single-bundle and double-bundle isolated posterior cruciate ligament reconstruction with allograft: a prospective, randomized study.
Arthroscopy. 2014 Jun;30(6):695-700. doi: 10.1016/j.arthro.2014.02.035. Epub 2014 Apr 14.
5
Kinematic analysis of the posterior cruciate ligament, part 2: a comparison of anatomic single- versus double-bundle reconstruction.
Am J Sports Med. 2013 Dec;41(12):2839-48. doi: 10.1177/0363546513504384. Epub 2013 Oct 3.
6
Allograft versus autograft in posterior cruciate ligament reconstruction: an evidence-based systematic review.
J Knee Surg. 2013 Apr;26(2):109-15. doi: 10.1055/s-0032-1319778. Epub 2012 Jun 28.
7
Radiographic landmarks for tunnel positioning in posterior cruciate ligament reconstructions.
Am J Sports Med. 2013 Jan;41(1):35-42. doi: 10.1177/0363546512465072. Epub 2012 Nov 9.
8
Arthroscopically pertinent anatomy of the anterolateral and posteromedial bundles of the posterior cruciate ligament.
J Bone Joint Surg Am. 2012 Nov 7;94(21):1936-45. doi: 10.2106/JBJS.K.01710.
9
Isolated and combined grade-III posterior cruciate ligament tears treated with double-bundle reconstruction with use of endoscopically placed femoral tunnels and grafts: operative technique and clinical outcomes.
J Bone Joint Surg Am. 2011 Oct 5;93(19):1773-80. doi: 10.2106/JBJS.J.01638.
10
A prospective randomized study comparing arthroscopic single-bundle and double-bundle posterior cruciate ligament reconstructions preserving remnant fibers.
Am J Sports Med. 2011 Mar;39(3):474-80. doi: 10.1177/0363546510382206. Epub 2010 Nov 23.
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