Schüttler K F, Ziring E, Ruchholtz S, Efe T
Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg UKGM, Standort Marburg, Marburg, Deutschland.
Orthopaedicum Lich, Gottlieb-Daimler-Str. 7a, 35423, Lich, Deutschland.
Unfallchirurg. 2017 Jan;120(1):55-68. doi: 10.1007/s00113-016-0292-z.
Posterior cruciate ligament (PCL) injuries are still often overlooked and treatment of a ruptured PCL is inherently different in comparison to anterior cruciate ligaments (ACL). Conservative treatment is the first-line therapy for acute isolated PCL injuries leading to good clinical and biomechanical results. Injuries to the PCL combined with rupture of other stabilizing ligaments, such as the collateral ligaments or the posterolateral corner of the knee joint are treated surgically. The same is true for high grade chronic PCL insufficiency. Meticulous classification of PCL injuries taking all stabilizing factors of the knee joint as well as the time from injury into account are essential for successful treatment of PCL injuries.
后交叉韧带（PCL）损伤仍然常常被忽视，与前交叉韧带（ACL）相比，PCL断裂的治疗本质上有所不同。保守治疗是急性单纯PCL损伤的一线治疗方法，可带来良好的临床和生物力学效果。PCL损伤合并其他稳定韧带（如侧副韧带或膝关节后外侧角）断裂时，则需进行手术治疗。高度慢性PCL功能不全的情况也是如此。对PCL损伤进行细致分类，同时考虑膝关节的所有稳定因素以及受伤时间，对于PCL损伤的成功治疗至关重要。
