后交叉韧带重建中的移植物考量
Graft Considerations in Posterior Cruciate Ligament Reconstruction.
作者信息
Johnson Pierce, Mitchell Sean M, Görtz Simon
机构信息
Department of Orthopaedic Surgery, University of Arizona College of Medicine Phoenix, 1320 N 10th Street, Suite A, Phoenix, AZ, 85006, USA.
The CORE Institute, Phoenix, AZ, USA.
出版信息
Curr Rev Musculoskelet Med. 2018 Sep;11(3):521-527. doi: 10.1007/s12178-018-9506-z.
Abstract
PURPOSE OF REVIEW
To highlight current and established concepts regarding PCL injury and reconstruction.
RECENT FINDINGS
Recent biomechanical and clinical studies have brought attention to improved surgical techniques and clinical outcomes of PCL reconstruction. In contrast to anterior cruciate ligament (ACL) injuries, isolated posterior cruciate ligament (PCL) injuries occur much less frequently and have traditionally been treated non-operatively. Even when a PCL injury meets operative indications, outcomes of PCL reconstruction historically do not match the success rates of ACL reconstruction procedures. As such, there remains controversy regarding appropriate indications and techniques for surgical repair leading to a paucity of conclusive data regarding surgical outcomes. Recently, however, there has been an increase in focus on the role of the PCL in proper knee biomechanics and negative long-term sequelae of chronic PCL insufficiency. This improved understanding has led to advancements in surgical technique and graft options for PCL reconstruction.
摘要
综述目的
强调关于后交叉韧带（PCL）损伤与重建的现有及新出现的概念。
最新发现
近期的生物力学和临床研究已将注意力引向PCL重建手术技术的改进及临床结果。与前交叉韧带（ACL）损伤不同，孤立性后交叉韧带（PCL）损伤发生频率低得多，传统上采用非手术治疗。即便PCL损伤符合手术指征，PCL重建的历史结果也比不上ACL重建手术的成功率。因此，关于手术修复的合适指征和技术仍存在争议，导致关于手术结果的确凿数据匮乏。然而，近来对PCL在膝关节正常生物力学中的作用以及慢性PCL功能不全的长期不良后果的关注有所增加。这种认识的提高推动了PCL重建手术技术和移植物选择的进步。
相似文献
1
Graft Considerations in Posterior Cruciate Ligament Reconstruction.后交叉韧带重建中的移植物考量
Curr Rev Musculoskelet Med. 2018 Sep;11(3):521-527. doi: 10.1007/s12178-018-9506-z.
2
Double-Bundle Posterior Cruciate Ligament Reconstruction in 100 Patients at a Mean 3 Years' Follow-up: Outcomes Were Comparable to Anterior Cruciate Ligament Reconstructions.100 例患者平均 3 年随访的双束后交叉韧带重建：结果与前交叉韧带重建相当。
Am J Sports Med. 2018 Jul;46(8):1809-1818. doi: 10.1177/0363546517750855.
3
Management of posterior cruciate ligament reconstruction after previous isolated anterior cruciate ligament reconstruction.既往单纯前交叉韧带重建术后后交叉韧带重建的管理
Arthroscopy. 2007 Feb;23(2):164-9. doi: 10.1016/j.arthro.2006.09.008.
4
Injuries to the posterior cruciate ligament and posterolateral instabilities of the knee.膝关节后交叉韧带损伤及后外侧不稳定
Chang Gung Med J. 2002 May;25(5):288-97.
5
[Combined posterior and anterior cruciate ligament reconstruction : Arthroscopic treatment with the GraftLink® system].[后交叉韧带与前交叉韧带联合重建：使用GraftLink®系统的关节镜治疗]
Oper Orthop Traumatol. 2019 Feb;31(1):20-35. doi: 10.1007/s00064-018-0580-6. Epub 2018 Dec 18.
6
Both isolated and multi-ligament posterior cruciate ligament reconstruction results in improved subjective outcome: results from the Danish Knee Ligament Reconstruction Registry.孤立性与多束重建后十字韧带均可改善主观结果：丹麦十字韧带重建登记研究结果。
Knee Surg Sports Traumatol Arthrosc. 2018 Apr;26(4):1190-1196. doi: 10.1007/s00167-017-4577-8. Epub 2017 May 25.
7
Posterior cruciate ligament rehabilitation: how slow should we go?后交叉韧带康复：我们应该多慢进行？
Arthroscopy. 2008 Feb;24(2):234-5. doi: 10.1016/j.arthro.2007.09.009.
8
Emerging Updates on the Posterior Cruciate Ligament: A Review of the Current Literature.后交叉韧带的最新进展：当前文献综述
Am J Sports Med. 2015 Dec;43(12):3077-92. doi: 10.1177/0363546515572770. Epub 2015 Mar 16.
9
Combined chronic anterior cruciate ligament and posterior cruciate ligament reconstruction: functional and clinical results.联合慢性前交叉韧带和后交叉韧带重建：功能及临床结果
Knee Surg Sports Traumatol Arthrosc. 2015 Oct;23(10):2853-8. doi: 10.1007/s00167-015-3764-8. Epub 2015 Aug 30.
10
Posterior Cruciate Ligament: Current Concepts Review.后交叉韧带：当前概念综述
Arch Bone Jt Surg. 2018 Jan;6(1):8-18.
引用本文的文献
1
Posterior cruciate ligament reconstruction with modified bone-tendon tibial inlay technique: A case report.改良骨-肌腱胫骨嵌体技术重建后交叉韧带：1例报告
Int J Surg Case Rep. 2025 Jun;131:111426. doi: 10.1016/j.ijscr.2025.111426. Epub 2025 May 13.
2
Posterior Cruciate Ligament Reconstruction With Quadriceps Tendon Autograft and Concomitant Meniscal Ramp Repair.自体股四头肌肌腱重建后交叉韧带并同期修复半月板斜坡损伤
Video J Sports Med. 2024 Jan 12;4(1):26350254231184905. doi: 10.1177/26350254231184905. eCollection 2024 Jan-Feb.
3
Functional outcomes of peroneus longus tendon autograft for posterior cruciate ligament reconstruction: A meta-analysis.用于后交叉韧带重建的腓骨长肌腱自体移植的功能结果：一项荟萃分析。
World J Orthop. 2025 Mar 18;16(3):101841. doi: 10.5312/wjo.v16.i3.101841.
4
Anatomic versus Low Tibial Tunnel in Double-Bundle Posterior Cruciate Ligament Reconstruction: Clinical and Radiologic Outcomes with a Minimum 2-Year Follow-Up.双束后交叉韧带重建中解剖学胫骨隧道与低位胫骨隧道的比较：至少2年随访的临床和影像学结果
Medicina (Kaunas). 2024 Mar 27;60(4):545. doi: 10.3390/medicina60040545.
5
Risk factors of failure results after double-bundle reconstruction with autogenous hamstring grafts for isolated posterior cruciate ligament rupture cases.自体腘绳肌腱重建治疗孤立性后交叉韧带撕裂术后失败的风险因素。
Sci Rep. 2024 Mar 14;14(1):6192. doi: 10.1038/s41598-024-56953-y.
6
Technique and Outcomes of Posterior Cruciate Ligament Repair With Augmentation.后交叉韧带增强修复术的技术与结果
Orthop J Sports Med. 2024 Jan 22;12(1):23259671231213988. doi: 10.1177/23259671231213988. eCollection 2024 Jan.
7
Clinical Effectiveness of Arthroscopy-Assisted Fixation in the Treatment of Avulsed Posterior Cruciate Ligament Injuries.关节镜辅助固定治疗后交叉韧带撕脱伤的临床疗效
Cureus. 2023 Dec 8;15(12):e50152. doi: 10.7759/cureus.50152. eCollection 2023 Dec.
8
The Effect of Aging on Outcomes after Posterior Cruciate Ligament Reconstruction: Older (≥ 50 Years) Versus Younger (< 50 Years) Patients.年龄对后交叉韧带重建术后结局的影响：老年（≥50 岁）与年轻（<50 岁）患者。
Clin Orthop Surg. 2023 Dec;15(6):928-934. doi: 10.4055/cios22102. Epub 2022 Dec 8.
9
Standardized Rehabilitation or Individual Approach?-A Retrospective Analysis of Early Rehabilitation Protocols after Isolated Posterior Cruciate Ligament Reconstruction.标准化康复还是个体化方法？——单纯后交叉韧带重建术后早期康复方案的回顾性分析
J Pers Med. 2022 Aug 8;12(8):1299. doi: 10.3390/jpm12081299.
10
Comparative Effectiveness and Safety of Allografts and Autografts in Posterior Cruciate Ligament Reconstruction Surgery: A Systematic Review.同种异体移植物和自体移植物在后交叉韧带重建手术中的比较有效性和安全性：一项系统评价。
Arthrosc Sports Med Rehabil. 2020 Nov 11;2(6):e893-e907. doi: 10.1016/j.asmr.2020.07.017. eCollection 2020 Dec.
本文引用的文献
1
Single-Bundle versus Double-Bundle Posterior Cruciate Ligament Reconstruction: A Meta-Analysis of Randomized Controlled Trials.单束与双束后交叉韧带重建：随机对照试验的荟萃分析
Knee Surg Relat Res. 2017 Dec 1;29(4):246-255. doi: 10.5792/ksrr.17.050.
2
Autograft Versus Allograft for Posterior Cruciate Ligament Reconstruction: An Updated Systematic Review and Meta-analysis.自体移植物与同种异体移植物在后交叉韧带重建中的比较：一项更新的系统评价和荟萃分析。
Am J Sports Med. 2018 Jun;46(7):1752-1757. doi: 10.1177/0363546517713164. Epub 2017 Jun 21.
3
Surgical treatment of medial knee ligament injuries: current indications and techniques.膝关节内侧韧带损伤的外科治疗：当前的适应症和技术
EFORT Open Rev. 2017 Mar 13;1(2):27-33. doi: 10.1302/2058-5241.1.000007. eCollection 2016 Feb.
4
Revision Posterior Cruciate Ligament Surgery.后交叉韧带手术翻修
Sports Med Arthrosc Rev. 2017 Mar;25(1):30-35. doi: 10.1097/JSA.0000000000000136.
5
No Clinically Important Difference in Knee Scores or Instability Between Transtibial and Inlay Techniques for PCL Reconstruction: A Systematic Review.前交叉韧带重建中经胫骨技术与嵌体技术在膝关节评分或不稳定方面无临床重要差异：一项系统评价
Clin Orthop Relat Res. 2017 Apr;475(4):1239-1248. doi: 10.1007/s11999-016-5176-6. Epub 2016 Nov 28.
6
Biomechanical Comparison: Single-Bundle versus Double-Bundle Posterior Cruciate Ligament Reconstruction Techniques.生物力学比较：单束与双束后交叉韧带重建技术
J Knee Surg. 2017 May;30(4):347-351. doi: 10.1055/s-0036-1588014. Epub 2016 Aug 20.
7
Anatomic Double-Bundle Posterior Cruciate Ligament Reconstruction.解剖双束后交叉韧带重建术
Arthrosc Tech. 2016 Feb 15;5(1):e149-56. doi: 10.1016/j.eats.2015.10.014. eCollection 2016 Feb.
8
A systematic review of double-bundle versus single-bundle posterior cruciate ligament reconstruction.双束与单束后交叉韧带重建的系统评价
BMC Musculoskelet Disord. 2016 Jan 27;17:45. doi: 10.1186/s12891-016-0896-z.
9
Treatment of isolated lesions of the posterior cruciate ligament.后交叉韧带孤立性损伤的治疗
Rev Assoc Med Bras (1992). 2015 Mar-Apr;61(2):102-7. doi: 10.1590/1806-9282.61.02.102.
10
Emerging Updates on the Posterior Cruciate Ligament: A Review of the Current Literature.后交叉韧带的最新进展：当前文献综述
Am J Sports Med. 2015 Dec;43(12):3077-92. doi: 10.1177/0363546515572770. Epub 2015 Mar 16.
Zotero 插件