Kato Yuki, Hirata Kazuma, Hattori Soichi, Yamada Shin, Takazawa Shuzo, Ohuchi Hiroshi
Department of Sports Medicine, Kameda Medical Center, Chiba, Japan.
Department of Orthopedic Surgery, Nihon University, School of Medicine, Tokyo, Japan.
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.
Multiple ligament injury is associated with high instability; hence, it is necessary to restore stability through application of a reliable treatment strategy. We report our experiences in handling a case of ruptured anterior cruciate ligament (ACL) complicated by chronic bony avulsion of the posterior cruciate ligament (PCL). Favourable results were obtained as a result of ACR reconstruction following a new method for tensioning of the chronic tibial bony avulsion of PCL as a postero-medial bundle and augmentation by PCL anterolateral bundle reconstruction. Favourable posterior stability could be restored through application of this new technique incorporating post-reconstruction PCL reinforcement.
多韧带损伤与高度不稳定相关；因此，有必要通过应用可靠的治疗策略来恢复稳定性。我们报告了处理一例前交叉韧带（ACL）断裂合并后交叉韧带（PCL）慢性骨撕脱病例的经验。采用一种新方法对PCL慢性胫骨骨撕脱进行张力调整作为后内侧束，并通过PCL前外侧束重建进行加强，在此基础上进行ACR重建，取得了良好效果。通过应用这种包含重建后PCL强化的新技术，可以恢复良好的后向稳定性。
