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微创、关节镜辅助下的解剖学后外侧角重建

Minimally Invasive, Arthroscopic-Assisted, Anatomic Posterolateral Corner Reconstruction.

作者信息

Hermanowicz Krzysztof, Malinowski Konrad, Góralczyk Adrian, Guszczyn Tomasz, LaPrade Robert F

机构信息

ORTIM Orthopaedic Clinic, Bialystok, Poland.

Artromedical Orthopaedic Clinic, Belchatów, Poland.

出版信息

Arthrosc Tech. 2019 Feb 11;8(3):e251-e257. doi: 10.1016/j.eats.2018.10.021. eCollection 2019 Mar.

Abstract

As the anatomy and biomechanics of the posterolateral corner (PLC) of the knee have become better understood, the importance of the PLC's proper function has become a more frequently raised subject. Misdiagnosed chronic posterolateral instability may lead to serious consequences, including cruciate ligament reconstruction graft failure. It has been proved that high-grade PLC injuries need to be treated operatively. Surgical approaches vary, and techniques are still developing. Considering avoidance of an extended surgical approach and minimizing the risk of common peroneal nerve or popliteal artery injuries, we developed the minimally invasive, arthroscopic-assisted, anatomic PLC reconstruction.

摘要

随着对膝关节后外侧角(PLC)解剖结构和生物力学的认识不断加深,PLC正常功能的重要性已成为一个更常被提及的话题。慢性后外侧不稳定误诊可能导致严重后果,包括交叉韧带重建移植物失败。已证实高级别PLC损伤需要手术治疗。手术入路各不相同,技术仍在不断发展。考虑到避免采用扩大的手术入路并将腓总神经或腘动脉损伤风险降至最低,我们开发了微创、关节镜辅助的解剖学PLC重建术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7727/6470392/2972121e9521/gr1.jpg

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