Centre for Sports Orthopedics and Special Joint Surgery, Orthopedic Hospital Markgroeningen, Kurt-Lindemann-Weg 10, 71706, Markgroeningen, Germany.
Department of Orthopedics and Traumatology, Clinic Nuremberg, Paracelsus Medical Private University, Breslauer Straße 201, 90471, Nuremberg, Germany.
Knee Surg Sports Traumatol Arthrosc. 2020 Jul;28(7):2091-2098. doi: 10.1007/s00167-020-05919-4. Epub 2020 Mar 10.
To analyse 1000 consecutive patients, treated with isolated or combined posterior cruciate ligament (PCL) reconstruction in a single centre according to the epidemiological factors and differences in injury patterns depending on the activity during trauma.
Between 2004 and 2019, one thousand isolated and combined PCL reconstructions were performed. The medical charts and surgical reports of all patients were analysed regarding epidemiological factors. The PCL lesions were divided into isolated and combined lesions with at least one additional ligamentous injury. The influence of activity during accident and additional injury on the presence of isolated or combined lesions and injury patterns was calculated.
In 388 patients (38.8%), sporting activity was the main activity in PCL lesions, followed by traffic accidents in 350 patients (35.0%). Combined injuries were present in 227 patients (58.5%) with sports injuries and 251 patients (71.7%) with traffic accidents. Only during handball, an isolated PCL lesion (69.1%) was more common than a combined lesion. Highest rate of combined lesions was present in car accidents (91.7%). In all activities except skiing and biking, the most common additional peripheral injury was a tear of the posterolateral corner. In skiing and biking accidents, the most common additional peripheral lesion was a lesion of the medial collateral ligament. In patients with PCL lesion and additional fracture of the same lower extremity, a combined lesion was more common than an isolated lesion (p = 0.001).
Combined PCL lesions are more common than isolated lesions, even in sports injuries (except handball). Incidence and injury pattern vary depending on activity during trauma. Main additional peripheral lesion is a lesion of the posterolateral corner, except biking and skiing accidents where a medial lesion is more common.
Level III.
分析单中心收治的 1000 例连续接受单纯或联合后交叉韧带（PCL）重建的患者，根据流行病学因素以及创伤时活动的不同，分析损伤模式的差异。
2004 年至 2019 年间，共进行了 1000 例单纯和联合 PCL 重建。分析所有患者的病历和手术报告，了解流行病学因素。将 PCL 损伤分为单纯和联合损伤，至少伴有另外一条韧带损伤。计算活动和附加损伤对单纯或联合损伤及损伤模式的影响。
在 388 例（38.8%）患者中，运动是 PCL 损伤的主要活动，其次是 350 例（35.0%）交通意外。227 例（58.5%）运动损伤和 251 例（71.7%）交通意外患者存在联合损伤。只有在手球运动中，单纯 PCL 损伤（69.1%）比联合损伤更为常见。汽车事故中联合损伤的发生率最高（91.7%）。除滑雪和骑自行车外，所有活动中最常见的外周附加损伤是后外侧角撕裂。在滑雪和骑自行车事故中，最常见的附加外周损伤是内侧副韧带损伤。在 PCL 损伤和同侧下肢骨折的患者中，联合损伤比单纯损伤更常见（p=0.001）。
即使在运动损伤中（除手球外），联合 PCL 损伤也比单纯损伤更为常见。发病率和损伤模式取决于创伤时的活动。主要的外周附加损伤是后外侧角损伤，除了滑雪和骑自行车事故，内侧损伤更为常见。
III 级。
