Department of Orthopedic Surgery & Sports Medicine, Mayo Clinic, Rochester, Minnesota.
J Knee Surg. 2021 Apr;34(5):472-477. doi: 10.1055/s-0040-1722313. Epub 2021 Feb 5.
Many different techniques with multiple graft types have been described for the reconstruction of the injured posterior cruciate ligament (PCL); autograft versus allograft, single- versus double-bundle, open inlay versus arthroscopic inlay versus arthroscopic transtibial, and recently described the arthroscopic "all-inside" socket technique. Reported clinical outcomes have demonstrated no significant difference in any of these PCL reconstruction techniques, likely because of the heterogeneity in injury characteristics and patient population. The ideal surgical technique should be safe, simple, and reproducible while allowing treatment of concomitant knee injuries resulting and return to function.
多种不同的技术和多种移植物类型已被用于重建损伤的后交叉韧带(PCL);自体移植物与同种异体移植物、单束与双束、开放式镶嵌与关节镜下镶嵌与关节镜下经胫骨、最近还描述了关节镜下的“全内”套接技术。这些 PCL 重建技术的临床结果均无显著差异,可能是由于损伤特征和患者人群的异质性所致。理想的手术技术应该是安全、简单且可重复的,同时允许治疗伴随的膝关节损伤并恢复功能。