Department of Sports Medicine and Orthopaedics, Geisinger Health System, Danville, Pennsylvania.
J Knee Surg. 2021 Apr;34(5):486-492. doi: 10.1055/s-0040-1722696. Epub 2021 Feb 12.
The keys to successful posterior cruciate ligament (PCL) reconstruction are to identify and treat all pathology, utilize strong graft material, accurately place tunnels in anatomic insertion sites, minimize graft bending, mechanical graft tensioning, secure graft fixation, and the appropriate postoperative rehabilitation program. Adherence to these technical principles results in successful single- and double-bundle arthroscopic transtibial tunnel PCL reconstruction based upon stress radiography, arthrometer, knee ligament rating scales, and patient satisfaction measurements. The purpose of this manuscript is to describe the arthroscopic transtibial tunnel posterior cruciate ligament reconstruction surgical technique.
成功进行后交叉韧带（PCL）重建的关键在于：明确并处理所有病变；采用强力移植物材料；在解剖附着点准确放置隧道；最小化移植物弯曲；机械性调整移植物张力；确保移植物固定；以及实施恰当的术后康复方案。基于应力射线照相、关节内间隙测量仪、膝关节韧带评分量表和患者满意度评估，若能坚持这些技术原则，即可成功施行单束和双束关节镜下经胫骨隧道 PCL 重建术。本文旨在介绍关节镜下经胫骨隧道后交叉韧带重建术的手术技术。
