Zhao Jinzhong
Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Arthrosc Tech. 2021 Sep 21;10(10):e2343-e2356. doi: 10.1016/j.eats.2021.07.008. eCollection 2021 Oct.
The clinical results of posterior cruciate ligament reconstruction (PCL) still leave much room for improvement. To get better knee stability, the double-bundle reconstruction, the use of strong grafts, and the preservation of the remnant have been applied. However, the combination of the 3 measures has seldom been reported. Thus I introduce a 4-tunnel double-bundle PCL reconstruction technique, in which I combine the use of strong grafts and preservation of the remnant. The critical point of this technique is manipulating skillfully across the femoral notch with the preservation, as well as the hindrance to operation of the PCL remnant. My clinical experience indicates this technique is somewhat complicated but most effective. I believe the introduction of this technique will provide an additional choice when PCL reconstruction is to be performed.
后交叉韧带重建（PCL）的临床效果仍有很大的改进空间。为了获得更好的膝关节稳定性，已采用双束重建、使用强韧移植物和保留残端等方法。然而，这三种措施的联合应用鲜有报道。因此，我介绍一种四隧道双束PCL重建技术，该技术结合了使用强韧移植物和保留残端。这项技术的关键点在于在保留PCL残端的情况下巧妙地穿过股骨切迹进行操作，以及PCL残端对手术的阻碍。我的临床经验表明，这项技术虽有些复杂，但效果极佳。我相信这项技术的引入将为PCL重建手术提供更多选择。
