多韧带膝关节损伤中同时进行后外侧角重建的胫腓近端关节稳定术
Proximal Tibiofibular Joint Stabilization With Concurrent Posterolateral Corner Reconstruction in Multiligamentous Knee Injury.
作者信息
Yuen Wen Loong Paul, Raghuraman Raghavan, Loh Sir Young James
机构信息
Department of Orthopaedic Surgery, Changi General Hospital, Singapore.
出版信息
Arthrosc Tech. 2021 Oct 6;10(11):e2457-e2462. doi: 10.1016/j.eats.2021.07.025. eCollection 2021 Nov.
UNLABELLED
Proximal tibiofibular joint (PTFJ) instability is a rare knee injury, accounting for less than 1% of knee injuries. It causes significant lateral sided knee pain and functional deficits and can be associated with up to 9% of multiligament knee injuries. Concurrent surgical treatment of posterolateral corner (PLC) and PTFJ instability poses technical challenges due to the limited working space of the fibula head and inherent risk of collision between grafts, bone tunnels, and implants. In this Technical Note, we detail our senior author's technique for PTFJ reconstruction without the use of additional bone tunnels or implants in the fibula head, to reduce the risk of overcrowding and tunnel collision.
CLASSIFICATIONS
Level I: knee; Level II: other, proximal tibiofibular joint.
未标注
胫腓近侧关节（PTFJ）不稳定是一种罕见的膝关节损伤，占膝关节损伤的比例不到1%。它会导致膝关节外侧明显疼痛和功能缺陷，并且可能与高达9%的膝关节多韧带损伤相关。由于腓骨头工作空间有限以及移植物、骨隧道和植入物之间存在碰撞的固有风险，同时进行后外侧角（PLC）和PTFJ不稳定的手术治疗存在技术挑战。在本技术说明中，我们详细介绍了资深作者的PTFJ重建技术，该技术不使用腓骨头的额外骨隧道或植入物，以降低过度拥挤和隧道碰撞的风险。
分类
I级：膝关节；II级：其他，胫腓近侧关节。
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