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双向量：一种联合生物力学与解剖学的后外侧角重建技术。

Double Vector: A Combined Biomechanical and Anatomical Posterolateral Corner Reconstruction Technique.

作者信息

Screpis Daniele, Santamaria Fabio, Magnanelli Stefano, De Berardinis Luca, Natali Simone, Gigante Antonio Pompilio, Zorzi Claudio

机构信息

IRCCS Ospedale Sacro Cuore - Don Calabria, Via Luigi Rizzardi, 4 Negrar di Valpolicella (VR), Italia.

Clinica Ortopedica dell'Adulto e Pediatrica, Università Politecnica delle Marche, Via Tronto 10/A, Ancona (AN), Italia.

出版信息

Arthrosc Tech. 2024 Jan 5;13(2):102870. doi: 10.1016/j.eats.2023.10.012. eCollection 2024 Feb.

DOI:10.1016/j.eats.2023.10.012
PMID:38435272
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10907964/
Abstract

Posterolateral corner (PLC) injuries are complex knee injuries that are becoming increasingly frequent. Often undiagnosed and underestimated, a systematic diagnostic workup is necessary to assess the severity of PLC injury in order to then be able to select the proper surgery approach. Anatomical and nonanatomical PLC-reconstruction techniques have been described. In this Technical Note, we describe our technique of biomechanical reconstruction of PLC in case of severe posterolateral rotational instability.

摘要

后外侧角（PLC）损伤是一种复杂的膝关节损伤，且日益常见。由于这类损伤常常未被诊断出来或被低估，因此需要进行系统的诊断检查，以评估PLC损伤的严重程度，进而能够选择合适的手术方法。已经描述了解剖学和非解剖学的PLC重建技术。在本技术说明中，我们描述了在严重后外侧旋转不稳定情况下PLC生物力学重建的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/d3deb39d88ce/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/b4cd173ea862/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/fa25029f9997/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/12549be8f49e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/dbfca8f4ff9b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/ad579a6e498e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/60dc8963f8fa/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/db6fc9113f84/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/7df244b64c31/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/549d075921df/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/d3deb39d88ce/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/b4cd173ea862/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/fa25029f9997/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/12549be8f49e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/dbfca8f4ff9b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/ad579a6e498e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/60dc8963f8fa/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/db6fc9113f84/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/7df244b64c31/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/549d075921df/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d5d/10907964/d3deb39d88ce/gr10.jpg

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本文引用的文献

1
Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries.膝关节后外侧复合体重建：基于前交叉韧带损伤的患者比基于后交叉韧带损伤的患者恢复更好。
Knee Surg Sports Traumatol Arthrosc. 2021 Nov;29(11):3846-3853. doi: 10.1007/s00167-020-06409-3. Epub 2021 Jan 23.
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Open Anatomic Reconstruction of the Posterolateral Corner: The Arciero Technique.后外侧角的开放性解剖重建：阿尔西罗技术
Arthrosc Tech. 2020 Sep 2;9(9):e1409-e1414. doi: 10.1016/j.eats.2020.05.022. eCollection 2020 Sep.
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Anatomic, All-Arthroscopic Reconstruction of Posterolateral Corner of the Knee: A Cadaveric Biomechanical Study.
膝关节后外侧角全关节镜下解剖重建：尸体生物力学研究。
Arthroscopy. 2020 Apr;36(4):1121-1131. doi: 10.1016/j.arthro.2019.10.035. Epub 2020 Jan 22.
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Arthroscopic-assisted anatomical reconstruction of the posterolateral corner of the knee joint.关节镜辅助下膝关节后外侧角的解剖重建
Knee. 2019 Oct;26(5):1136-1142. doi: 10.1016/j.knee.2019.07.009. Epub 2019 Aug 8.
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A Biomechanical Comparison of the Arciero and LaPrade Reconstruction for Posterolateral Corner Knee Injuries.阿西埃罗和拉普拉德重建术治疗膝关节后外侧角损伤的生物力学比较
Orthop J Sports Med. 2019 Apr 15;7(4):2325967119838251. doi: 10.1177/2325967119838251. eCollection 2019 Apr.
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Posterolateral corner of the knee: an expert consensus statement on diagnosis, classification, treatment, and rehabilitation.膝关节后外侧角：诊断、分类、治疗和康复的专家共识声明。
Knee Surg Sports Traumatol Arthrosc. 2019 Aug;27(8):2520-2529. doi: 10.1007/s00167-018-5260-4. Epub 2018 Nov 26.
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