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[后交叉韧带损伤的治疗]

[Treatment of Injuries to the Posterior Cruciate Ligament].

作者信息

Korthaus Alexander, Hansen Sofia, Krause Matthias, Frosch Karl-Heinz

出版信息

Z Orthop Unfall. 2024 Jun;162(3):316-328. doi: 10.1055/a-2091-4681. Epub 2024 Jun 4.

DOI:10.1055/a-2091-4681
PMID:38834079
Abstract

Compared to the anterior cruciate ligament injury, the rupture of the posterior cruciate Ligament (PCL) is the rarer condition. A high healing potential is attributed to the PCL in the literature, which is why conservative therapy is also considered important in addition to surgical treatment 1. Posterior cruciate ligament rupture is often associated with concomitant injuries. Among other things, up to 70% of cases are associated with accompanying injuries to the posterolateral corner 2. The detection of concomitant injuries has a significant influence on the outcome, as isolated surgical PCL stabilization does not lead to satisfactory results in these cases.

摘要

与前交叉韧带损伤相比,后交叉韧带(PCL)断裂是较为少见的情况。文献中认为PCL具有较高的愈合潜力,这就是为什么除手术治疗外,保守治疗也被视为重要手段 1。后交叉韧带断裂常伴有其他损伤。其中,高达70%的病例伴有后外侧角的伴随损伤 2。伴随损伤的检测对治疗结果有重大影响,因为在这些病例中单纯进行PCL手术稳定修复并不能带来满意的效果。

相似文献

1
[Treatment of Injuries to the Posterior Cruciate Ligament].[后交叉韧带损伤的治疗]
Z Orthop Unfall. 2024 Jun;162(3):316-328. doi: 10.1055/a-2091-4681. Epub 2024 Jun 4.
2
Management of combined anterior or posterior cruciate ligament and posterolateral corner injuries: a systematic review.前交叉韧带或后交叉韧带合并后外侧角损伤的管理:一项系统评价
Orthop Traumatol Surg Res. 2014 Dec;100(8 Suppl):S371-8. doi: 10.1016/j.otsr.2014.09.010. Epub 2014 Oct 23.
3
Acute posterior cruciate ligament injuries: effect of location, severity, and associated injuries on surgical management.急性后交叉韧带损伤:损伤部位、严重程度及合并损伤对手术治疗的影响
Skeletal Radiol. 2018 Nov;47(11):1523-1532. doi: 10.1007/s00256-018-2977-6. Epub 2018 Jun 1.
4
Injuries to the posterior cruciate ligament and posterolateral instabilities of the knee.膝关节后交叉韧带损伤及后外侧不稳定
Chang Gung Med J. 2002 May;25(5):288-97.
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Combined chronic posterior cruciate and posterolateral corner ligamentous injuries: a comparison of posterior cruciate ligament reconstruction with and without reconstruction of the posterolateral corner.慢性后交叉韧带与后外侧角联合韧带损伤:后交叉韧带重建伴与不伴后外侧角重建的比较
Knee. 2002 Dec;9(4):309-12. doi: 10.1016/s0968-0160(02)00093-5.
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[Surgical treatment of posteromedial corner injury combined with cruciate ligament rupture of knee].膝关节后内侧角损伤合并交叉韧带断裂的手术治疗
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2013 May;27(5):586-90.
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A clinically relevant assessment of posterior cruciate ligament and posterolateral corner injuries. Evaluation of isolated and combined deficiency.后交叉韧带和后外侧角损伤的临床相关评估。孤立性和复合性损伤的评估。
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Posteromedial corner injuries result in the same posterior translation as posterolateral corner injuries in PCL ruptures.后内侧角损伤在PCL断裂时导致与后外侧角损伤相同的后向移位。
J Exp Orthop. 2024 Dec 18;11(4):e70118. doi: 10.1002/jeo2.70118. eCollection 2024 Oct.
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A prospective magnetic resonance imaging study of the incidence of posterolateral and multiple ligament injuries in acute knee injuries presenting with a hemarthrosis.一项针对伴有关节积血的急性膝关节损伤中后外侧和多韧带损伤发生率的前瞻性磁共振成像研究。
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Clinical outcomes for reconstruction of the posterolateral corner and posterior cruciate ligament in injuries with mild grade 2 or less posterior translation: comparison with isolated posterolateral corner reconstruction.对于伴有轻度Ⅱ级或以下后向平移的损伤中后外侧角和后交叉韧带重建的临床结果:与单纯后外侧角重建的比较。
Am J Sports Med. 2013 Jul;41(7):1613-20. doi: 10.1177/0363546513485927. Epub 2013 Apr 29.

引用本文的文献

1
Tear location of posterior cruciate ligament tears: introduction and reliability of a magnetic resonance imaging-based classification.后交叉韧带撕裂的撕裂部位:基于磁共振成像分类的介绍及可靠性
Skeletal Radiol. 2025 Sep 12. doi: 10.1007/s00256-025-05026-w.
2
Injury of the posterolateral corner of the knee does not lead to higher intra-articular external tibial rotation in the MRI.膝关节后外侧角损伤在磁共振成像(MRI)中不会导致关节内胫骨外旋增加。
J Exp Orthop. 2025 Jul 13;12(3):e70360. doi: 10.1002/jeo2.70360. eCollection 2025 Jul.