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通过后交叉韧带前方瘢痕切除术改善后交叉韧带屈曲和胫骨前移：一例报告

Improvement of Posterior Cruciate Ligament Buckling and Anterior Tibial Subluxation by Anterior Scar Removal of the Posterior Cruciate Ligament: A Case Report.

作者信息

Fukuta Hiroji

机构信息

Orthopedics, Fukuta Orthopedics Clinic, Kasugai, JPN.

出版信息

Cureus. 2024 Aug 28;16(8):e68074. doi: 10.7759/cureus.68074. eCollection 2024 Aug.

DOI:10.7759/cureus.68074
PMID:39347289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11438524/
Abstract

Posterior cruciate ligament (PCL) buckling and anterior tibial subluxation are observed in patients with insufficient anterior cruciate ligament (ACL). Here, we report the case of a patient after ACL reconstruction in whom these symptoms were improved by anterior scar resection of buckled PCL. The patient was a 46-year-old man. Six years ago, he underwent ACL reconstruction; however, his condition was not satisfactory. Magnetic resonance imaging (MRI) showed intercondylar impingement of the graft, anterior tibial subluxation, and PCL buckling. Intercondylar notchplasty and resection of the anterior scar of PCL were performed arthroscopically. Postoperative MRI showed improvement in PCL buckling and anterior tibial subluxation. His symptoms improved, and he was able to jog one year after surgery.  Anterior scar resection of PCL may improve PCL buckling and anterior tibial subluxation after ACL reconstruction.

摘要

前交叉韧带（ACL）功能不全的患者会出现后交叉韧带（PCL）屈曲和胫骨前移半脱位。在此，我们报告1例ACL重建术后患者，通过对屈曲的PCL进行前方瘢痕切除，这些症状得到改善。该患者为46岁男性。6年前，他接受了ACL重建；然而，其病情并不理想。磁共振成像（MRI）显示移植物髁间撞击、胫骨前移半脱位和PCL屈曲。通过关节镜进行髁间切迹成形术和PCL前方瘢痕切除。术后MRI显示PCL屈曲和胫骨前移半脱位有所改善。他的症状得到改善，术后1年能够慢跑。PCL前方瘢痕切除可能会改善ACL重建术后的PCL屈曲和胫骨前移半脱位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/c9e4d933c3dd/cureus-0016-00000068074-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/f0c0ab04ee2e/cureus-0016-00000068074-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/e8febfe4060d/cureus-0016-00000068074-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/b2a15a954220/cureus-0016-00000068074-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/6d4ac877dea2/cureus-0016-00000068074-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/a599598e59bb/cureus-0016-00000068074-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/a93edbf93485/cureus-0016-00000068074-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/795a5468f462/cureus-0016-00000068074-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/c9e4d933c3dd/cureus-0016-00000068074-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/f0c0ab04ee2e/cureus-0016-00000068074-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/e8febfe4060d/cureus-0016-00000068074-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/b2a15a954220/cureus-0016-00000068074-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/6d4ac877dea2/cureus-0016-00000068074-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/a599598e59bb/cureus-0016-00000068074-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/a93edbf93485/cureus-0016-00000068074-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/795a5468f462/cureus-0016-00000068074-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a23/11438524/c9e4d933c3dd/cureus-0016-00000068074-i08.jpg

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本文引用的文献

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Factors influencing the posterior cruciate ligament buckling phenomenon-a multiple linear regression analysis of bony and soft tissue structures of the knee joint.影响后交叉韧带屈曲现象的因素——膝关节骨与软组织结构的多元线性回归分析
J Orthop Surg Res. 2024 May 3;19(1):277. doi: 10.1186/s13018-024-04739-3.
2
The potential of posterior cruciate ligament buckling phenomenon as a sign for partial anterior cruciate ligament tears.后交叉韧带扣锁现象作为部分前交叉韧带撕裂的征象的潜力。
Arch Orthop Trauma Surg. 2024 May;144(5):2181-2187. doi: 10.1007/s00402-024-05270-0. Epub 2024 Mar 16.
3
The posterior cruciate ligament-posterior femoral cortex angle (PCL-PCA) and the lateral collateral ligament (LCL) sign are useful parameters to indicate the progression of knee decompensation over time after an ACL injury.
后交叉韧带-股骨后皮质角（PCL-PCA）和外侧副韧带（LCL）征是用于指示 ACL 损伤后随时间推移膝关节失代偿进展的有用参数。
Knee Surg Sports Traumatol Arthrosc. 2023 Nov;31(11):5128-5136. doi: 10.1007/s00167-023-07583-w. Epub 2023 Oct 7.
4
The correlation between posterior cruciate ligament buckling sign and meniscofemoral ligaments: A radiological study.后交叉韧带扣锁征与半月板股骨韧带相关性的影像学研究。
Jt Dis Relat Surg. 2021;32(2):371-376. doi: 10.52312/jdrs.2021.52. Epub 2021 Jun 11.
5
One sixth of primary anterior cruciate ligament reconstructions may undergo reoperation due to complications or new injuries within 2 years.六分之一的前交叉韧带重建术可能会因并发症或新伤在 2 年内再次手术。
Knee Surg Sports Traumatol Arthrosc. 2020 Aug;28(8):2478-2485. doi: 10.1007/s00167-020-06127-w. Epub 2020 Jun 29.
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Excessive Preoperative Anterior Tibial Subluxation in Extension Is Associated With Inferior Knee Stability After Anatomic Anterior Cruciate Ligament Reconstruction.过度的术前胫骨前向半脱位与解剖前交叉韧带重建后膝关节的稳定性下降有关。
Am J Sports Med. 2020 Mar;48(3):573-580. doi: 10.1177/0363546519900158. Epub 2020 Feb 6.
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Morphologic Changes of the Posterior Cruciate Ligament on Magnetic Resonance Imaging before and after Reconstruction of Chronic Anterior Cruciate Ligament Ruptures.慢性前交叉韧带断裂重建前后后交叉韧带在磁共振成像上的形态学变化
Knee Surg Relat Res. 2012 Dec;24(4):241-4. doi: 10.5792/ksrr.2012.24.4.241. Epub 2012 Nov 29.
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The effect of notchplasty in anterior cruciate ligament reconstruction: a biomechanical study in the porcine knee.后交叉韧带重建术中 Notch 成形术的效果：猪膝关节的生物力学研究。
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