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采用缝线带增强和经胫骨结节固定的单束后交叉韧带重建术

Single-Bundle Posterior Cruciate Ligament Reconstruction With Suture Tape Augmentation and Transtibial Tubercle Fixation.

作者信息

Wang Yiran, Li Hongyu, Chen Siqi, Zhang Hangzhou

机构信息

Department of Orthopedics, Joint Surgery and Sports Medicine, First Affiliated Hospital of China Medical University; Shenyang Sports Medicine Clinical Medical Research Center, Shenyang, People's Republic of China.

出版信息

Arthrosc Tech. 2024 Jul 4;13(11):103121. doi: 10.1016/j.eats.2024.103121. eCollection 2024 Nov.

DOI:10.1016/j.eats.2024.103121
PMID:39711894
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11662888/
Abstract

The posterior cruciate ligament (PCL) is the strongest ligament of the knee and plays an important role in stabilizing the knee joint posteriorly. PCL tears are common injuries in sports injuries and traffic accidents; however, clinical outcomes after PCL reconstruction have not yet met clinicians' expectations, with a high postsurgery failure rate reported. Suture tape augmentation and supplementary fixation have shown ideal biomechanical properties in early studies. In this Technical Note, we describe a surgical technique to reconstruct the PCL with suture tape augmentation and transtibial tubercle fixation; the PCL remnant is also preserved. This technique is deemed to improve posterior stability and ultimate failure load for PCL graft over traditional techniques.

摘要

后交叉韧带（PCL）是膝关节中最强韧的韧带，在稳定膝关节后方方面发挥着重要作用。PCL撕裂是运动损伤和交通事故中常见的损伤；然而，PCL重建后的临床效果尚未达到临床医生的期望，报道的术后失败率较高。在早期研究中，缝线带增强和辅助固定已显示出理想的生物力学性能。在本技术说明中，我们描述了一种使用缝线带增强和经胫骨结节固定来重建PCL的手术技术；PCL残端也予以保留。该技术被认为比传统技术能提高PCL移植物的后方稳定性和最终失败负荷。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/c74dbbd681f9/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/70705617dcbb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/25d6fd8bb816/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/84ff3423e705/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/b91fbf652a10/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/1c52d1dbd066/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/0a3f8bf59ab3/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/ac93e0ce5048/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/dec078830f44/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/582bcfb9325c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/2fcb1a8d4001/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/7b211163b91f/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/c74dbbd681f9/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/70705617dcbb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/25d6fd8bb816/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/84ff3423e705/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/b91fbf652a10/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/1c52d1dbd066/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/0a3f8bf59ab3/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/ac93e0ce5048/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/dec078830f44/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/582bcfb9325c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/2fcb1a8d4001/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/7b211163b91f/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7526/11662888/c74dbbd681f9/gr12.jpg

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Arthroscopy. 2025 Mar;41(3):798-808.e0. doi: 10.1016/j.arthro.2024.03.025. Epub 2024 Mar 26.
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Remnant-Sparing Anterior Cruciate Ligament Reconstruction Results in Similar Clinical, Functional, and Quality-of-Life Outcomes to Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction.保留残端的前交叉韧带重建在临床、功能和生活质量方面的结果与解剖单束前交叉韧带重建相似。
Arthrosc Sports Med Rehabil. 2024 Jan 24;6(2):100898. doi: 10.1016/j.asmr.2024.100898. eCollection 2024 Apr.
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