Álvarez-Salinas Emiliano, Civetta Leandro, Reparaz Javier, Monllau Joan Carles, Morales-Avalos Rodolfo
Sanatorio del Norte, Corrientes, Argentina.
Universidad Nacional del Noreste, Argentina.
Arthrosc Tech. 2024 Aug 20;14(1):103167. doi: 10.1016/j.eats.2024.103167. eCollection 2025 Jan.
A successful posterior cruciate ligament (PCL) reconstruction depends on multiple factors. Various techniques have been described for PCL reconstruction. Despite the constant evolution of reconstructive techniques, 26% of residual laxity cases with grade I and II positive posterior drawer tests have been reported in the literature in patients undergoing PCL reconstruction. Part of these failures is associated with the lack of control of the posterior translation of the tibia and the increase in external tibial rotation. We describe a surgical technique in which a posterolateral tenodesis augmentation associated with a single-bundle reconstruction of the PCL is performed. It is proposed for use in isolated reconstructions of the PCL in cases of grade III ruptures associated with or unassociated with low-grade posterolateral corner injuries.
成功的后交叉韧带（PCL）重建取决于多种因素。已经描述了多种PCL重建技术。尽管重建技术不断发展，但文献报道，在接受PCL重建的患者中，26%的患者在进行I级和II级后抽屉试验时仍存在残留松弛。这些失败部分与胫骨后移控制不足和胫骨外旋增加有关。我们描述了一种手术技术，即进行与PCL单束重建相关的后外侧肌腱固定增强术。该技术建议用于III级破裂且伴有或不伴有低度后外侧角损伤的PCL孤立重建。
