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改良骨-肌腱胫骨嵌体技术重建后交叉韧带：1例报告

Posterior cruciate ligament reconstruction with modified bone-tendon tibial inlay technique: A case report.

作者信息

Fang Xiaoye, Wu Runqing, Zhou Ke, Xu Fangqi, Hu Gangfeng

机构信息

Zhejiang University of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China.

The First People's Hospital of Xiaoshan District, Hangzhou, China.

出版信息

Int J Surg Case Rep. 2025 Jun;131:111426. doi: 10.1016/j.ijscr.2025.111426. Epub 2025 May 13.

DOI:10.1016/j.ijscr.2025.111426
PMID:40378419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12143600/
Abstract

INTRODUCTION: Tears of the posterior cruciate ligament represent significant knee ligament injuries. There is ongoing debate among the medical community about posterior cruciate ligament repair. Our clinical case report can provide a new perspective for posterior cruciate ligament reconstruction. PRESENTATION OF CASE: This study reported the author's treatment of a 26-year-old male patient with a left knee posterior cruciate ligament damage, left tibial plateau fracture, left knee meniscal injury, and left knee soft tissue injury with a quadriceps tendon-patellar bone autograft through the tibial inlay technique. DISCUSSION: The tibial inlay technique effectively addresses residual laxity associated with the 'killer turn' phenomenon and the autologous patella-quadriceps tendon not only maintains the integrity of the quadriceps femoris, but also mitigates the risks of quadriceps tendon rupture and patellar fracture. CONCLUSION: The use of modified bone-tendon tibial inlay technique can conduct the acceleration of knee joint rehabilitation post-surgery, guarantees the stability of the rebuilt ligament and have fewer complications.

摘要

引言：后交叉韧带撕裂是严重的膝关节韧带损伤。医学界对于后交叉韧带修复一直存在争议。我们的临床病例报告可为后交叉韧带重建提供新的视角。 病例介绍：本研究报告了作者对一名26岁男性患者的治疗情况，该患者左膝后交叉韧带损伤、左胫骨平台骨折、左膝半月板损伤以及左膝软组织损伤，采用经胫骨嵌入技术取自体股四头肌肌腱-髌骨骨移植进行治疗。 讨论：胫骨嵌入技术有效解决了与“致命转折”现象相关的残余松弛问题，自体髌骨-股四头肌肌腱不仅保持了股四头肌的完整性，还降低了股四头肌肌腱断裂和髌骨骨折的风险。 结论：采用改良的骨-肌腱胫骨嵌入技术可加速术后膝关节康复，保证重建韧带的稳定性，且并发症较少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e746/12143600/e460d1ad6b05/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e746/12143600/9621b5c6c385/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e746/12143600/2d84f68b59ce/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e746/12143600/e460d1ad6b05/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e746/12143600/9621b5c6c385/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e746/12143600/2d84f68b59ce/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e746/12143600/e460d1ad6b05/gr3.jpg

相似文献

[1]
Posterior cruciate ligament reconstruction with modified bone-tendon tibial inlay technique: A case report.

Int J Surg Case Rep. 2025-6

[2]
Posterior cruciate ligament reconstruction using single-bundle patella tendon graft with tibial inlay fixation: 2- to 10-year follow-up.

Am J Sports Med. 2004-3

[3]
Tibial inlay technique with quadriceps tendon-bone autograft for posterior cruciate ligament reconstruction.

Arthroscopy. 2004-3

[4]
Posterior cruciate ligament replacement with a two-strand quadriceps tendon-patellar bone autograft and a tibial inlay technique.

J Bone Joint Surg Am. 2005-6

[5]
Posterior cruciate ligament revision reconstruction, part 2: results of revision using a 2-strand quadriceps tendon-patellar bone autograft.

Am J Sports Med. 2005-5

[6]
Biomechanical comparison of tibial inlay and tibial tunnel techniques for reconstruction of the posterior cruciate ligament. Analysis of graft forces.

J Bone Joint Surg Am. 2002-6

[7]
The effect of posterior knee capsulotomy on posterior tibial translation during posterior cruciate ligament tibial inlay reconstruction.

Am J Sports Med. 2004-9

[8]
Transtibial versus tibial inlay techniques for posterior cruciate ligament reconstruction: long-term follow-up study.

Am J Sports Med. 2014-12

[9]
Double-bundle posterior cruciate ligament reconstruction using inlay technique with quadriceps tendon-bone autograft.

Arthroscopy. 2004-4

[10]
Arthroscopic tibial inlay for posterior cruciate ligament reconstruction.

Arthroscopy. 2007-12

本文引用的文献

[1]
The 10-Year Outcomes of Single- versus Double-Bundle Anterior Cruciate Ligament Reconstruction: A Systematic Review.

J Knee Surg. 2025-4

[2]
Preferred Reporting Of Case Series in Surgery (PROCESS) 2023 guidelines.

Int J Surg. 2023-12-1

[3]
Effects of accelerated rehabilitation exercise on quadriceps femoris and postural stability after anterior versus posterior cruciate ligament reconstruction.

J Exerc Rehabil. 2023-10-25

[4]
Quadriceps tendon autograft has similar clinical outcomes when compared to hamstring tendon and bone-patellar tendon-bone autografts for revision ACL reconstruction: a systematic review and meta-analysis.

Knee Surg Sports Traumatol Arthrosc. 2023-12

[5]
The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines.

Int J Surg. 2023-5-1

[6]
Ligament Advanced Reinforcement System (LARS) synthetic graft for PCL reconstruction: systematic review and meta-analysis.

Br Med Bull. 2022-9-22

[7]
Quadriceps Tendon Autograft Versus Bone-Patellar Tendon-Bone and Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis.

Am J Sports Med. 2022-10

[8]
Postoperative Rehabilitation of Posterior Cruciate Ligament Surgery: A Systematic Review.

Sports Med Arthrosc Rev. 2021-6-1

[9]
Tibial Inlay Posterior Cruciate Ligament Reconstruction.

Sports Med Arthrosc Rev. 2020-3

[10]
Posterior cruciate ligament reconstruction implemented by the Ligament Advanced Reinforcement System over a minimum follow-up of 10 years.

Knee. 2020-1

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