Fang Xiaoye, Wu Runqing, Zhou Ke, Xu Fangqi, Hu Gangfeng
Zhejiang University of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China.
The First People's Hospital of Xiaoshan District, Hangzhou, China.
Int J Surg Case Rep. 2025 Jun;131:111426. doi: 10.1016/j.ijscr.2025.111426. Epub 2025 May 13.
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.
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.
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.
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.
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。
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。
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。
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。