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伴有内侧胫骨平台嵌插骨折的后交叉韧带和后外侧角重建：一种一期技术

Reconstruction of the Posterior Cruciate Ligament and Posterolateral Corner With a Concomitant Medial Tibial Plateau Impaction Fracture: A Single-Stage Technique.

作者信息

Mullin E Patrick, Tollefson Luke V, Shoemaker Evan P, Jacobson Nathan J, Slette Erik L, LaPrade Robert F

机构信息

Twin Cities Orthopedics, Edina, Minnesota, U.S.A.

Brooke Army Medical Center, San Antonio, Texas, U.S.A.

出版信息

Arthrosc Tech. 2024 Oct 30;14(4):103298. doi: 10.1016/j.eats.2024.103298. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103298
PMID:40452970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12126001/
Abstract

With a hyperextension-type knee injury, ligament tears can be accompanied by concomitant anterior tibial plateau impaction fractures. Care must be taken to properly repair and reconstruct all structures to their native position to restore knee biomechanics. In this technique, we describe a single-stage anatomic posterior cruciate ligament and posterolateral corner reconstructions with an anteromedial tibial plateau open reduction internal fixation. Preoperative planning and an extensive anatomic understanding allows for efficiency during a single-stage surgery.

摘要

对于伸直型膝关节损伤，韧带撕裂可能伴有胫骨平台前部撞击骨折。必须小心地将所有结构正确修复并重建至其原始位置，以恢复膝关节生物力学。在本技术中，我们描述了一种单阶段解剖学后交叉韧带和后外侧角重建术，并进行胫骨平台前内侧切开复位内固定。术前规划和广泛的解剖学认识有助于单阶段手术的高效进行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/8b04416e0680/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/6c9920aa1bf1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/f3e6913ab82a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/6a64bf359c65/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/e39c81fd2317/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/5e601244a741/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/0914814983e5/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/2cf6be0cedc4/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/1bc989ec4726/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/3a46bc6e6cc9/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/ecd9719f7ab3/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/8b04416e0680/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/6c9920aa1bf1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/f3e6913ab82a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/6a64bf359c65/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/e39c81fd2317/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/5e601244a741/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/0914814983e5/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/2cf6be0cedc4/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/1bc989ec4726/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/3a46bc6e6cc9/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/ecd9719f7ab3/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a11/12126001/8b04416e0680/gr11.jpg

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本文引用的文献

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High Levels of Satisfaction and Adequate Patient-Reported Outcomes After Operative Reconstruction of Multiligament Knee Injury With Allograft Among Patients Aged 40 Years and Older.40岁及以上患者使用同种异体移植物对膝关节多韧带损伤进行手术重建后，满意度高且患者报告的结果充足。
Arthrosc Sports Med Rehabil. 2022 Dec 16;5(1):e29-e34. doi: 10.1016/j.asmr.2022.09.012. eCollection 2023 Feb.
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Single-Stage Multiple-Ligament Knee Reconstructions for Sports-Related Injuries: Outcomes in 194 Patients.单阶段多韧带膝关节重建术治疗运动相关性损伤：194 例患者的结果。
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Double-Bundle Posterior Cruciate Ligament Reconstruction in 100 Patients at a Mean 3 Years' Follow-up: Outcomes Were Comparable to Anterior Cruciate Ligament Reconstructions.
100 例患者平均 3 年随访的双束后交叉韧带重建：结果与前交叉韧带重建相当。
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4
The Influence of Graft Tensioning Sequence on Tibiofemoral Orientation During Bicruciate and Posterolateral Corner Knee Ligament Reconstruction: A Biomechanical Study.移植物张紧顺序对双束和后外侧角膝关节韧带重建时胫股关节对线的影响：一项生物力学研究。
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Single Versus Double-Bundle PCL Reconstruction: Scientific Rationale and Clinical Evidence.单束与双束后交叉韧带重建：科学依据与临床证据
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Orthop J Sports Med. 2017 Aug 15;5(8):2325967117723895. doi: 10.1177/2325967117723895. eCollection 2017 Aug.
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