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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.

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/0a11/12126001/6c9920aa1bf1/gr1.jpg

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