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关节镜下孤立后交叉韧带撕脱伤修复术

Arthroscopic Repair of an Isolated Posterior Cruciate Ligament Avulsion.

作者信息

Agarwalla Avinesh, Posner Andrew D, Limpisvasti Orr

机构信息

Kerlan Jobe Orthopaedic Clinic, Los Angeles, California, U.S.A.

出版信息

Arthrosc Tech. 2025 Jan 30;14(5):103441. doi: 10.1016/j.eats.2025.103441. eCollection 2025 May.

DOI:10.1016/j.eats.2025.103441
PMID:40547975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12177458/
Abstract

Posterior cruciate ligament (PCL) injuries are uncommon, with isolated PCL injuries being even more rare. Low-grade injuries are typically managed conservatively. In cases of multiligamentous knee injuries, high-level athletes, or continued instability following nonoperative management, surgical intervention typically comprises PCL reconstruction. Primary repair of isolated injuries has benefits of ligament preservation, early mobilization, and quicker return to activities. The authors describe a technique for knotless arthroscopic primary PCL repair.

摘要

后交叉韧带(PCL)损伤并不常见,孤立性PCL损伤更为罕见。低度损伤通常采用保守治疗。在多韧带膝关节损伤、高水平运动员或非手术治疗后仍持续不稳定的情况下,手术干预通常包括PCL重建。孤立损伤的一期修复具有保留韧带、早期活动和更快恢复活动的优点。作者描述了一种无结关节镜下PCL一期修复技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/c46a03f554fd/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/1b94236d71b7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/11822cbf027a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/bf921a7aac98/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/da1c073d4506/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/2e98f0949063/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/c46a03f554fd/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/1b94236d71b7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/11822cbf027a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/bf921a7aac98/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/da1c073d4506/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/2e98f0949063/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0517/12177458/c46a03f554fd/gr6.jpg

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本文引用的文献

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Anterior Cruciate Ligament Repair Results in Similar Patient-Reported Outcome Measures as Anterior Cruciate Ligament Reconstruction: A Systematic Review of Prospective Comparative Studies.前交叉韧带修复与前交叉韧带重建的患者报告结局指标相似:前瞻性比较研究的系统评价
Arthroscopy. 2024 Sep 12. doi: 10.1016/j.arthro.2024.09.008.
2
Technique and Outcomes of Posterior Cruciate Ligament Repair With Augmentation.后交叉韧带增强修复术的技术与结果
Orthop J Sports Med. 2024 Jan 22;12(1):23259671231213988. doi: 10.1177/23259671231213988. eCollection 2024 Jan.
3
Suture Tape Augmentation Improves Posterior Stability After Isolated Posterior Cruciate Ligament Reconstruction Using Hamstring Tendon Autograft With Single-Bundle Transtibial Technique.
采用单束经胫骨隧道技术的自体腘绳肌腱重建后,缝线胶带增强可提高后交叉韧带重建后的后向稳定性。
Arthroscopy. 2024 Jul;40(7):2045-2054. doi: 10.1016/j.arthro.2023.12.007. Epub 2023 Dec 22.
4
Open Repair of Posterior Cruciate Ligament Femoral Peel-Off Lesion in Multiligamentous Knee Injuries Results in Good Outcomes.多韧带膝关节损伤中后交叉韧带股骨剥离损伤的开放修复效果良好。
Arthrosc Sports Med Rehabil. 2023 May 25;5(3):e827-e832. doi: 10.1016/j.asmr.2023.04.011. eCollection 2023 Jun.
5
Primary repair with suture augmentation for proximal anterior cruciate ligament tears: A systematic review with meta-analysis.前交叉韧带近端撕裂的缝合增强修补术:系统评价和荟萃分析。
Knee. 2022 Oct;38:19-29. doi: 10.1016/j.knee.2022.07.001. Epub 2022 Jul 20.
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Arthroscopic Primary Repair of the Posterior Cruciate Ligament.关节镜下后交叉韧带的初次修复。
J Knee Surg. 2021 Apr;34(5):478-485. doi: 10.1055/s-0040-1722695. Epub 2021 Jan 20.
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Posterior Cruciate Ligament Reconstruction in the Multiple Ligament Injured Knee.膝关节多发韧带损伤的后交叉韧带重建
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