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关节镜下缝合及经股骨固定治疗急性后交叉韧带股骨髁撕脱骨折

Arthroscopic Suture and Transfemoral Fixation for Acute Posterior Cruciate Ligament Femoral Avulsion Fracture.

作者信息

Zhang Xian, Ren Bo

机构信息

Sports Medicine Center, Honghui Hospital Affiliated to Xi'an Jiaotong University, Xi'an, China.

出版信息

Arthrosc Tech. 2025 Feb 10;14(6):103462. doi: 10.1016/j.eats.2025.103462. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103462
PMID:40656685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255430/
Abstract

Acute posterior cruciate ligament (PCL) femoral avulsion fractures in adults are rare. This is a very specific injury often diagnosed with magnetic resonance imaging to evaluate PCL continuity, and avulsion fractures are evaluated preoperatively via 3-dimensional computed tomography. We describe a modified technique for arthroscopic transfemoral suture of the PCL-femoral ligament combined with Versalok fixation to preserve the native femoral insertion of the PCL and ligament tension.

摘要

成人急性后交叉韧带(PCL)股骨撕脱骨折较为罕见。这是一种非常特殊的损伤,常通过磁共振成像来评估PCL的连续性,术前通过三维计算机断层扫描对撕脱骨折进行评估。我们描述了一种改良技术,用于关节镜下经股骨缝合PCL - 股骨韧带并结合Versalok固定,以保留PCL在股骨的天然附着点和韧带张力。

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本文引用的文献

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Arthroscopic Primary Repair of Posterior Cruciate Ligament Using Ring Suture Attached to Adjustable Loop Device.使用附于可调环装置的环形缝线进行关节镜下后交叉韧带一期修复术。
Arthrosc Tech. 2023 Jan 18;12(2):e187-e192. doi: 10.1016/j.eats.2022.10.007. eCollection 2023 Feb.
2
Isolated Partial Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Adults.成人孤立性后交叉韧带股骨止点撕脱骨折。
Orthop Surg. 2021 Jun;13(4):1290-1298. doi: 10.1111/os.12951. Epub 2021 May 6.
3
Arthroscopic Treatment of Femoral Avulsion Fracture of the Posterior Cruciate Ligament in Association with Meniscus Tear.
关节镜下治疗合并半月板撕裂的后交叉韧带股骨止点撕脱骨折
Orthop Surg. 2020 Apr;12(2):692-697. doi: 10.1111/os.12636. Epub 2020 Mar 10.
4
Arthroscopic Primary Bundle-Specific Posterior Cruciate Ligament Repair with Transosseous Fixation.关节镜下经骨固定的原发性束特异性后交叉韧带修复术
Arthrosc Tech. 2019 Jul 30;8(8):e911-e916. doi: 10.1016/j.eats.2019.04.005. eCollection 2019 Aug.
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Arthroscopic Repair of Proximal Posterior Cruciate Ligament Injuries in Pediatric Patients.小儿近端后交叉韧带损伤的关节镜修复术
Arthrosc Tech. 2019 Jun 10;8(7):e691-e695. doi: 10.1016/j.eats.2019.03.003. eCollection 2019 Jul.
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Posterior Cruciate Ligament Repair With Suture Tape Augmentation.缝线带增强术修复后交叉韧带
Arthrosc Tech. 2018 Dec 3;8(1):e7-e10. doi: 10.1016/j.eats.2018.08.022. eCollection 2019 Jan.
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Arthroscopic Primary Posterior Cruciate Ligament Repair With Suture Augmentation.关节镜下带缝线增强的原发性后交叉韧带修复术
Arthrosc Tech. 2017 Sep 25;6(5):e1685-e1690. doi: 10.1016/j.eats.2017.06.024. eCollection 2017 Oct.
8
Insufficiency avulsion fracture of the femoral attachment of the posterior cruciate ligament of the knee joint.膝关节后交叉韧带股骨附着处撕脱骨折伴功能不全
Skeletal Radiol. 2017 Sep;46(9):1267-1269. doi: 10.1007/s00256-017-2660-3. Epub 2017 Apr 26.
9
Emerging Updates on the Posterior Cruciate Ligament: A Review of the Current Literature.后交叉韧带的最新进展:当前文献综述
Am J Sports Med. 2015 Dec;43(12):3077-92. doi: 10.1177/0363546515572770. Epub 2015 Mar 16.
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