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因过度伸展损伤行解剖学前交叉韧带及完整后外侧角重建，同时修复外侧关节囊、肱二头肌肌腱和髂胫束。

Anatomic Anterior Cruciate Ligament and Full Posterolateral Corner Reconstruction With Lateral Capsule, Biceps Tendon, and Iliotibial Band Repairs Attributable to Hyperextension Injury.

作者信息

Tollefson Luke V, Shoemaker Evan P, Lee Dustin R, Rasmussen Matthew T, LaPrade Robert F

机构信息

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

出版信息

Arthrosc Tech. 2025 May 15;14(7):103622. doi: 10.1016/j.eats.2025.103622. eCollection 2025 Jul.

DOI:10.1016/j.eats.2025.103622
PMID:40822183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12350234/
Abstract

Injuries to the posterolateral corner (PLC) have been reported to occur in 13.3% to 19.7% of patients with anterior cruciate ligament tears. Severe cases can also lead to injury of the biceps femoris tendon, the iliotibial band, the lateral capsule, and the peroneal nerve. In cases in which a high-grade PLC injury with additional pathology is suspected, early surgical intervention is critical. This Technical Note describes a combined anterior cruciate ligament and PLC reconstruction with repairs to the lateral capsule, biceps femoris tendon, and iliotibial band attributable to a hyperextension injury.

摘要

据报道，前交叉韧带撕裂患者中，后外侧角（PLC）损伤的发生率为13.3%至19.7%。严重病例还可能导致股二头肌腱、髂胫束、外侧关节囊和腓总神经损伤。在怀疑存在伴有其他病变的高级别PLC损伤的情况下，早期手术干预至关重要。本技术说明描述了因伸直损伤导致的前交叉韧带和PLC联合重建，并对外侧关节囊、股二头肌腱和髂胫束进行修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/ac2df35de993/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/548291854855/gr1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/7490264367d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/456dbc7d2bd9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/a03d164d18ab/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/06d352893d5b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/f1f0f081bf53/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/c6409c049e6e/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/7fac12ff03d8/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/de9e0a4bec49/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/0b33a8076419/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/ac2df35de993/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/548291854855/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/284fddf88b5e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/7490264367d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/456dbc7d2bd9/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/a03d164d18ab/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/06d352893d5b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/f1f0f081bf53/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/c6409c049e6e/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/7fac12ff03d8/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/de9e0a4bec49/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/0b33a8076419/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662c/12350234/ac2df35de993/gr12.jpg

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本文引用的文献

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2
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。
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Examining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury.
探讨伴有腓总神经损伤的膝关节多韧带损伤中的骨挫伤模式。
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Knee hyperextension and a small lateral condyle are associated with greater quantified antero-lateral rotatory instability in the patients with a complete anterior cruciate ligament (ACL) rupture.膝关节过伸和较小的外侧髁与完全前交叉韧带（ACL）断裂患者的前外侧旋转不稳定的量化程度增加有关。
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