Fanelli G C, Giannotti B F, Edson C J
Department of Physical Medicine and Rehabilitation, Geisinger Clinic Medical Center, Danville, Pennsylvania 17822-2130, USA.
Arthroscopy. 1996 Oct;12(5):521-30. doi: 10.1016/s0749-8063(96)90189-9.
This article presents the minimum 2-year results (range, 24 to 54 months) of 21 arthroscopically assisted posterior cruciate ligament/posterior lateral complex (PCL/PLC) reconstructions, evaluated preoperatively and postoperatively using the Tegner, Lysholm, and Hospital for Special Surgery knee ligament rating scales, and the KT 1000 knee ligament arthrometer (Medmetric Corp., San Diego, CA, U.S.A.). There were 15 male and 6 female patients; 6 right and 15 left; and 10 acute and 11 chronic knee injuries. All injuries were PCL/PLC knee ligament injuries. PCLs were reconstructed using allograft Achilles tendon, or autograft patellar tendon. Posterior lateral instability was successfully treated with long head of biceps femoris tendon tenodesis. Tegner, Lysholm, and Hospital for Special Surgery knee ligament rating scales significantly improved preoperatively to postoperatively (P = .0001). PCL screen and corrected posterior KT 1,000 measurements improved from preoperative to postoperative status (P = .0009, and P = .0096, respectively).
本文介绍了21例关节镜辅助下后交叉韧带/后外侧复合体（PCL/PLC）重建手术至少2年（24至54个月）的结果，术前和术后使用Tegner、Lysholm和美国特种外科医院膝关节韧带评分量表，以及KT 1000膝关节韧带关节测量仪（美国加利福尼亚州圣地亚哥市Medmetric公司）进行评估。患者中有15名男性和6名女性；右侧6例，左侧15例；急性膝关节损伤10例，慢性膝关节损伤11例。所有损伤均为PCL/PLC膝关节韧带损伤。采用同种异体跟腱或自体髌腱重建PCL。通过股二头肌长头肌腱固定术成功治疗后外侧不稳定。Tegner、Lysholm和美国特种外科医院膝关节韧带评分量表术前至术后显著改善（P = .0001）。PCL筛查和校正后的KT 1000测量值从术前到术后状态有所改善（分别为P = .0009和P = .0096）。
