Duri Z A, Aichroth P M, Zorrilla P
Wellington Knee Surgery Unit, Wellington Hospital, London, England.
Am J Knee Surg. 1997 Summer;10(3):149-64; discussion 164-5.
The posterior cruciate ligament (PCL) has acquired the attention given to the anterior cruciate ligament (ACL) 15 years ago. Although parallels can be drawn between the ACL and the PCL in general, PCL deficiency is generally more complex in its effect, evaluation, documentation, and treatment. While there has been a constant upgrading of the operative techniques, grafting tissue, and material, it is the correlation of anatomy and function that still lag behind. Conservative treatment, therefore, is the safe approach for a while but is not without limited function in many cases, leading to a decrease in activity level or preventing the patient from working. This article reviews PCL deficiency and presents our approach to this ligamentous deficiency.
后交叉韧带(PCL)如今受到了15年前前交叉韧带(ACL)所获得的关注。尽管总体而言ACL和PCL之间存在相似之处,但PCL损伤在其影响、评估、记录和治疗方面通常更为复杂。虽然手术技术、移植组织和材料一直在不断升级,但解剖学与功能之间的关联仍滞后。因此,保守治疗在一段时间内是安全的方法,但在许多情况下功能有限,会导致活动水平下降或使患者无法工作。本文回顾了PCL损伤,并介绍了我们针对这种韧带损伤的处理方法。