Harner C D, Höher J
Department of Orthopaedic Surgery, University of Pittsburgh, Pennsylvania.
Am J Sports Med. 1998 May-Jun;26(3):471-82. doi: 10.1177/03635465980260032301.
Improved basic science data on the anatomy and biomechanics of the human posterior cruciate ligament have provided the orthopaedic surgeon with new information on which to base treatment decisions. Injuries to the posterior cruciate ligament are reported to comprise approximately 3% of all knee ligament injuries in the general population and as high as 37% in an emergency department setting. While the diagnosis of a posterior cruciate ligament injury can often be made with a physical examination, ancillary studies such as radiographs and magnetic resonance images can be very helpful in detecting associated ligament and bony injuries. In general, most partial (grades I and II) posterior cruciate ligament injuries can be treated nonoperatively. However, surgical reconstruction is usually recommended for those posterior cruciate ligament injuries that occur in combination with other structures. In this review, current surgical techniques of posterior cruciate ligament reconstruction based on anatomic and biomechanical studies will be discussed.
关于人类后交叉韧带的解剖学和生物力学的基础科学数据的改进，为骨科医生提供了用于做出治疗决策的新信息。据报道，后交叉韧带损伤约占普通人群所有膝关节韧带损伤的3%，在急诊科环境中高达37%。虽然后交叉韧带损伤通常可以通过体格检查做出诊断，但诸如X光片和磁共振成像等辅助检查在检测相关韧带和骨损伤方面非常有帮助。一般来说，大多数部分（I级和II级）后交叉韧带损伤可以采用非手术治疗。然而，对于那些与其他结构同时发生的后交叉韧带损伤，通常建议进行手术重建。在这篇综述中，将讨论基于解剖学和生物力学研究的后交叉韧带重建的当前手术技术。
