后部十字关节重建 目前的概念 审查 审查
Bulletin of the Hospital for Joint Disease (2013)
|March 3, 2024
概括
后十字带 (PCL) 损伤,通常涉及后侧角 (PLC),对于高度撕裂或联合损伤,需要进行手术重建. 本综述详细介绍了PCL重建技术,移植选择和管理策略,以获得最佳的患者结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 膝盖生物力学 膝盖生物力学
背景情况:
- 后十字带 (PCL) 损伤是不常见的膝盖损伤,经常与高能量创伤相关,并且经常涉及后侧角 (PLC).
- 虽然低级PCL撕裂可以通过非手术方式进行管理,但高级损伤,PLC参与或失败的保守治疗需要手术干预.
- 同时发生的关节内病变或多关节损伤进一步复杂化了PCL损伤的管理.
研究的目的:
- 为提供后十字带 (PCL) 重建技术的全面审查.
- 讨论影响PCL重建结果的关键因素,包括移植选择和手术技术.
- 为复杂的PCL损伤提出一个管理算法.
主要方法:
- 关于PCL和后侧角 (PLC) 损伤及其手术治疗的当前文献的综述.
- 对不同PCL重建策略的分析:单捆与双捆.
- 评估移植选择,道放置和足印技术 (onlay与inlay).
主要成果:
- 高度PCL撕裂与PLC参与往往需要手术重建以获得最佳的稳定性.
- 移植选择,部斜率和精确的道管理对于成功的PCL重建至关重要.
- 单捆和双捆技术都已经证明了有效性,具有特定的适应症.
- 在线与内置脚印创建影响移植固定和愈合.
结论:
- 对于复杂的PCL损伤,特别是那些具有PLC参与或多关节损伤的病例,显示了手术重建.
- 对手术技术和解剖学方面的全面了解对于优化PCL重建至关重要.
- 作者提出了一种管理算法,以指导PCL损伤的临床决策.
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