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膝盖的解剖学多重带重建膝盖的多重带重建

Edward R Floyd^1,2, Gregory B Carlson³, Jill K Monson⁴

¹Twin Cities Orthopedics, Minneapolis, Minnesota, USA.

Video journal of sports medicine

|May 1, 2025

概括

这项研究详细介绍了复杂膝关节带损伤的单阶段手术技术,强调解剖重建和早期运动,以获得多个十字和后侧角断裂的最佳结果.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
膝盖的重建膝盖的重建

背景情况:

多重带膝盖伤害通常是体育活动造成的.
这些伤害可能涉及十字带,侧带,以及与之相关的阴囊,骨,软骨和神经损伤.

研究的目的:

描述一种手术技术,用于管理结合前十字带 (ACL),后十字带 (PCL) 和后侧角 (PLC) 断裂.
突出解剖重建和早期康复在取得成功结果的重要性.

主要方法:

手术技术涉及常见腹神经 (CPN) 的神经溶解,肌修复和基于解剖学的带重建.
使用自体移植和全体移植用于ACL,PCL和PLC重建,精确的道放置和移植紧张序列.
强调3D建模以获得最佳道定向,并建立了移植张力顺序 (PCL,ACL,PLC).

主要成果:

解剖学单阶段重建已经显示了各种多关节膝关节损伤的成功结果.
在遵循解剖学原则时,报告了急性和慢性损伤以及不同损伤模式的同等结果.
早期的运动范围和特定的支架协议对于预防并发症至关重要.

结论:

单阶段解剖重建是复杂的膝关节带损伤的黄金标准.
早期膝盖运动范围 (0°-90°) 和PCL支架在术后至关重要,以防止关节纤维化和移植伸展.

关键词:

在ACL重建的重建.双捆PCL重建的复合包.多重带损伤多种带损伤在后侧侧角的角落.瓦鲁斯/瓦尔古斯压力压力

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