PCL加強術的目的不在于通過增加材料來增加韌帶的抗拉斷能力,而是通過促進韌帶自身的攣縮或者愈合來達到增加韌帶緊張度的目的。首先需要通過內固定線維持脛骨的中立位,亦即防止脛骨后墜,然后利用韌帶的愈合和攣縮效應,以期...[繼續(xù)閱讀]

    [1]趙金忠,蔣垚,沈灝.關節(jié)鏡下采用腘繩肌肌腱和微型鋼板紐扣重建后十字韌帶。中華骨科雜志,2003,23(3):129-132....[繼續(xù)閱讀]

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    [1]ZHAOJ,HUANGFUX,HeY,etal.Sandwich-styleposteriorcruciateligamentreconstruction.Arthroscopy,2008,24(6):650-659.[2]MAKINOA,COSTA-PAZM,APONTE-TINAOL,etal.Poplitealarterylacerationduringarthroscopicposteriorcruciateligamentreconstruction.Arthroscopy,2005,21...[繼續(xù)閱讀]

    [1]LITTLEJOHNSG,GEISSLERWB.Arthroscopicrepairofaposteriorcruciateligamentavulsion.Arthroscopy,1995,11:235-238.[2]CHOINH,KIMSJ.Arthroscopicreductionandfixationofbonyavulsionoftheposteriorcruciateligamentofthetibia.Arthroscopy,1997,13:759-762.[3]KIMSJ,SHINS...[繼續(xù)閱讀]

    [1]趙金忠,蔣垚.關節(jié)鏡下縫線固定治療后交叉韌帶脛骨止點撕脫骨折.中華創(chuàng)傷雜志,2003,19(9):569-570.[2]趙金忠,何耀華,王建華.關節(jié)鏡下經(jīng)雙后內側入路治療急性PCL脛骨止點撕脫骨折.中華骨科雜志,2005,25(1):16-20....[繼續(xù)閱讀]

    大部分情況下,PCL脛骨止點撕脫骨折的骨塊比較大,適合螺釘硬性固定或者軟性的縫線綁扎固定。有時候,撕脫骨塊較小或者較薄,不適合前述綁扎固定及硬性固定。當骨折塊小于PCL的足印區(qū)時,實際上是有一部分韌帶纖維在脛骨止點部位...[繼續(xù)閱讀]

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    [1]COOBSBR,WIJDICKSCA,ARMITAGEBM,etal.Aninvitroanalysisofananatomicalmedialkneereconstruction[J].AmJSportsMed.2010,38(2):339-347.[2]LINDM,JAKOBSENBW,LUNDB,etal.Anatomicalreconstructionofthemedialcollateralligamentandposteromedialcornerofthekneeinpatientsw...[繼續(xù)閱讀]