Evaluation and treatment of posterior cruciate ligament injuries
Evaluation and treatment of posterior cruciate ligament injuries
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DOI：
10.1177/03635465980260032301
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发表时间：
1998-05-01
影响因子：
4.8
通讯作者：
Hoher, J
中科院分区：
文献类型：
--
作者：
Harner, CD;Hoher, J
人类后交叉韧带的解剖学和生物力学方面的基础科学数据的改进为骨科医生提供了新的治疗决策依据。据报道，后交叉韧带损伤约占一般人群所有膝关节韧带损伤的3%，而在急诊科则高达37%。虽然后交叉韧带损伤的诊断通常可以通过体格检查来进行，但辅助研究如x线片和磁共振图像可以非常有助于检测相关的韧带和骨损伤。一般来说，大多数部分（I级和II级）后交叉韧带损伤可以非手术治疗，然而，对于合并其他结构的后交叉韧带损伤，通常建议手术重建。在这篇综述中，基于解剖和生物力学的研究将讨论当前的后交叉韧带重建手术技术。
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.