全内入技术治疗孤立性后交叉韧带撕裂：手术技术及效果。

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-01-17 DOI:10.1016/j.jor.2025.01.010

Stefano Petrillo , Filippo Migliorini , Fabrizio Bertelle , Piero Volpi

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引用次数: 0

摘要

简介：本文的目的是描述全内侧后交叉韧带（aiPCL）重建手术技术，并报告女性孤立性后交叉韧带（PCL）撕裂的并发症和结果。方法：术前、术后评价采用后抽屉试验、膝关节屈曲300度、90度刻度盘试验、Tegner评分、Lysholm评分。平均随访时间为33.12个月（12-74个月）。结果：25例女性II级或III级分离性PCL病变患者行aiPCL重建。患者手术时的平均年龄为29.7±12.9岁，从损伤到手术的平均时间为11个月（范围12-324）。无术中/术后并发症发生。最后一次随访时，16例（69.5%）和5例（21.5%）患者的后抽屉试验分别为a级和B级，而所有患者的刻度盘试验（膝关节屈曲度为300度和90度）均为阴性。术前Lysholm评分平均为64.08±13.06分（范围37 ~ 85分），术后Lysholm评分平均为88.12±13.33分（范围50 ~ 100分）（p0.0001）。术前与术后Tegner评分结果比较无统计学差异。结论：关节镜下aiPCL重建安全有效。

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All-inside technique for isolated posterior cruciate ligament tears: Surgical technique and outcomes

Introduction

The aim of this paper is to describe all-inside posterior cruciate ligament (aiPCL) reconstruction surgical technique and to report complications and outcomes in female patients with isolated posterior cruciate ligament (PCL) tears.

Methods

Preoperative and postoperative evaluations included posterior drawer test, dial test at 30^o and 90^o of knee flexion, Tegner score, and Lysholm score. The mean follow-up was 33.12 months (range 12–74).

Results

Twenty-five female patients with grade II or grade III isolated lesions of the PCL underwent aiPCL reconstruction. The mean age of the patients at the time of surgery was 29.7 ± 12.9 years, while the mean time from injury to surgery was 11 months (range 12–324). No intraoperative/postoperative complications occurred. At the last follow-up, 16 (69.5 %) and 5 (21.5 %) patients had a grade A and B posterior drawer test, respectively, while the dial test (30^o and 90^o of knee flexion) was negative in all patients. The mean preoperative Lysholm score was 64.08 ± 13.06 points (range 37–85 points), while the mean postoperative Lysholm score was 88.12 ± 13.33 points (range 50–100 points) (p<0.0001). No statistically significant differences were found comparing preoperative and postoperative Tegner score results.

Conclusions

The arthroscopic aiPCL reconstruction seems safe and effective.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.