APP PCL加強(qiáng)術(shù)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(jìn)韌帶自身的攣縮或者愈合來達(dá)到增加韌帶緊張度的目的。首先需要通過內(nèi)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(yīng),以期...[繼續(xù)閱讀]
膝關(guān)節(jié)重建
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海量資源，盡在掌握
PCL加強(qiáng)術(shù)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(jìn)韌帶自身的攣縮或者愈合來達(dá)到增加韌帶緊張度的目的。首先需要通過內(nèi)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(yīng),以期...[繼續(xù)閱讀]
[1]趙金忠,蔣垚,沈?yàn)?關(guān)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]
[1]ZHAOJZ,HUANG-FUXQ,HEYH,etal.Single-bundleposteriorcruciateligamentreconstructionwithremnantpreservation:lateralversusmedial-sidedaugmentationtechnique.OrthopSurg,2009,1(1):66-73....[繼續(xù)閱讀]
[1]MAKINOA,APONTETINAOL,etal.Anatomicdouble-bundleposteriorcruciateligamentreconstructionusingdouble-doubletunnelwithtibialanteriorandposteriorfresh-frozenallograft.Arthroscopy,2006,22(6):684.e1-5....[繼續(xù)閱讀]
[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(guān)節(jié)鏡下縫線固定治療后交叉韌帶脛骨止點(diǎn)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(guān)節(jié)鏡下經(jīng)雙后內(nèi)側(cè)入路治療急性PCL脛骨止點(diǎn)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(diǎn)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(shí)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(dāng)骨折塊小于PCL的足印區(qū)時(shí),實(shí)際上是有一部分韌帶纖維在脛骨止點(diǎn)部位...[繼續(xù)閱讀]
[1]WARRENLA,MARSHALLJL,GIRGISF.Theprimestaticstabilizerofthemedicalsideoftheknee[J].JBoneJointSurgAm.1974,56(4):665-674.[2]WARRENLF,MARSHALlJL.Thesupportingstructuresandlayersonthemedialsideoftheknee:ananatomicalanalysis[J].JBoneJointSurgAm.1979,61(1):56-...[繼續(xù)閱讀]
[1]COOBSBR,WIJDICKSCA,ARMITAGEBM,etal.Aninvitroanalysisofananatomicalmedialkneereconstruction[J].AmJSportsMed.2010,38(2):339-347.[2]LINDM,JAKOBSENBW,LUNDB,etal.Anatomicalreconstructionofthemedialcollateralligamentandposteromedialcornerofthekneeinpatientsw...[繼續(xù)閱讀]