ARTHROSCOPIC ASSISTED PCL RECONSTRUCTION - A TECHNICAL NOTE ON POTENTIAL NEUROVASCULAR INJURY RELATED TO DRILL BIT CONFIGURATION

被引：36

作者：

JACKSON, DW ^{[1
]}

PROCTOR, CS ^{[1
]}

SIMON, TM ^{[1
]}

机构：

[1] SO CALIF CTR SPORTS MED,LONG BEACH,CA

来源：

ARTHROSCOPY | 1993年 / 9卷 / 02期

关键词：

PCL; RECONSTRUCTION; COMPLICATION;

D O I：

10.1016/S0749-8063(05)80381-0

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Neurovascular injury is a potential complication during arthroscopic assisted or open posterior cruciate ligament (PCL) reconstruction. The anatomical configuration of the posterior tibia and the square configuration of the end of commonly used drill bits require special attention. One portion of the drill bit may cut out of the tibia less-than-or-equal-to 20 mm distal to the exit point of the guide wire. The sharp square edges of these drill bits have a greater potential to traumatize adjacent soft tissue and to increase the risk of neurovascular damage. This risk may be decreased by using a tapered drill bit, an oscillating drill, and careful elevation and retraction of the overlying soft tissue.

引用

页码：224 / 227

页数：4

共 4 条

[1]

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[2]

Jackson DW, Rosen MA, Simon TM, Soft tissue allograft reconstruction: the knee, Allografts in orthopaedic practice, (1992)

[3]

Paulos LE, Arthroscope-aided posterior cruciate ligament reconstruction using precision drill guides, (1990)

[4]

Geissler WB, Salvatore RC, Caspari RB, Isolated rupture of the popliteus with posterior tibial nerve palsy, J Bone Joint Surg, 74 B, pp. 811-813, (1992)

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