分期修复重建膝关节多发韧带损伤的临床疗效

发布时间：2018-03-15 12:03

  本文选题：膝关节　切入点：关节镜　出处：《中国骨伤》2016年05期 　论文类型：期刊论文

【摘要】：目的 :探讨关节镜下分期治疗膝关节多发韧带损伤的临床疗效。方法 :2006年3月至2012年6月,关节镜下分期治疗膝关节多发韧带损伤14例(14膝)。男8例,女6例;年龄20~49岁,平均(31.8±8.1)岁。患者均行X线、MR检查,提示10例前交叉韧带、后交叉韧带及内侧副韧带损伤,4例前交叉韧带、后交叉韧带及后外侧角损伤。合并内侧半月板损伤4例,外侧半月板损伤2例。Ⅰ期手术治疗内侧副韧带损伤、后交叉韧带及半月板,术后固定3周后开始主被动功能锻炼,3~6个月后膝关节活动范围正常且存在明显松弛时Ⅱ期重建前交叉韧带和(或)后交叉韧带。结果:术后切口均Ⅰ期愈合,无感染等手术相关并发症发生。患者均获随访,时间24~80个月,平均48.9个月。末次随访时膝关节Lysholm评分达87.1±2.8,优于术前19.6±0.9(t=12.3,P0.01)。国际膝关节评分委员会(International Knee Documentation Committee,IKDC)评级:9例接近正常,5例异常。结论 :关节镜下分期治疗膝关节多发韧带损伤能有效恢复膝关节稳定性和功能。
[Abstract]:Objective: to investigate the clinical effect of arthroscopic staging in the treatment of multiple ligament injury of knee joint. Methods: from March 2006 to June 2012, 14 patients with multiple ligament injury of knee joint were treated by arthroscopic staging. The mean age was 31. 8 卤8. 1 years old. X ray Mr examination showed that 10 cases had anterior cruciate ligament, 4 cases had posterior cruciate ligament and medial collateral ligament injury, 4 cases had posterior cruciate ligament and posterior lateral horn injury, 4 cases had medial meniscus injury, 4 cases had medial meniscus injury, 4 cases had posterior cruciate ligament and posterior lateral angle injury, 4 cases had medial meniscus injury. Two cases of lateral meniscus injury. The medial collateral ligament injury, posterior cruciate ligament and meniscus were treated by primary operation. The range of knee joint motion was normal after 3 ~ 6 months after fixation, and the anterior cruciate ligament (ACL) and / or posterior cruciate ligament (PCL) were reconstructed in stage 鈪，

本文编号：1615943