内侧副韧带合并前交叉韧带损伤的临床治疗策略

发布时间：2018-08-20 16:13

【摘要】：膝关节内侧副韧带Hughston III级损伤常合并有前交叉韧带损伤,韧带重建术是目前该类损伤主要的治疗方式。其中,前交叉韧带重建术已经从传统的等长重建发展到解剖重建,使膝关节术后的前后稳定性和患者的运动水平得到了更满意的临床效果;目前内侧副韧带的重建方式较多,但是大多不能很好的恢复膝关节的旋转稳定性,内侧副韧带三角矢量重建在恢复膝关节外翻稳定性的同时,能够有效的恢复旋转稳定性。对于合并有内侧副韧带和前交叉韧带的损伤,二者造成旋转稳定性的叠加损失,内侧副韧带三角矢量重建发挥的作用就显得更加重要。作者提出了一种治疗内侧副韧带和前交叉韧带合并损伤的临床治疗策略,旨在更好地指导、应用于临床。
[Abstract]:Hughston III grade injury of medial collateral ligament of knee is often associated with anterior cruciate ligament injury. Ligament reconstruction is the main treatment for this kind of injury at present. Among them, anterior cruciate ligament reconstruction has developed from traditional equal-length reconstruction to anatomical reconstruction, which makes the anterior and posterior stability of the knee joint and the patient's motor level more satisfactory clinical results; at present, there are more ways of reconstruction of medial collateral ligament. But most of the knee can not restore the rotation stability of the knee, the medial collateral ligament triangular vector reconstruction can restore the stability of the knee valgus at the same time, can effectively restore the rotation stability. For the combined injury of medial collateral ligament and anterior cruciate ligament, both of them cause superposition loss of rotation stability, so the triangular vector reconstruction of medial collateral ligament is more important. This paper presents a clinical treatment strategy for medial collateral ligament and anterior cruciate ligament injury.
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