一期治疗膝关节脱位合并多发韧带损伤的临床研究
发布时间：2018-08-21 12:17
【摘要】：目的探讨一期治疗外伤性膝关节脱位合并多韧带损伤的近期疗效。方法2012年3月-2013年12月,共一期关节镜辅助下治疗19例外伤性膝关节脱位合并多韧带损伤的患者。其中男13例,女6例,年龄27-61岁(平均43岁),其中右膝10例,左膝9例,均为单膝。于伤后6h-2天入院,平均13h。19例患者(19膝)术中关节镜探查均证实ACL、PCL同时断裂;其中伴内侧副韧带损伤(III度)11例,合并PLC损伤5例,外侧半月板撕裂5例,内侧半月板撕裂3例;1膝患者同时伴髌骨脱位,MPFL急性断裂。19膝中均同时应用4股乆绳肌腱单束重建PCL、ACL,合并的11例MCL予以修复,5例LCL予以修复,以上韧带均采用自体肌腱进行重建。结果所有19例患者均获13-24月的随访,平均18月。术后切口均I期愈合,无感染等并发症发生。术后12月患膝关节屈曲达125°-140°,平均(130.0±8.1)°,术前(96.5±6.0)°;膝关节Lysholm评分术前(21.4±6.2)分,术后(75.6±9.5)分;这两项结果,术前、术后比较差异均有统计学意义(P0.05)。根据Lysholm膝关节功能评分,优4例,良12例,可3例,优良率84.2%。结论一期治疗外伤性膝关节脱位合并多韧带损伤近期疗效满意。
[Abstract]:Objective to investigate the short-term effect of one-stage treatment for traumatic dislocation of knee with multiple ligaments injury. Methods from March 2012 to December 2013, 19 patients with traumatic dislocation of knee joint complicated with multiple ligament injury were treated with arthroscopy. There were 13 males and 6 females, aged 27-61 years (mean 43 years), including 10 cases of right knee and 9 cases of left knee, all of them were single knee. After 6h-2 was admitted to hospital on the day after injury, the mean number of 13h.19 patients (19 knees) was confirmed by arthroscopic exploration, 11 cases were accompanied with medial collateral ligament injury (III degree), 5 cases were complicated with PLC injury, 5 cases with lateral meniscus tear, 11 cases with medial collateral ligament injury (III degree), 5 cases with lateral meniscus tear. Three patients with medial meniscus tears and one knee with patellar dislocation were treated with 4 strands of human hamstring tendon to reconstruct LCL, and 11 cases of MCL were repaired with LCL. The above ligaments were reconstructed with autogenous tendon. Results all 19 patients were followed up for 13-24 months with an average of 18 months. All the incisions healed in the first stage without infection and other complications. The knee joint flexion reached 125 掳-140 掳(mean (130.0 卤8.1) 掳, (96.5 卤6.0) 掳before operation, and (21.4 卤6.2) points before and (75.6 卤9.5) after operation with Lysholm score. There was significant difference between the two results before and after operation (P0.05). According to Lysholm knee function score, excellent 4 cases, good 12 cases, fair 3 cases, excellent and good rate 84.2%. Conclusion one-stage treatment for traumatic dislocation of knee with multiple ligaments injury is satisfactory.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687
本文编号：2195711
[Abstract]:Objective to investigate the short-term effect of one-stage treatment for traumatic dislocation of knee with multiple ligaments injury. Methods from March 2012 to December 2013, 19 patients with traumatic dislocation of knee joint complicated with multiple ligament injury were treated with arthroscopy. There were 13 males and 6 females, aged 27-61 years (mean 43 years), including 10 cases of right knee and 9 cases of left knee, all of them were single knee. After 6h-2 was admitted to hospital on the day after injury, the mean number of 13h.19 patients (19 knees) was confirmed by arthroscopic exploration, 11 cases were accompanied with medial collateral ligament injury (III degree), 5 cases were complicated with PLC injury, 5 cases with lateral meniscus tear, 11 cases with medial collateral ligament injury (III degree), 5 cases with lateral meniscus tear. Three patients with medial meniscus tears and one knee with patellar dislocation were treated with 4 strands of human hamstring tendon to reconstruct LCL, and 11 cases of MCL were repaired with LCL. The above ligaments were reconstructed with autogenous tendon. Results all 19 patients were followed up for 13-24 months with an average of 18 months. All the incisions healed in the first stage without infection and other complications. The knee joint flexion reached 125 掳-140 掳(mean (130.0 卤8.1) 掳, (96.5 卤6.0) 掳before operation, and (21.4 卤6.2) points before and (75.6 卤9.5) after operation with Lysholm score. There was significant difference between the two results before and after operation (P0.05). According to Lysholm knee function score, excellent 4 cases, good 12 cases, fair 3 cases, excellent and good rate 84.2%. Conclusion one-stage treatment for traumatic dislocation of knee with multiple ligaments injury is satisfactory.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687
【参考文献】
相关期刊论文 前2条
1 康一凡;王谦;汪滋民;;关节镜下LARS人工韧带重建后交叉韧带及有限切开重建外侧副韧带[J];中国骨与关节损伤杂志;2008年03期
2 吴伟东;郑荣宗;应锦河;;关节镜下重建修复膝关节多韧带损伤[J];中国骨与关节损伤杂志;2012年01期
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