摘要
目的 :探讨关节镜在急性膝关节内侧副韧带损伤病例中诊断和治疗作用。方法 :对 41例急性膝关节内侧副韧带损伤有明确手术指征者行关节镜检查 ,关节镜下处理关节内软骨、滑膜及半月板等损伤 ,不切开关节 ,局部切开修复内侧副韧带 ;合并前、后交叉韧带损伤 ,切开关节 ,处理前、后交叉韧带同时修复内侧副韧带。结果 :34例患者未切开关节 ,7例行关节切开 ,随访 6～ 2 3个月 ,优良率 89.7%。结论 :关节镜在膝关节急性内侧副韧带损伤中不但可以明确及治疗关节内合并伤 ,还能选择正确手术入路 ,避免不必要的关节切开 。
Objective: To discuss the diagnosis and treatment of the acute medial collateral ligament injury of the knee undergone arthroscope. Methods: Some of 41 cases with acute medial collateral ligament injury were performed cartiage, synovial membrane and menisci through the arthroscope without synosteotomy. Others were performed synosteotomy after the arthroscopic examination to dispose the anterior/posterior cruciate ligament, meanwhile repairing the medial collateral ligament. Results: 41 cases were treated which included 34 cases of arthroscopic operation, 7 cases of synosteotomy. The follow-up period lasted from 6 to 23 months with an average of one year and two months. The excellent and satisfactory rate was 89.7%. Conclusions: During the acute medial collateral ligament, arthoscope has important value not only in defining and treating complication injury, but also in choosing the proper approach of operation to avoid unnecessary synosteotomy.
出处
《中国内镜杂志》
CSCD
2000年第3期3-4,共2页
China Journal of Endoscopy
