期刊文献+

断端缝合术与韧带重建术治疗膝后内侧结构Ⅲ度损伤对比观察 被引量:2

暂未订购
导出
摘要 目的比较断端缝合术和韧带重建术两种手术方式治疗膝后内侧结构Ⅲ度损伤的临床疗效。方法选择膝关节后内侧结构Ⅲ度损伤患者60例,随机分为两组,分别行断端修复(断端修复组)和韧带重建术(重建组),术后康复锻炼,对比两组临床疗效及Lysholm膝关节运动伤病评分。结果重建组、断端修复组有效率分别为90%、47%,重建组有效率高于断端修补组(P<0.05)。重建组、断端修复组Lysholm膝关节功能评分分别为79.44±9.85、38.27±17.06,重建组评分高于断端修复组(P<0.05)。结论自体半腱、股薄肌腱解剖重建后内侧结构Ⅲ度损伤的效果优于断端修补组,可有效改善膝后内侧结构损伤后松弛、膝关节不稳定。
机构地区 东营市人民医院
出处 《山东医药》 CAS 2013年第38期80-81,共2页 Shandong Medical Journal
  • 相关文献

参考文献11

  • 1Grood ES, Noyes FR, Butler D1, et al. Ligamentous and capsular restraints preventing straight medial and lateral laxity in intact ha- man cadaver knees[J]. J Bone Joint Surg Am, 1981,63 (8): 1257-1269.
  • 2Hughston JC. The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the anterior cruciate ligament. Re- sults of long-term follow-up [ J]. J Bone Joint Surg Am, 1994,76 (9) :1328-1344.
  • 3Phisitkul P, James SL, Wolf BR, et al. MCL injuries of the knee : current concepts review[ J]. Iowa Orthop J, 2006,26:77-90.
  • 4Coobs BR, Wijdicks CA, Armitage BM, et al. An in vitro analysis of an anatomical medial knee reconstruction [ J ]. Am J Sports Med, 2010,38(2) :339-347.
  • 5王亦璁.膝关节韧带损伤的评估[J].中华骨科杂志,1997,17(8):536-536. 被引量:113
  • 6Hughston JC, Eilers AF. The role of the posterior oblique ligament in repairs of acute medial (collateral) ligament tears of the knee [J]. J Bone Joint Surg Am, 1973,55(5) :923-940.
  • 7Fischer RA, Arms SW, Johnson R J, et al. The functional relation- ship of the posterior oblique ligament to the medial collateral liga- ment of the human knee [ J ]. Am J Sports Med, 1985,13 (6) :390- 397.
  • 8Indelicato PA, Hermansdorfer J, Huegel M. Nonoperative manage- ment of complete tears of the medial collateral ligament of the knee in intercollegiate football players [ J ]. Clin Orthop Relat Res, 1990,256 (7) : 174-177.
  • 9Reider B. Medial collateral ligament injuries in athletes[J]. Sports Med, 1996,21 (2) : 147-156.
  • 10Kennedy JC, Fowler PJ. Medial and anterior instability of the knee. An anatomical and clinical study using stress machines[ J]. Clin Orthop Relat Res, 1995,321 (6) :3-9.

共引文献112

同被引文献35

  • 1刘昱江,王永刚,闫生亮.关节镜辅助下半膜肌腱移位动力加强治疗膝关节后内侧角急性损伤[J].宁夏医科大学学报,2013,35(9):1024-1026. 被引量:2
  • 2孙磊,宁志杰,田敏,宁廷民,魏嵬,张红,马清元,高加智.急性膝关节后内侧角损伤[J].中国矫形外科杂志,2005,13(20):1528-1531. 被引量:26
  • 3俞芳,综述,陈游,审校.膝关节后内侧稳定结构的研究[J].中国骨与关节损伤杂志,2007,22(8):703-704. 被引量:11
  • 4何耀华,赵金忠,蒋垚.膝关节后内侧角损伤诊治的新进展[J].中华骨科杂志,2007,27(11):855-858. 被引量:4
  • 5Sims WF,Jacobson KE. The posteromedial conner of the knee: medial-sided injury patterns revisited [J]. Am J Sports Med,2004,32(2) :337-345.
  • 6Amis AA, Bull AM,Gupte CM,et al. Biomechanics of the PCL and related structures: posterolateral, posteromedial and meniseofemoral ligaments [ J]. Knee Surg Sports Traumatol Arthrose,2003,11(5) :271-281.
  • 7Jacobson KE,Chi FS. Evaluation and treatment of medial colIateral ligament and medial-sided injuries of the knee [J]. Sports Med Arthrosc,2006,14(2) :58-66.
  • 8Slocum DB, Larson RL,James SL. Late reconstruction of ligamentous injuries of the medial compartment of the knee[J]. Clin Orthop Relat Res, 1974,100 : 23-55.
  • 9Warren LF, Marshall JL. The supporting structures and layers on the medial side of the knee:an anatomical analy- sis[J]. J Bone Joint Surg Am,1979,61(1):56-62.
  • 10Robinson JR, Bull AM, Amis AA. Structural properties of the medial collateral ligament complex of the human knee [J]. J Biomech,2005,38(5) :1067-1074.

引证文献2

二级引证文献5

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部