摘要
目的总结急性膝关节后外侧韧带结构损伤的治疗方法,评估临床治疗效果。方法对27例急性膝关节后外侧韧带结构损伤的患者,根据不同损伤类型分别进行修复或重建。通过随访,了解膝关节后外侧韧带结构的稳定性。结果术后1年,无完全伸膝位内翻不稳,屈膝30°的Ⅰ°内翻不稳1例,伴硬性终止点,其余无内翻不稳;屈膝30°小腿外旋增加3例,均小于10°,相同16例,减小8例。结论对急性膝关节后外侧韧带结构损伤,早期治疗能够满意恢复其功能完整性。
Objective To summarize the managements for acute injury of kne e posterolateral corner structure, and to evaluate the clinical results. Methods 27 cases of acute posterolateral corner injury of the knee were treated by eith er repair or reconstruction, according to the type of injury. The posterolateral stability of the knee was evaluated after follow-up of more than one year. Res ults One year after operation, there was no varus knee instability in full exten sion. At 30-degree flexion, one-degree varus instability was found in one case , but with firm endpoint. No varus instability was found in other cases. Compare d with the uninjured side, leg external rotation slightly increased in three cas es, remained the same in sixteen cases, and decreased in eight cases. Conclusio n First stage treatment of acute posterolateral corner injury of the knee is rel iable for the restoration of stability.
出处
《中华创伤骨科杂志》
CAS
CSCD
2004年第1期62-65,共4页
Chinese Journal of Orthopaedic Trauma
