| 膝关节脱位多韧带损伤Ⅰ期修复重建的临床观察 |
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投稿时间：2015-06-09
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| 作者 | Author | 单位 | Address | E-Mail |
| 邱俊钦 |
QIU Jun-qin |
厦门大学附属福州第二医院, 福建 福州 350007 |
The Second Hospital of Fuzhou Affiliated to Xiamen University, Fuzhou 350007, Xiamen, China |
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| 林任 |
LIN Ren |
厦门大学附属福州第二医院, 福建 福州 350007 |
The Second Hospital of Fuzhou Affiliated to Xiamen University, Fuzhou 350007, Xiamen, China |
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| 林伟 |
LIN Wei |
厦门大学附属福州第二医院, 福建 福州 350007 |
The Second Hospital of Fuzhou Affiliated to Xiamen University, Fuzhou 350007, Xiamen, China |
shengqiu0313047@aliyun.com |
| 黄显贵 |
HUANG Xian-gui |
厦门大学附属福州第二医院, 福建 福州 350007 |
The Second Hospital of Fuzhou Affiliated to Xiamen University, Fuzhou 350007, Xiamen, China |
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| 熊国胜 |
Xiong Guo-sheng |
厦门大学附属福州第二医院, 福建 福州 350007 |
The Second Hospital of Fuzhou Affiliated to Xiamen University, Fuzhou 350007, Xiamen, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第12期，第1095-1099页 |
| DOI：10.3969/j.issn.1003-0034.2015.12.006 |
| 基金项目: |
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中文摘要:
目的:探讨关节镜下Ⅰ期异体肌腱重建并结合关节外微创技术治疗膝关节脱位合并多发韧带损伤的临床疗效。
方法:2008年1月至2012年1月共收治48例膝关节脱位患者,排除腘血管损伤,采用关节镜下Ⅰ期重建前后交叉韧带,并结合关节外微创技术修复膝关节韧带损伤。男38例,女10例;年龄20～59岁,平均35.6岁;左膝22例,右膝26例;伤后至手术时间2 d～2周。前交叉韧带(ACL)、后交叉韧带(PCL)、内侧副韧带(MCL)及后外侧复合体(PLC)损伤2例,ACL、PCL及MCL损伤36例,ACL、PCL及PLC损伤10例。合并腓总神经损伤4例。比较术前及末次随访时Lysholm 评分以评价膝关节功能。
结果:所有患者获得随访,时间12～30个月,平均(18.2±6.3)个月,患者关节活动度和稳定性明显改善,Lysholm评分由术前40.3±4.1提高为随访时87. 0±6.4.
结论:关节镜下应用同种异体肌腱Ⅰ期重建膝关节脱位并多韧带损伤,能较好地恢复关节稳定性,保留关节功能。术前训练指导及术后个体化康复是膝关节功能恢复的关键。 |
| 【关键词】膝关节 脱位 关节镜 韧带 |
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| Reconstruction for knee dislocation with multiple ligaments injury at stage Ⅰ |
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ABSTRACT
Objective:To investigate clinical outcomes of tendon allograft reconstruction with arthroscopy minimally invasive technique at stage I for the treatment of knee dislocation with multiple ligaments injury.
Methods:Forty-eight patients with knee dislocation were reconstructed anterior and posterior ligament under arthroscopy at stage I from January 2008 to January 2012,and repaired ligaments injury of knee joint by minimally invasive technique. There were 38 males and 10 females aged from 20 to 59 years old with an average of 35.6 years old;22 cases on the left side and 26 cases on the right side;the time from injury to operation ranged from 2 d to 2 weeks. Two cases combined with anterior cruciate ligament(ACL),posterior cruciate ligament(PCL),medial collateral ligament(MCL) and posterolateral complex injuries,36 cases combined with ACL,PCL,and MCL injuries,10 cases combined with ACL,PCL and PLC injuries; 4 cases combined with peroneal nerve injury. Lysholm scoring were used to compared the cases before operation and final following-up to evaluate knee function.
Results:All patients were followed up from 12 to 30 months with an average of (18.2±6.3) months. Activity and stability of joint were obviously improved. Lysholm score were improved from 40.3±4.1 before operation to 87.0±6.4 at final following-up.
Conclusion:Reconstruction with arthroscopy minimally invasive technique at stage I for the treatment of knee dislocation with multiple ligaments injury could recover stability of joint better,reserve joint function. Preoperative training and postoperative individualized rehabilitation treatment is the key point of recover knee joint function. |
| KEY WORDS Knee joint Dislocation Arthroscopes Ligament |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 邱俊钦,林任,林伟,黄显贵,熊国胜.膝关节脱位多韧带损伤Ⅰ期修复重建的临床观察[J].中国骨伤,2015,28(12):1095~1099 |
| 英文格式: | QIU Jun-qin,LIN Ren,LIN Wei,HUANG Xian-gui,Xiong Guo-sheng.Reconstruction for knee dislocation with multiple ligaments injury at stage Ⅰ[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(12):1095~1099 |
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