军医进修学院学报2011，Vol.32Issue(8)：801-802,817,3.DOI:CNKI:11-3275/R.20110314.1036.000
急性前交叉韧带损伤合并内侧副韧带损伤的治疗选择
Treatment of acute anterior cruciate and medial collateral ligament injuries of knee
姚建华 1李海鹏 1黄炎 1薛元锁1
作者信息
- 1. 北京军区总医院,骨科,北京,100700
- 折叠
摘要
Abstract
Objective To study the treatment modalities for acute anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries. Methods Fifty-eight patients with acute ACL and MCL injuries (including grade I in 7, grade II in 25 and grade III in 26 cases) were treated in our department from December 2002 to October 2008. ACL was reconstructed when the knee function was recovered in 32 patients with grade I and grade II MCL injury after they were immobilized for 3-4 weeks, in 7 patients with grade M MCL injury after they were immobilized for 6 weeks, in 19 patients with grade 1H MCL injury after they were immobilized for 2 weeks. Valgus stress testing for full extension and 300 of flexion was negative in 11 patients and positive in 8 patients after they were immobilized for 6-8 weeks. Posterior knee capsule tear in 6 patients was repaired with its posteromedial structure immobilized for 6-8 weeks using suture anchor techniques. Results The patients were followed up for 15 months (range 6-34 months). Thirty-two patients with grades I and II tears were negative for Valgus stress testing, and 2 patients were (+) for anterior drawer test with a Lysholm score of 91.2 after operation. Eighteen patients with grades III tear received conservative treatment with degrees I and II of Valgus stress testing in 3 and 1 patient, respectively. Anterior drawer test was(+) and (++) in 2 and 1 patient, respectively, with a Lysholm score of 86.5 after operation. Eight patients with grade III tears were treated with suture anchor with degree I of Valgus stress testing in 2 patients, (+) of anterior drawer test in 1 patient, and a Lysholm score of 89.3 after operation. Conclusion Early operation should be performed for acute ACL and MCL injuries. MCL injuries should be repaired after ACL reconstruction if its Valgus stress testing is instable.关键词
前交叉韧带/内侧副韧带,膝关节/关节镜Key words
Anterior Cruciate Ligament/ Medial Collateral Ligament, Knee/ Arthroscopes分类
医药卫生引用本文复制引用
姚建华,李海鹏,黄炎,薛元锁..急性前交叉韧带损伤合并内侧副韧带损伤的治疗选择[J].军医进修学院学报,2011,32(8):801-802,817,3.
