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[膝关节闭合性脱位的治疗]

[Treatment of closed dislocations of the knee joint].

作者信息

Barnbeck F, Hierholzer G

机构信息

Berufsgenossenschaftliche Unfallklinik, Duisburg, Buchholz.

出版信息

Unfallchirurgie. 1992 Dec;18(6):344-9. doi: 10.1007/BF02588369.

Abstract

Nineteen knee dislocations in 18 patients (one bilateral) occurred over a period of twelve years. The age range was 17 to 70 years with an average age of 33 years. There was no injury of the popliteal artery and five peroneal nerve injuries in the group. One compartment syndrome occurred after reduction. The follow-up study including examination showed good and satisfactory results for early surgical repair. After delayed surgical repair there were more signs of instability, pain and restrictive range of flexion movement. Early operative repair followed by cast bracing for six weeks and an intensive mobilisation therapy after cast bracing are the method of choice. An immobilisation period of three to four weeks is possible.

摘要

18例患者(其中1例为双侧)共发生19例膝关节脱位,历时12年。年龄范围为17至70岁,平均年龄33岁。该组中腘动脉无损伤,有5例腓总神经损伤。复位后发生1例骨筋膜室综合征。包括检查在内的随访研究表明,早期手术修复效果良好且令人满意。延迟手术修复后,不稳定、疼痛和屈曲活动范围受限的体征更多。首选方法是早期手术修复,随后用石膏支具固定6周,并在拆除石膏支具后进行强化活动疗法。固定3至4周也是可行的。

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