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[膝关节近期严重扭伤的外科治疗。膝关节前交叉韧带值得缝合吗?]

[Surgical treatment of recent severe sprains of the knee. Does the anterior cruciate ligament of the knee merit suturing?].

作者信息

Vidal J, Buscayret C, Fassio B, Escare P

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1977 Apr-May;63(3):271-83.

PMID:143010
Abstract

The authors have reviewed 62 cases of acute ligamentous injury of the knee, all surgically treated. They emphasize the importance of good co-ordination of muscles and ligaments in the function of the knee. The menisci should be preserved wherever possible. Direct suture of the anterior cruciate ligament gives poor results (20 per cent successful). They recommend immediate transplantation of a hamstring (semi-tendinosus) tendon by the Lindeman's technique. They conclude that the anterior cruciate ligament should not be sutured. In three cases it was resected with good results.

摘要

作者回顾了62例膝关节急性韧带损伤病例,均接受了手术治疗。他们强调了肌肉和韧带良好协调在膝关节功能中的重要性。半月板应尽可能保留。前交叉韧带直接缝合效果不佳(成功率为20%)。他们建议采用林德曼技术立即移植腘绳肌(半腱肌)肌腱。他们得出结论,前交叉韧带不应缝合。有3例进行了切除,效果良好。

相似文献

1
[Surgical treatment of recent severe sprains of the knee. Does the anterior cruciate ligament of the knee merit suturing?].[膝关节近期严重扭伤的外科治疗。膝关节前交叉韧带值得缝合吗?]
Rev Chir Orthop Reparatrice Appar Mot. 1977 Apr-May;63(3):271-83.
2
[Optimal treatment of complex ligament injuries and biomechanical aspects].
Zentralbl Chir. 1989;114(23):1489-500.
3
[Treatment problems in old and recent rupture of the lateral knee ligament].
Rev Chir Orthop Reparatrice Appar Mot. 1978 Apr-May;64(3):231-41.
4
How to treat knee ligament injuries?如何治疗膝关节韧带损伤?
Ann Chir Gynaecol. 1991;80(2):134-40.
5
[Experience with 250 dynamic, proximal muscular pedicled, anterior cruciate ligament-plasties (Lindemann)].[250例动力性、近端肌蒂前交叉韧带成形术(林德曼手术)的经验]
Chirurg. 1984 Nov;55(11):710-6.
6
[Barb wire repair of recent ruptures of the anterior cruciate ligament (author's transl)].前交叉韧带近期断裂的钢丝修复术(作者译)
Nouv Presse Med. 1980 Nov 15;9(43):3267-9.
7
[Healing of ruptures of the anterior cruciate ligament treated with simple sutures. Possibilities, usefulness, clinical evaluation. Apropos of a series of 51 anterior cruciate ligament sutures using barbed wire with macroscopic verification of the healing].[单纯缝合治疗前交叉韧带断裂的愈合情况。可能性、实用性、临床评估。关于51例使用带倒刺钢丝进行前交叉韧带缝合并进行愈合情况宏观验证的系列病例]
Rev Chir Orthop Reparatrice Appar Mot. 1985;71(1):41-50.
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[Recent ruptures of the anterior cruciate ligament. Suture technique on a reinforcement ligament. Results of a 5 years' experience].[近期前交叉韧带断裂。加强韧带的缝合技术。五年经验结果]
Rev Chir Orthop Reparatrice Appar Mot. 1991;77(2):92-102.
9
[Severe anterior sprains of the knee. Ligamentoplasty using the patellar tendon and reinforcement].[膝关节严重前侧扭伤。采用髌腱的韧带成形术及加强术]
Acta Orthop Belg. 1994;60(2):137-44.
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Augmentation of acute rupture of the anterior cruciate ligament.
Orthop Clin North Am. 1985 Jan;16(1):135-42.

引用本文的文献

1
When is surgery indicated in anterior knee instability? Considerations on operative and functional treatment.
Arch Orthop Trauma Surg (1978). 1986;105(4):232-4. doi: 10.1007/BF00435487.