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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。

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