Shelbourne K D, Porter D A, Clingman J A, McCarroll J R, Rettig A C
Methodist Sports Medicine Center, Indianapolis, Indiana.
Orthop Rev. 1991 Nov;20(11):995-1004.
Complete knee dislocation is an uncommon but potentially devastating injury with a reported high rate of neurovascular injury. Treatment of this ligamentous injury is controversial. The operative (repair of all ligaments) and nonoperative management of ligament injuries appears to result in a stiff knee (decreased range of motion [ROM]), and/or a significant incidence of clinical instability and pain. We report our data on low-velocity knee dislocations and present a treatment plan of noninvasive assessment of the vascular status, a stabilizing procedure centered on posterior cruciate ligament reconstruction (PCL) and an aggressive rehabilitation program that can result in improved ROM, acceptable stability, and a more optimal functional outcome.
完全性膝关节脱位是一种罕见但可能具有毁灭性的损伤，据报道其神经血管损伤发生率较高。这种韧带损伤的治疗存在争议。韧带损伤的手术治疗（修复所有韧带）和非手术治疗似乎都会导致膝关节僵硬（活动范围[ROM]减小），和/或临床不稳定及疼痛的发生率较高。我们报告了我们关于低速膝关节脱位的数据，并提出了一个治疗方案，包括对血管状况进行无创评估、以重建后交叉韧带（PCL）为中心的稳定手术以及积极的康复计划，该计划可改善ROM、获得可接受的稳定性并取得更理想的功能结果。
