Johnson Michael E, Foster Lynanne, DeLee Jesse C
University of Texas Health Science Center at San Antonio, Department of Orthopaedics, San Antonio, TX 78229, USA.
Am J Sports Med. 2008 Dec;36(12):2448-62. doi: 10.1177/0363546508325669.
Multiple ligament knee injuries are commonly associated with neurovascular complications such as popliteal artery, common peroneal nerve, and tibial nerve injuries.
While the importance of identifying these complications in association with bicruciate and triligamentous injuries has been well established, it is important to recognize that any biligamentous and some single ligament knee injuries present with neurological and vascular complications as well.
Literature review.
Popliteal artery injuries require immediate intervention to help prevent limb loss. Peroneal and tibial nerve injuries can be a significant cause of morbidity and, therefore, require an understanding of their natural history, anatomy, and pathophysiologic implications to maximize functionality.
This review explores the types, mechanisms, and classifications of common neurovascular complications of knee ligament injuries, discusses their diagnosis, and reviews the therapeutic options available to optimize patient outcomes.
膝关节多发韧带损伤常伴有神经血管并发症，如腘动脉、腓总神经和胫神经损伤。
虽然已充分认识到在双交叉韧带和三韧带损伤中识别这些并发症的重要性，但必须认识到，任何双韧带和一些单韧带膝关节损伤也会出现神经和血管并发症。
文献综述。
腘动脉损伤需要立即干预，以帮助预防肢体丧失。腓总神经和胫神经损伤可能是导致发病的重要原因，因此，需要了解它们的自然病程、解剖结构和病理生理意义，以最大限度地提高功能。
本综述探讨了膝关节韧带损伤常见神经血管并发症的类型、机制和分类，讨论了它们的诊断，并回顾了可用于优化患者预后的治疗选择。
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