Ballmer P M, Ballmer F T, Jakob R P
Department of Orthopaedic Surgery, University of Berne, Inselspital, Switzerland.
Arch Orthop Trauma Surg. 1991;110(3):139-41. doi: 10.1007/BF00395795.
In a prospective study, 14 patients with a complete rupture of both the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL) were treated by reconstruction of the ACL alone. The torn MCL was not addressed. The initial instability was documented clinically and by stress radiographs (20 kp) taken under anaesthesia. The postoperative management involved immediate mobilization and partial weight bearing for 6-8 weeks. Follow-up examination at an average of 14 months demonstrated excellent results in 11 cases, good in 2 cases, and fair in 1 case. With the exception of one residual anterior tibial translation of 8 mm, all knees showed almost normal stability in the frontal and sagittal plane, with full range of motion. These result confirm that ACL reconstruction utilizing the patellar tendon alone is sufficient in the treatment of combined instability due to ACL and MCL injuries.
在一项前瞻性研究中，14例前交叉韧带（ACL）和内侧副韧带（MCL）均完全断裂的患者仅接受了ACL重建治疗。未处理撕裂的MCL。通过临床检查以及在麻醉下拍摄的应力X线片（20kp）记录初始不稳定情况。术后管理包括立即活动和部分负重6至8周。平均14个月的随访检查显示，11例结果优异，2例良好，1例尚可。除1例残留8mm的胫骨前移外，所有膝关节在额状面和矢状面均显示出几乎正常的稳定性，且活动范围完全正常。这些结果证实，仅使用髌腱进行ACL重建足以治疗因ACL和MCL损伤导致的联合不稳定。
