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膝关节不可复位性脱位:两阶段治疗

Irreducible dislocation of the knee joint: two-stage treatment.

作者信息

Cınar Murat, Derincek Alihan, Akpınar Sercan

机构信息

Department of Orthopaedics and Traumatology, Adana Training and Research Center, Başkent University Faculty of Medicine, Adana, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2011;45(4):280-3. doi: 10.3944/AOTT.2011.2377.

Abstract

Closed reduction attempts may be unsuccessful after traumatic knee dislocations on rare occasions. The interposition of the soft tissues on the medial aspect of the joint into the femoral condyle and tibial plateau is shown to be the cause of an unsuccessful reduction. In such cases, open reduction is the recommended method of treatment. In our study, we presented a 16-year-old male with an open knee dislocation after a motorcycle accident. As our closed reduction attempt failed, open joint reduction and repair of the medial collateral ligament and retinaculum was performed in the first stage of treatment. In the second stage, arthroscopic anterior cruciate ligament and posterior cruciate ligament reconstructions were carried out.

摘要

在极少数情况下,创伤性膝关节脱位后进行闭合复位尝试可能会失败。关节内侧软组织嵌入股骨髁和胫骨平台被证明是复位失败的原因。在这种情况下,切开复位是推荐的治疗方法。在我们的研究中,我们报道了一名16岁男性,在摩托车事故后发生开放性膝关节脱位。由于我们的闭合复位尝试失败,在治疗的第一阶段进行了切开关节复位以及内侧副韧带和支持带的修复。在第二阶段,进行了关节镜下前交叉韧带和后交叉韧带重建。

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