Jagodzinski M, Ettinger M, Liodakis E, Hawi N, Petri M, Krettek C
Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, 30161, Hannover, Deutschland.
Unfallchirurg. 2013 May;116(5):404-12. doi: 10.1007/s00113-013-2376-3.
Complex ligament injuries can compromise a knee joint and residual conditions comprise stiffness (arthrofibrosis), instability, cartilage damage leading to osteoarthritis and bone deformity. Accurate diagnosis must address the direction and extent of the instability, the severity of any cartilage lesion and an analysis of the axis and bone deformity as well as important cofactors. Therapeutic options are adhesiolysis, ligament reconstruction, cartilage regeneration and axis correction. As a consequence patients mostly profit from the procedure but there is never a return to the functional level that existed before injury.
复杂的韧带损伤会影响膝关节，残留状况包括僵硬（关节纤维性强直）、不稳定、导致骨关节炎的软骨损伤和骨畸形。准确的诊断必须明确不稳定的方向和程度、任何软骨损伤的严重程度、对轴线和骨畸形的分析以及重要的辅助因素。治疗选择包括粘连松解术、韧带重建、软骨再生和轴线矫正。因此，患者大多能从手术中获益，但功能水平再也无法恢复到受伤前的状态。
