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膝关节内侧和外侧损伤的修复与重建

Repair and Reconstruction of Medial- and Lateral-sided Knee Injuries.

作者信息

LaPrade Robert F, Engebretsen Lars, Marx Robert G

机构信息

Chief Medical Officer, The Steadman Clinic, Steadman Philippon Research Institute, Vail, Colorado.

出版信息

Instr Course Lect. 2015;64:531-42.

Abstract

Surgical treatment of medial and lateral knee injuries using repair and/or reconstruction techniques is often necessary to restore knee ligament stability and optimize function. Successful execution of these repairs and reconstructions requires a sound understanding of basic anatomy and biomechanics. Against this backdrop, numerous repair and reconstruction techniques have been developed. Although medial knee injuries are often amenable to healing, posterolateral knee injuries often do not heal after a complete tear. Posterolateral corner repair should be attempted only in acute lateral knee injuries and never for midsubstance tears. Postoperative rehabilitation follows a period approach, with an emphasis on early range-of-motion exercises and protection of the surgical repair or reconstruction. By following these approaches to medial and lateral knee repairs and reconstructions, it is possible to restore stability to an injured knee and expedite return to desired levels of activity.

摘要

使用修复和/或重建技术对膝关节内外侧损伤进行手术治疗,对于恢复膝关节韧带稳定性和优化功能通常是必要的。成功实施这些修复和重建需要对基本解剖学和生物力学有充分的了解。在此背景下,已开发出众多修复和重建技术。尽管膝关节内侧损伤通常易于愈合,但膝关节后外侧损伤在完全撕裂后往往无法愈合。后外侧角修复仅应在急性膝关节外侧损伤时尝试,绝不能用于中部实质撕裂。术后康复采用阶段性方法,重点是早期活动度练习以及保护手术修复或重建部位。通过遵循这些膝关节内外侧修复和重建方法,有可能恢复受伤膝关节的稳定性并加快恢复到期望的活动水平。

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