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[膝关节完全脱位并发症的治疗]

[Treatment of complications of complete dislocation of the knee joint].

作者信息

Zhang J S

出版信息

Zhonghua Wai Ke Za Zhi. 1989 Jul;27(7):430-1, 446-7.

PMID:2598747
Abstract

12 cases of complete dislocation of knee joint were reported. Of them, 5 were anterior, 3 posterior, 2 rotational and the remaining 2 were uncertain. Neurovascular complications occurred in 5: 3 with injury of popliteal vessels, 2 with injury of peroneal nerves. The limbs of the cases with vascular injury were all saved after repair of the vessel in 2, and following conservative treatment in 1. Surgical repair of cruciate and collateral ligaments as well as the capsule were properly carried out in 11 cases, in early due time. One of them has also had peripheral tear of meniscus which was repaired incidentally. Follow-up study showed excellent and good result in 9 cases. Points of operative indications were discussed.

摘要

报告了12例膝关节完全脱位。其中,前脱位5例,后脱位3例,旋转脱位2例,其余2例脱位类型不明确。5例出现神经血管并发症:3例腘血管损伤,2例腓总神经损伤。2例血管损伤患者在血管修复后保住了肢体,1例经保守治疗后保住了肢体。11例均在早期及时对交叉韧带、侧副韧带及关节囊进行了手术修复。其中1例还伴有半月板边缘撕裂,术中一并进行了修复。随访结果显示,9例效果优良。并对手术指征要点进行了讨论。

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