Ray J M
University of Kentucky Medical Center, Lexington.
Clin Sports Med. 1988 Oct;7(4):697-713.
This article highlights the symptoms and clinical findings associated with anterior cruciate ligament instability. The symptomatic anterior cruciate ligament-deficient knee presents as an acute isolated incident or as a chronic progression of recurrent episodes of instability. The results of 71 patients diagnosed with an anterior cruciate ligament instability to the knee are reported. No distinction was made between the acute and chronic injuries as both patient populations received the same surgical procedure. The Lachman's test and the pivot shift test are the clinical examinations used to document cruciate ligament instability. The recommended procedure of choice for the symptomatic anterior cruciate-deficient knee is an autogenous patella tendon graft, bone-tendon-bone preparation, arthroscopically placed in an isometric position within the knee joint. A rehabilitation program for the reconstructed knee is outlined.
本文重点介绍了与前交叉韧带不稳定相关的症状和临床发现。有症状的前交叉韧带损伤膝关节表现为急性孤立事件或不稳定反复发作的慢性进展。报告了71例被诊断为膝关节前交叉韧带不稳定患者的结果。急性和慢性损伤之间未作区分，因为这两类患者群体都接受相同的手术程序。Lachman试验和轴移试验是用于记录交叉韧带不稳定的临床检查。对于有症状的前交叉韧带损伤膝关节，推荐的首选手术是自体髌腱移植，骨-腱-骨制备，通过关节镜放置在膝关节内的等距位置。文中概述了重建膝关节的康复计划。
