Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Orthopaedic Sports Medicine and Shoulder, Tria Orthopaedic Center, 8100 Northland Drive, Bloomington, MN 55431, USA.
Clin Sports Med. 2019 Apr;38(2):169-182. doi: 10.1016/j.csm.2018.12.001.
The knee dislocation is a severe, complex injury that can be difficult to treat and is fraught with complications. The first step in a successful reconstruction of a multiple ligamentous knee injury is gaining an accurate and thorough understanding of the pattern of instability imparted by the injury. Evaluation begins with a detailed review of radiographic and advanced imaging studies followed by a thorough physical examination, often done under anesthesia, in conjunction with dynamic fluoroscopy. Failure to identify and reconstruct a damaged ligament may place undue stress on adjacent structures, resulting in complications and potential failure of the surgical procedure.
膝关节脱位是一种严重且复杂的损伤，治疗难度大且并发症多。成功重建多发韧带膝关节损伤的第一步是准确、全面地了解损伤所致的不稳定模式。评估始于对影像学和高级影像学研究的详细检查，然后是全面的体格检查，通常在麻醉下进行，并结合动态荧光透视检查。如果未能识别和重建受损的韧带，可能会对相邻结构造成过度的压力，导致并发症和手术失败的潜在风险。
