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多韧带膝关节损伤的生物力学:从创伤到治疗。

The Biomechanics of Multiligament Knee Injuries: From Trauma to Treatment.

机构信息

Department of Orthopaedic Surgery, Keck Medical Center of the University of Southern California, 1520 San Pablo Street, Suite 2000, Los Angeles, CA 90033, USA.

Department of Orthopaedic Surgery, Keck Medical Center of the University of Southern California, 1520 San Pablo Street, Suite 2000, Los Angeles, CA 90033, USA.

出版信息

Clin Sports Med. 2019 Apr;38(2):215-234. doi: 10.1016/j.csm.2018.11.009. Epub 2019 Jan 19.

DOI:10.1016/j.csm.2018.11.009
PMID:30878045
Abstract

The multiple ligament injured knee is a complex biomechanical environment. When primary stabilizers fail, secondary stabilizers have an increased role. In addition, loss of primary restraints puts undue stress on the remaining intact structures of the knee. Treatment of these injuries requires accurate diagnosis of all injured structures, and careful consideration of repairs and reconstructions that restore the synergistic stability of all ligaments in the knee.

摘要

多韧带损伤的膝关节是一个复杂的生物力学环境。当主要稳定结构失效时,次要稳定结构的作用会增加。此外,主要约束的丧失会给膝关节其余完整结构带来不必要的压力。这些损伤的治疗需要准确诊断所有损伤的结构,并仔细考虑修复和重建,以恢复膝关节所有韧带的协同稳定性。

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