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不稳定膝关节的关节外修复。Slocum和Ellison手术6年效果令人失望。

Extraarticular repair of the unstable knee. Disappointing 6-year results of the Slocum and Ellison operations.

作者信息

Dahlstedt L J, Dalén N, Jonsson U

机构信息

Department of Orthopedics, Danderyd Hospital, Sweden.

出版信息

Acta Orthop Scand. 1988 Dec;59(6):687-91. doi: 10.3109/17453678809149426.

Abstract

Thirty-nine clinically unstable knees caused by anterior cruciate ligament rupture were evaluated 5-8 years after medial and lateral extraarticular stabilization according to Slocum and Ellison. At the follow-up, 10 knees had been subjected to an intraarticular anterior cruciate ligament reconstruction, and one knee was not available for follow-up. The mean Lysholm score for the 28 reexamined knees was 84 out of a maximum of 100 points. Activity scores were generally low, and all the knees had increased anterior drawer instability. The combination of the pes anserinus and lateral extraarticular repair did not give acceptable long-term results.

摘要

根据斯洛库姆和埃里森的方法,对39例因前交叉韧带断裂导致临床不稳定的膝关节进行了内侧和外侧关节外稳定手术,术后5至8年进行评估。随访时,10例膝关节接受了关节内前交叉韧带重建,1例膝关节无法进行随访。28例接受复查的膝关节的Lysholm评分平均为84分(满分100分)。活动评分普遍较低,所有膝关节的前抽屉不稳定均有所增加。鹅足肌腱和外侧关节外修复的联合手术未取得可接受的长期效果。

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