Hopper Graeme P, Jenkins Joanne M, Mackay Gordon M
College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, Scotland.
Department of Trauma and Orthopaedic Surgery, Glasgow Royal Infirmary, Glasgow, Scotland.
Arthrosc Tech. 2020 Apr 3;9(5):e587-e591. doi: 10.1016/j.eats.2020.01.008. eCollection 2020 May.
The medial collateral ligament (MCL) is among the most commonly injured structures of the knee. Most cases are managed nonoperatively; however, grade III injuries and injuries associated with multiligament injuries to the knee are often managed surgically. MCL reconstruction procedures are the most widely used surgical option, but modern advancements have seen a renewed interest in ligamentous repair that avoids graft-site morbidity. In addition, augmentation of the repair protects the ligament during the healing phase and allows early mobilization. This article describes, with video illustration, percutaneous MCL repair and posteromedial corner repair with suture tape augmentation.
内侧副韧带(MCL)是膝关节最常受伤的结构之一。大多数病例采用非手术治疗;然而,III级损伤以及与膝关节多韧带损伤相关的损伤通常采用手术治疗。MCL重建手术是最广泛使用的手术选择,但现代进展使人们对避免移植物供区发病的韧带修复重新产生了兴趣。此外,加强修复可在愈合阶段保护韧带,并允许早期活动。本文通过视频演示介绍经皮MCL修复和使用缝线带加强的后内侧角修复。