Van der Wal Wybren A, Van Gennip Stijn, Heesterbeek Petra Jc, Busch Vincent J, Wymenga Ate B
Acta Orthop Belg. 2020 Mar;86(1):69-76.
The goal of this study was to present the results of an anatomical superficial medial collateral ligament (sMCL) reconstruction combined with reefing of the posteromedial capsule in a series of 10 patients with symptomatic valgus instability complaints in combined injuries of the knee. All patients under- went an sMCL reconstruction with reefing of the posteromedial capsule. If cruciate ligament insuf- ficiency was present, this was reconstructed as well. Pre- and postoperatively, multiple subjective knee outcome scores were obtained, and valgus stress radiographs objectively evaluated laxity. Median valgus laxity of the injured knee on valgus stress radiographs improved significantly. There was no statistically significant difference between post- operative valgus laxity of the injured knee and valgus laxity of the uninjured knee. All subjective knee outcome scores improved significantly compared with the preoperative situation. The described procedure restores valgus laxity to a level comparable to the uninjured knee.
本研究的目的是呈现10例有症状的膝关节联合损伤伴外翻不稳定的患者，行解剖学内侧副韧带浅层（sMCL）重建联合后内侧关节囊紧缩术的结果。所有患者均接受了sMCL重建及后内侧关节囊紧缩术。若存在交叉韧带功能不全，也进行了重建。术前和术后，获得了多个膝关节主观结果评分，并通过外翻应力X线片客观评估松弛度。外翻应力X线片上受伤膝关节的外翻松弛度中位数显著改善。受伤膝关节术后的外翻松弛度与未受伤膝关节的外翻松弛度之间无统计学显著差异。与术前情况相比，所有膝关节主观结果评分均显著改善。所描述的手术将外翻松弛度恢复到与未受伤膝关节相当的水平。
