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一期修复后斜韧带撕脱骨折合并内侧副韧带损伤

One-Stage Repair of Posterior Oblique Ligament Avulsion Fracture Combined with Medial Collateral Ligament Injury.

机构信息

Department of Orthopaedic Surgery, Second Hospital of Shanxi Medical University, Taiyuan, China.

Department of Orthopaedic Surgery, Shanxi Provincial People's Hospital, Taiyuan, China.

出版信息

Orthop Surg. 2020 Aug;12(4):1084-1091. doi: 10.1111/os.12697. Epub 2020 Jun 9.

DOI:10.1111/os.12697
PMID:32519475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7454208/
Abstract

OBJECTIVE

To evaluate the clinical effect of the one-stage repair of a posterior oblique ligament avulsion fracture combined with a medial collateral ligament injury.

METHODS

This study was a retrospective trial. From February 2007 to May 2017, five patients with posterior oblique ligament avulsion fracture combined with medial collateral ligament injury were included in this study. The patients were aged 37-58 years old with a mean of 45.2 years. All patients underwent the primary repair of a posterior oblique ligament avulsion fracture and medial collateral ligament injury. The main observational index included Lysholm score, International Knee Documentation Committee (IKDC) score, Visual Analogue Scale (VAS) score, and range of motion (ROM).

RESULTS

The results showed that the average time of follow-up was 53.6 months (range, 20-86 months). When compared to preoperative scores, the preoperative Lysholm score was significantly increased (47.8 ± 5.1 vs 95.0 ± 3.7, P < 0.05), the IKDC score was significantly increased (51.2 ± 5.6 vs 88.6 ± 4.2, P < 0.05), the VAS score was significantly decreased (7.0 ± 0.7 vs 0.4 ± 0.5, P < 0.05), and the ROM was significantly increased (91.6° ± 8.4° vs 129.9° ± 4.4°, P < 0.05).

CONCLUSION

Our study found that with the combination of the one-stage repair of a posterior oblique ligament (POL) avulsion fracture and medial collateral ligament injury, the patient's postoperative function recovered well, their pain was relieved, and their knee joint stability was reliable.

摘要

目的

评估一期修复后斜韧带撕脱骨折合并内侧副韧带损伤的临床效果。

方法

本研究为回顾性研究。2007 年 2 月至 2017 年 5 月，共纳入 5 例后斜韧带撕脱骨折合并内侧副韧带损伤患者，年龄 37-58 岁，平均 45.2 岁。所有患者均行后斜韧带撕脱骨折及内侧副韧带损伤的一期修复。主要观察指标包括 Lysholm 评分、国际膝关节文献委员会（IKDC）评分、视觉模拟评分（VAS）和关节活动度（ROM）。

结果

平均随访时间为 53.6 个月（20-86 个月）。与术前相比，术后 Lysholm 评分明显升高（47.8±5.1 分比 95.0±3.7 分，P<0.05），IKDC 评分明显升高（51.2±5.6 分比 88.6±4.2 分，P<0.05），VAS 评分明显降低（7.0±0.7 分比 0.4±0.5 分，P<0.05），ROM 明显增加（91.6°±8.4°比 129.9°±4.4°，P<0.05）。

结论

本研究发现一期修复后斜韧带（POL）撕脱骨折合并内侧副韧带损伤，术后患者功能恢复良好，疼痛缓解，膝关节稳定性可靠。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/7454208/3d25821461a4/OS-12-1084-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/7454208/7542a37a4aa2/OS-12-1084-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/7454208/dfdc27689536/OS-12-1084-g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/7454208/3d25821461a4/OS-12-1084-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/7454208/7542a37a4aa2/OS-12-1084-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/7454208/bc4e29eb5edb/OS-12-1084-g002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb1e/7454208/3d25821461a4/OS-12-1084-g007.jpg

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