Department of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN.
Sports Med Arthrosc Rev. 2020 Sep;28(3):e18-e24. doi: 10.1097/JSA.0000000000000287.
The multiple ligament knee injury involving the medial collateral ligament, anterior cruciate ligament, and posterior cruciate ligament is typically the result of a high-energy trauma or knee dislocation event. Optimal treatment strategies are debated, specifically in regard to timing of surgery, reconstruction/repair techniques, and postoperative protocols. This review details the stepwise treatment of these complex patients from diagnosis to postoperative rehabilitation and summarizes the current literature.
多韧带膝关节损伤涉及内侧副韧带、前交叉韧带和后交叉韧带,通常是高能量创伤或膝关节脱位事件的结果。最佳治疗策略存在争议,特别是在手术时机、重建/修复技术和术后方案方面。本文详细介绍了从诊断到术后康复的这些复杂患者的分步治疗方法,并总结了当前的文献。