Department of Orthopaedic Surgery.
Thompson Laboratory for Regenerative Orthopaedics, University of Missouri.
Sports Med Arthrosc Rev. 2020 Sep;28(3):94-99. doi: 10.1097/JSA.0000000000000275.
A knee dislocation that involves at least 2 of the 4 major ligament groups-such as the anterior cruciate ligament, the posterior cruciate ligament, or the posterolateral corner-is a catastrophic event for an athlete or trauma patient. Careful evaluation of these patients is needed to avoid disastrous outcomes. Surgeons must be cognizant of a number of key treatment concerns-such as tunnel crowding, controversies over graft fixation methods, and sparsity of level I clinical data-to make proper ligament repair decisions. This manuscript will review treatment principles that govern high-quality care of this complex injury.
对于运动员或创伤患者来说，膝关节脱位至少涉及 4 个主要韧带群中的 2 个，例如前交叉韧带、后交叉韧带或后外侧角，这是灾难性的事件。需要对这些患者进行仔细评估，以避免灾难性的结果。外科医生必须意识到一些关键的治疗问题，如隧道拥挤、移植物固定方法的争议以及缺乏 I 级临床数据，以便做出适当的韧带修复决策。本文将回顾指导这种复杂损伤高质量护理的治疗原则。
