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膝关节内侧及后内侧损伤管理的当前概念

Current concepts on management of medial and posteromedial knee injuries.

作者信息

Madi Sandesh, Acharya Kiran, Pandey Vivek

机构信息

Sports Injury and Arthroscopy Division, Orthopaedics, Kasturba medical college, Manipal, Manipal academy of Higher education, Manipal, India.

出版信息

J Clin Orthop Trauma. 2022 Feb 18;27:101807. doi: 10.1016/j.jcot.2022.101807. eCollection 2022 Apr.

Abstract

Traditionally, while managing ligament injuries around the knee, medial side injuries are frequently overlooked or considered '' with very little influence on overall knee stability outcomes. However, much has changed in the recent past, and like the lateral side of the knee, it is gaining considerable attention. It is now well known that the Medial collateral ligament and Posteromedial corner are fundamentally two distinct structures that differ in anatomy and biomechanics. When it comes to decision making between conservative versus operative approach for medial side injuries, treating orthopaedic surgeons are subjected to walking on a thin line trying to balance between potential residual laxity and joint stiffness. This review will delve into some of the recent works focusing on the medial side injuries and discuss the evolving concepts.

摘要

传统上,在处理膝关节周围的韧带损伤时,内侧损伤常常被忽视或被认为“对膝关节整体稳定性结果影响极小”。然而,最近情况发生了很大变化,与膝关节外侧一样,内侧损伤正受到相当多的关注。现在人们已经清楚地认识到,内侧副韧带和后内侧角在解剖结构和生物力学方面本质上是两个不同的结构。在决定内侧损伤采用保守治疗还是手术治疗时,骨科医生犹如在走钢丝,试图在潜在的残余松弛和关节僵硬之间找到平衡。这篇综述将深入探讨一些关于内侧损伤的近期研究,并讨论不断演变的概念。

相似文献

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Current concepts on management of medial and posteromedial knee injuries.膝关节内侧及后内侧损伤管理的当前概念
J Clin Orthop Trauma. 2022 Feb 18;27:101807. doi: 10.1016/j.jcot.2022.101807. eCollection 2022 Apr.
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本文引用的文献

10
Biomechanics of the posterior oblique ligament of the knee.膝关节后斜韧带的生物力学。
Clin Biomech (Bristol). 2020 Dec;80:105205. doi: 10.1016/j.clinbiomech.2020.105205. Epub 2020 Nov 2.

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