Abulsoud Mohamed I, Elzahed Ehab A, Moawad Mohamed, Zayed Faisal Hassan, Abdelaal Mohamed, Hassan Mohamed Abdel Aziz, Elmarghany Mohammed, Elgeushy Ahmed, Fouad Amr A, Abonnour Mostafa
Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Cairo Curative Organization, Cairo, Egypt.
Arch Bone Jt Surg. 2022 Jun;10(6):507-513. doi: 10.22038/ABJS.2021.53200.2643.
This study describes a minimally invasive technique for the reconstruction of the medial collateral ligament (MCL) and posterior oblique ligament (POL) through minimal incisions on the tibial and femoral sides of the ligament using the modified Bosworth technique.
This study included 19 consecutive patients who presented with chronic grade III injury; the mean age was 29.6 years (standard deviation ± 7.5 years, range 19-43 years), and five patients (26.3%) had no associated injuries. Ten patients (52.6%) had associated anterior cruciate ligament (ACL) injury and four patients (21.1%) had associated posterior cruciate ligament (PCL) injury. All patients were assessed 18 months postoperatively regarding functional outcome using the Lysholm score and medial joint space opening.
There was a statistically significant improvement in the patient functional outcome as the Lysholm score improved from 55.39 ± 6.9 to 89.42 ± 6.4 at 18 months postoperatively. (). At the end of the follow-up, 16 cases had grade 1 medial laxity, 3 cases with grade II laxity, and no patients with grade III medial laxity.
Minimally invasive MCL reconstruction with modified Bosworth technique gives very good results regarding the functional outcome and residual medial laxity of the knee.
本研究描述了一种微创技术，通过在韧带的胫骨侧和股骨侧做微小切口，采用改良的博斯沃思技术重建内侧副韧带（MCL）和后斜韧带（POL）。
本研究纳入了19例连续的慢性III级损伤患者；平均年龄为29.6岁（标准差±7.5岁，范围19 - 43岁），5例患者（26.3%）无相关损伤。10例患者（52.6%）伴有前交叉韧带（ACL）损伤，4例患者（21.1%）伴有后交叉韧带（PCL）损伤。所有患者在术后18个月使用Lysholm评分和内侧关节间隙开口评估功能结果。
术后18个月，患者功能结果有统计学意义的改善，Lysholm评分从55.39±6.9提高到89.42±6.4。（）。随访结束时，16例患者内侧松弛为1级，3例为II级，无III级内侧松弛患者。
采用改良博斯沃思技术进行微创MCL重建在膝关节功能结果和残余内侧松弛方面取得了非常好的效果。
