Phua Sean Kean Ann, Lim Jia Ying, Li Tianpei, Ho Sean Wei Loong
Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.
Department of Radiation Oncology, National Cancer Centre, Singapore.
J Clin Orthop Trauma. 2023 Feb 13;38:102127. doi: 10.1016/j.jcot.2023.102127. eCollection 2023 Mar.
The Segond fracture is commonly regarded as pathognomonic for significant intra-articular pathology such as an anterior cruciate ligament (ACL) tear. There is worsened rotatory instability in patients with concomitant ACL tear and Segond fracture. Current evidence does not suggest that a concomitant and unrepaired Segond fracture leads to worst clinical outcomes after ACL reconstruction. However, there remains a lack of consensus on several aspects of the Segond fracture such as its exact anatomical attachments, ideal imaging modality for detection and indication for surgical treatment. There is currently no comparative study evaluating the outcomes of combined ACL reconstruction and Segond fracture fixation. More research is necessary to deepen our understanding and establish consensus on the role of surgical intervention.
Segond骨折通常被认为是严重关节内病变（如前交叉韧带[ACL]撕裂）的特征性表现。合并ACL撕裂和Segond骨折的患者旋转不稳定会加重。目前的证据并不表明合并未修复的Segond骨折会导致ACL重建术后临床效果更差。然而，在Segond骨折的几个方面仍缺乏共识，如确切的解剖附着点、理想的检测影像学方法和手术治疗指征。目前尚无评估ACL重建联合Segond骨折固定效果的对比研究。需要更多的研究来加深我们的理解，并就手术干预的作用达成共识。
