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前交叉韧带损伤。是建议保守治疗还是进行手术?

Anterior cruciate ligament injuries. To counsel or to operate?

作者信息

Satku K, Kumar V P, Ngoi S S

出版信息

J Bone Joint Surg Br. 1986 May;68(3):458-61. doi: 10.1302/0301-620X.68B3.3755441.

DOI:10.1302/0301-620X.68B3.3755441
PMID:3755441
Abstract

Untreated anterior cruciate ligament injuries in 97 knees of 87 patients were reviewed after a mean interval of six years. After their initial recovery 63% of the patients were able to return to their pre-injury sport, but six years later 27% of them had deteriorated to the extent that they could not cope with the same level of sport. Radiological deterioration was maximal in those that had had a meniscectomy more than five years before review. Knees with intact menisci were often radiologically normal despite continuing instability.

摘要

对87例患者的97条膝关节前交叉韧带损伤未经治疗的情况进行了回顾,平均随访间隔为6年。在最初恢复后,63%的患者能够恢复到受伤前的运动水平,但6年后,其中27%的患者病情恶化,无法应对相同水平的运动。在复查前半月板切除术超过5年的患者中,影像学恶化最为明显。尽管持续存在不稳定,但半月板完整的膝关节在影像学上通常正常。

相似文献

1
Anterior cruciate ligament injuries. To counsel or to operate?前交叉韧带损伤。是建议保守治疗还是进行手术?
J Bone Joint Surg Br. 1986 May;68(3):458-61. doi: 10.1302/0301-620X.68B3.3755441.
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[Suture of the meniscus in acute instability of the knee joint].
Ortop Travmatol Protez. 1990 Apr(4):19-22.
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[Clinical evaluation of stability after meniscectomy of the knee after rupture of the anterior cruciate ligament].[前交叉韧带断裂后膝关节半月板切除术后稳定性的临床评估]
Chir Organi Mov. 1984 Oct-Dec;69(4):379-81.
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[Combined rupture of the anterior cruciate ligament and the menisci of the knee. Surgical indications in the light of 163 knee arthroscopies].[前交叉韧带与膝关节半月板联合断裂。基于163例膝关节关节镜检查结果的手术指征]
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Knee function after meniscus repair and total meniscectomy--a 7-year follow-up study.半月板修复和全半月板切除术后的膝关节功能——一项7年随访研究。
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