Lenox Hill Hospital Northwell Health, NY, USA.
Long Island Valley Stream Hospital Northwell Health, Valley Stream, NY, USA.
Orthop Clin North Am. 2024 Jan;55(1):61-71. doi: 10.1016/j.ocl.2023.06.005. Epub 2023 Jul 26.
A review article summarizes the existing literature on intraoperative injury to medial collateral ligament (MCL) during total knee arthroplasty (TKA), methods of fixation, repair, and the outcomes after these injuries. The options for increasing implant constraint and repair of the MCL injury are discussed with the potential indications for each. There is also a review of risk factors for MCL injury during TKA to help anticipate potential issues preoperatively. The proper use of retractors during total knee replacement is also discussed with a focus on careful protection of the MCL during surgery.
一篇综述文章总结了全膝关节置换术中内侧副韧带（MCL）损伤的现有文献，包括固定、修复方法以及这些损伤后的结果。讨论了增加植入物约束和修复 MCL 损伤的选择，并探讨了每种方法的潜在适应证。还回顾了全膝关节置换术中 MCL 损伤的危险因素，以帮助术前预测潜在问题。还讨论了全膝关节置换术中牵开器的正确使用，重点是在手术过程中小心保护 MCL。
