Sydnor R W, Andrews J R
Orthop Clin North Am. 1985 Apr;16(2):171-9.
A concept of the "knee at risk" has been discussed. Such knees with acute anterolateral rotatory instability require stabilization. The combination procedure of arthroscopy for diagnosis and treatment of internal derangement with an extra-articular reconstruction has been described. In a follow-up study of 69 cases so treated, objective results were 94 per cent acceptable, and subjective results were 93 per cent acceptable. There was no apparent difference either objectively or subjectively between 12 to 24 months and 24 to 65 months postoperatively in this series. The high incidence (80 per cent) of meniscal lesions in this series re-emphasizes the need for a high index of suspicion of internal derangement in acute knee ligament injuries.
“高危膝关节”的概念已被讨论。此类伴有急性前外侧旋转不稳定的膝关节需要进行稳定治疗。已经描述了关节镜检查用于诊断和治疗关节内紊乱并结合关节外重建的联合手术方法。在对69例接受该治疗的病例进行的随访研究中，客观结果94%可接受，主观结果93%可接受。在本系列中，术后12至24个月与24至65个月之间，客观或主观上均无明显差异。本系列中半月板损伤的高发生率（80%）再次强调了在急性膝关节韧带损伤中对关节内紊乱保持高度怀疑的必要性。
