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保留半月板的膝关节韧带修复术。

Ligament repair in the knee with preservation of the meniscus.

作者信息

Price C T, Allen W C

出版信息

J Bone Joint Surg Am. 1978 Jan;60(1):61-5.

PMID:624760
Abstract

In early surgical repair of forty acute ruptures of the medial ligament of the knee in patients sixteen to twenty-four years old, the meniscus was resutured when it was avulsed from the bone and was excised only when there was central disruption (three knees). Follow-up of one to six years in thirty-six patients whose menisci were preserved showed that thirty-three had no limitations due to knee impairment. Twenty-six patients were re-examined; sixteen had no medial instability and twenty-one had no anterior rotatory instability. We concluded that in the absence of significant advantage from meniscectomy, an intact meniscus should not be removed.

摘要

在对16至24岁的患者进行的40例急性膝关节内侧韧带断裂的早期手术修复中,当半月板从骨头上撕脱时进行了重新缝合,只有在出现中央撕裂时才进行切除(3例膝关节)。对36例半月板得以保留的患者进行了1至6年的随访,结果显示33例患者没有因膝关节损伤而受到限制。对26例患者进行了复查;16例没有内侧不稳定,21例没有前旋转不稳定。我们得出结论,在半月板切除术没有显著优势的情况下,不应切除完整的半月板。

相似文献

1
Ligament repair in the knee with preservation of the meniscus.保留半月板的膝关节韧带修复术。
J Bone Joint Surg Am. 1978 Jan;60(1):61-5.
2
The importance of the posterior oblique ligament in repairs of acute tears of the medial ligaments in knees with and without an associated rupture of the anterior cruciate ligament. Results of long-term follow-up.后斜韧带在伴有或不伴有前交叉韧带断裂的膝关节内侧韧带急性撕裂修复中的重要性。长期随访结果。
J Bone Joint Surg Am. 1994 Sep;76(9):1328-44. doi: 10.2106/00004623-199409000-00008.
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Primary knee ligament repair--revisited.膝关节韧带一期修复——再探讨
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Treatment of knee joint instability secondary to rupture of the posterior cruciate ligament. Report of a new procedure.后交叉韧带断裂继发膝关节不稳的治疗。一种新手术方法的报告。
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Meniscus repair in knee ligament injuries.膝关节韧带损伤中的半月板修复
Acta Orthop Scand. 1985 Apr;56(2):130-2. doi: 10.3109/17453678508994336.
6
[Suture of the meniscus in acute instability of the knee joint].
Ortop Travmatol Protez. 1990 Apr(4):19-22.
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The prognosis of repaired and intact menisci in unstable knees--a comparative study.不稳定膝关节中修复和完整半月板的预后——一项对比研究。
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8
[Fresh rupture of the inner ligament of the knee joint. An analysis of a sports traumatologic patient sample from 1981 to 1987].[膝关节内侧韧带新鲜断裂。对1981年至1987年运动创伤患者样本的分析]
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9
Repair and reconstruction of rotatory instability of the knee.膝关节旋转不稳的修复与重建
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引用本文的文献

1
The role of the deep medial collateral ligament in controlling rotational stability of the knee.膝部深层内侧副韧带在控制膝关节旋转稳定性中的作用。
Knee Surg Sports Traumatol Arthrosc. 2015 Oct;23(10):3101-7. doi: 10.1007/s00167-014-3095-1. Epub 2014 Jun 4.
2
In vivo length patterns of the medial collateral ligament during the stance phase of gait.在步态站立阶段,内侧副韧带的体内长度模式。
Knee Surg Sports Traumatol Arthrosc. 2011 May;19(5):719-27. doi: 10.1007/s00167-010-1336-5. Epub 2010 Dec 11.
3
Meniscotibial (coronary) ligament tears.
Skeletal Radiol. 1984;11(3):191-6. doi: 10.1007/BF00349493.
4
Arthroscopic suture of peripheral meniscal tears.关节镜下半月板外周撕裂的缝合术
Int Orthop. 1988;12(4):287-90. doi: 10.1007/BF00317826.