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前交叉韧带新鲜撕裂伤缝合术后的膝关节功能

Knee function following suture of fresh tear of the anterior cruciate ligament.

作者信息

Strand T, Engesaeter L B, Mølster A O, Raugstad T S, Stangeland L, Stray O, Alho A

出版信息

Acta Orthop Scand. 1984 Apr;55(2):181-4. doi: 10.3109/17453678408992333.

DOI:10.3109/17453678408992333
PMID:6711285
Abstract

A retrospective consecutive series of 60 patients treated with primary suture of knee ligament injuries is presented. All patients had an anterior ligament (ACL) tear. In 54 patients this injury was combined with a medial compartment tear. Four patients had isolated tears of the ACL. At follow-up after 4 years, 11 patients complained of instability, and in eight of these an anterolateral rotatory instability was demonstrated by the Slocum test. In contrast, only five of 49 patients with subjectively stable knees had positive Slocum tests. Thirty of 47 patients with negative Slocum tests had excellent function, compared with four of 13 patients with positive tests.

摘要

本文报告了一组采用膝关节韧带损伤一期缝合治疗的60例连续回顾性病例。所有患者均有前交叉韧带(ACL)撕裂。其中54例患者该损伤合并内侧间室撕裂。4例患者为单纯ACL撕裂。在4年的随访中,11例患者主诉膝关节不稳,其中8例经Slocum试验证实存在前外侧旋转不稳。相比之下,49例主观感觉膝关节稳定的患者中,只有5例Slocum试验阳性。Slocum试验阴性的47例患者中有30例功能优良,而试验阳性的13例患者中只有4例功能优良。

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