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[膝关节韧带的外科治疗]

[Surgical treatment of knee joint ligaments].

作者信息

György B, Zoltán H

出版信息

Magy Traumatol Orthop Helyreallito Seb. 1976;19(2):81-9.

PMID:6838
Abstract

Because injuries of the ligaments of the knee joint, during 11 years 58 operations have been performed by the authors. In order to evaluate the late results, all patients have been reexamined 1 to 10 years after the operation. In more than the half of the cases at the least 2 ligament injuries have been operated on. 31 patients underwent the operation within two weeks after the injury, and the other patients later on. The authors' material and results are compared also with the data of the literature. In the authors' opinion the result of the surgical treatment is not decisively depending on the chosen operative method. The early and exact diagnosis--forming the basis of the suitable treatment--are of far greater importance. The perfect operative technique and the consequent rehabilitation are indispensable requirements of all surgical interventions. After severe ligament injury of the knee joint the surgical intervention allowed to 2/3 or 3/4 of the injured patients to return to work with stabilized knee. In younger patients also sporting may be possible. Therefore the surgical treatment of the knees, which became unstable because of ligament injury, is absolutely indicated in patients in working age.

摘要

由于膝关节韧带损伤,作者在11年间进行了58例手术。为了评估远期疗效,对所有患者在术后1至10年进行了复查。超过半数的病例至少对2处韧带损伤进行了手术。31例患者在受伤后两周内接受了手术,其他患者则在之后接受手术。作者的资料和结果还与文献数据进行了比较。作者认为,手术治疗的结果并非决定性地取决于所选择的手术方法。早期准确的诊断作为合适治疗的基础,其重要性要大得多。完善的手术技术和后续的康复是所有手术干预不可或缺的要求。膝关节严重韧带损伤后,手术干预使2/3或3/4的受伤患者能够以稳定的膝关节恢复工作。在年轻患者中甚至也有可能进行体育活动。因此,对于因韧带损伤而变得不稳定的膝关节,手术治疗绝对适用于工作年龄段的患者。

相似文献

1
[Surgical treatment of knee joint ligaments].[膝关节韧带的外科治疗]
Magy Traumatol Orthop Helyreallito Seb. 1976;19(2):81-9.
2
[Injuries of the extension apparatus of the knee joint].
Khirurgiia (Mosk). 1989 Aug(8):16-22.
3
[Results of surgical treatment of acute knee joint injuries after winter sport accidents].
Helv Chir Acta. 1978 May;45(1-2):7-11.
4
[Arthroscopic treatment of the unstable knee joint by ligament reconstruction using allografts].[同种异体移植物韧带重建关节镜治疗不稳定膝关节]
Acta Chir Orthop Traumatol Cech. 2001;68(1):31-8.
5
[Surgical treatment of recent injuries of the internal lateral ligament of the knee joint].膝关节内侧副韧带近期损伤的外科治疗
Ortop Travmatol Protez. 1989 Feb(2):11-3.
6
Results of use of the central one-third of the patellar ligament to compensate for anterior cruciate ligament deficiency.
Clin Orthop Relat Res. 1980 Mar-Apr(147):39-44.
7
[Infectious complications after arthroscopic replacement of the cruciate ligaments].关节镜下交叉韧带置换术后的感染并发症
Acta Chir Orthop Traumatol Cech. 2005;72(1):28-31.
8
The anterior cruciate ligament problem.前交叉韧带问题。
Clin Orthop Relat Res. 1983 Jan-Feb(172):14-8.
9
[Ligament lesions of the knee--also a typical occupational injury].[膝关节韧带损伤——也是一种典型的职业损伤]
Chirurg. 1984 Nov;55(11):717-20.
10
[Restoration of fresh and old injuries of the extensior apparatus of the knee-joint (author's transl)].膝关节伸肌装置新旧损伤的修复(作者译)
Zentralbl Chir. 1980;105(1):12-20.