Burri C, Helbing G, Henkemeyer H
Ann Chir Gynaecol. 1981;70(4):169-75.
Objective loss of stability is the indication for surgical reconstruction of acute knee ligament injuries. The final diagnosis is established under anaesthesia preceding the operation. This examination also determines the incision and approach. All structures of the knee joint are checked, lesions are precisely reconstructed. This is done by fine sutures in the case of interligamentary ruptures, pull-out sutures with cruciate lesions present, and fixation plate reinsertions of avulsions with or without osseous flakes. Menisci torn from their capsular base should be reinserted whenever possible. Lesions of the cartilage call for adequate primary management. Incisions are closed subsequent to suction drainage. The leg is positioned in a splint in elevation. Early functional therapy is indicated.
稳定性客观丧失是急性膝关节韧带损伤手术重建的指征。最终诊断在手术前的麻醉状态下确定。该检查还决定切口和入路。检查膝关节的所有结构，精确重建损伤部位。对于韧带间断裂，通过精细缝合进行修复；存在十字韧带损伤时，采用拔出缝合；对于有或无骨片的撕脱伤，则重新插入固定板。半月板从其关节囊基部撕裂时，应尽可能重新植入。软骨损伤需要进行充分的初期处理。在吸引引流后关闭切口。将腿部置于抬高的夹板中。建议进行早期功能治疗。
