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膝关节前外侧旋转不稳。髌韧带外侧部分关节外移位稳定术后的结果。初步报告。

Anterolateral rotary instability of the knee joint. Results after stabilization by extraarticular transposition of the lateral part of the patellar ligament. A preliminary report.

作者信息

Benum P

出版信息

Acta Orthop Scand. 1982 Aug;53(4):613-7. doi: 10.3109/17453678208992267.

DOI:10.3109/17453678208992267
PMID:7102280
Abstract

A method using the lateral third of the patellar ligament and the adjacent part of the patella as an extraarticular transplant to the lateral femoral condyle in the stabilization of anterolateral rotary instability of the knee is described and discussed. The operation was performed in six patients. The stabilizing effect of the procedure could be evaluated in only five of them due to the development of septic arthritis in one patient. Four of these five patients had ruptured the anterior cruciate ligament, while the fifth patient had a congenital anterolateral instability. In this patient the procedure was combined with an Ellison operation. In all five patients the operation eliminated the instability and resulted in good function. The procedure is recommended for further testing in the treatment of anterolateral rotary instability of the knee as an alterative method to procedures applying the iliotibial band.

摘要

本文描述并讨论了一种利用髌韧带外侧三分之一及髌骨相邻部分作为关节外移植至股骨外侧髁,用于稳定膝关节前外侧旋转不稳的方法。该手术应用于6例患者。因其中1例患者发生化脓性关节炎,仅5例患者的手术稳定效果可进行评估。这5例患者中,4例前交叉韧带断裂,第5例为先天性前外侧不稳,该患者的手术联合了埃里森手术。所有5例患者术后不稳均消除,功能良好。该方法推荐作为应用髂胫束手术的替代方法,进一步用于膝关节前外侧旋转不稳的治疗测试。

相似文献

1
Anterolateral rotary instability of the knee joint. Results after stabilization by extraarticular transposition of the lateral part of the patellar ligament. A preliminary report.膝关节前外侧旋转不稳。髌韧带外侧部分关节外移位稳定术后的结果。初步报告。
Acta Orthop Scand. 1982 Aug;53(4):613-7. doi: 10.3109/17453678208992267.
2
[Ways of treatment in chronic medial instability of the knee joint (author's transl)].膝关节慢性内侧不稳定的治疗方法(作者译)
Unfallchirurgie. 1980;6(2):111-22. doi: 10.1007/BF02589462.
3
Extraarticular transposition of the patellar tendon for anterolateral instability of the knee. Poor results in 52 patients after 5-14-year follow-up.髌腱关节外移位治疗膝关节前外侧不稳。52例患者随访5 - 14年后结果不佳。
Acta Orthop Scand. 1995 Aug;66(4):321-4. doi: 10.3109/17453679508995553.
4
[Ways of treatment in chronic lateral instability of the knee joint (author's transl)].膝关节慢性外侧不稳定的治疗方法(作者译)
Unfallchirurgie. 1980;6(2):123-33. doi: 10.1007/BF02589463.
5
[The results after 10-16 years of the treatment of chronic anterior laxity of the knee using reconstruction of the anterior cruciate ligament with a patellar tendon graft combined with an external extra-articular reconstruction].[采用髌腱移植重建前交叉韧带并联合关节外重建治疗膝关节慢性前侧松弛10 - 16年后的结果]
Rev Chir Orthop Reparatrice Appar Mot. 1998 Nov;84(8):712-27.
6
Anterolateral rotatory instability of the knee. An analysis of the Ellison procedure.膝关节前外侧旋转不稳定。Ellison手术分析。
Am J Sports Med. 1981 Jul-Aug;9(4):225-32. doi: 10.1177/036354658100900407.
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Combined intra-articular and extra-articular reconstructions for anterior tibial subluxation.联合关节内和关节外重建治疗胫骨前半脱位
Orthop Clin North Am. 1985 Apr;16(2):223-6.
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Anterior cruciate ligament reconstruction using one-third of the patellar ligament, augmented by extra-articular tendon transfers.使用三分之一髌韧带并辅以关节外肌腱转移进行前交叉韧带重建。
J Bone Joint Surg Am. 1982 Mar;64(3):352-9.
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Repair and reconstruction of rotatory instability of the knee.膝关节旋转不稳的修复与重建
Am J Sports Med. 1984 Mar-Apr;12(2):89-97. doi: 10.1177/036354658401200201.
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Anterolateral rotatory instability of the knee. Cadaver study of extraarticular patellar-tendon transposition.膝关节前外侧旋转不稳定。髌腱关节外移位的尸体研究。
Acta Orthop Scand. 1990 Jun;61(3):225-30. doi: 10.3109/17453679008993505.

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Anterolateral complex of the knee: State of the art.膝关节前外侧复合体:最新进展
World J Orthop. 2022 Aug 18;13(8):679-692. doi: 10.5312/wjo.v13.i8.679.
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Graft choices for anterolateral ligament knee reconstruction surgery: Current concepts.膝关节前外侧韧带重建手术的移植物选择:当前概念
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Supplementary Lateral Extra-articular Tenodesis for Residual Anterolateral Rotatory Instability in Patients Undergoing Single-Bundle Anterior Cruciate Ligament Reconstruction: A Meta-analysis of Randomized Controlled Trials.单束前交叉韧带重建患者残余前外侧旋转不稳的补充外侧关节外腱固定术:一项随机对照试验的荟萃分析
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Anterolateral Ligament Reconstruction Technique: An Anatomic-Based Approach.前外侧韧带重建技术:一种基于解剖学的方法。
Arthrosc Tech. 2016 May 9;5(3):e453-7. doi: 10.1016/j.eats.2016.01.032. eCollection 2016 Jun.