Krüger-Franke M, Reinmuth S, Kugler A, Rosemeyer B
Staatliche Orthopädische Klinik, Ludwig-Maximilians-Universität München.
Unfallchirurg. 1995 Jun;98(6):328-32.
We identified 107 consecutive patients with anterior cruciate ligament (ACL) rupture who underwent arthroscopy after trauma. The results of the preoperative clinical examination and the arthroscopic findings of associated injuries to the knee are shown. Some 55% of the acute ACL ruptures involved a tear of the lateral meniscus, 45% of the medial meniscus, and 34% had a lesion of the medial collateral ligament. The most frequent combination of injuries with ACL rupture was a tear in both menisci and a lesion of the medial collateral ligament with a tear in the lateral meniscus. The preoperative examination revealed the ACL rupture in 94% of uses but the lateral meniscal lesion in only 32%. At the time of operation 29% of all associated injuries had not been discovered. These results show that--independent of the time of reconstruction of the thorn ACL--acute rupture of the ACL is an indication for arthroscopy.
我们纳入了107例连续的前交叉韧带（ACL）断裂患者，这些患者均在创伤后接受了关节镜检查。展示了术前临床检查结果以及膝关节相关损伤的关节镜检查结果。约55%的急性ACL断裂伴有外侧半月板撕裂，45%伴有内侧半月板撕裂，34%伴有内侧副韧带损伤。ACL断裂最常见的损伤组合是双侧半月板撕裂以及伴有外侧半月板撕裂的内侧副韧带损伤。术前检查发现94%的患者存在ACL断裂，但仅32%的患者发现外侧半月板损伤。手术时，所有相关损伤中有29%未被发现。这些结果表明——无论何时重建ACL——ACL急性断裂均是关节镜检查的指征。
