Werlich T, Brand H, Echtermeyer V, Pöhlmann J
Orthopädische Klinik, Krankenhauses Seepark.
Aktuelle Traumatol. 1993 Feb;23(1):43-9.
Clinical examination is the most accurate means of determining cruciate ligament integrity in the initial evaluation. In the case of a rupture of the anterior cruciate ligament the Lachman test has a high diagnostic accuracy, especially if the end point is absent. The Knee Arthrometer KT-1000 is a useful tool, as it is easy and fast to handle by an experienced examiner. Supplementary to noninvasive diagnostical methods it improves the confidence in clinical diagnosis. However, the importance of instrumental measurement should not be overrated even though reproducible results can be obtained. To compare the results of different studies the design has to be very similar. Although the examination conditions in this study were very homogeneous, a systematic mistake was produced. The average value of tibial displacement was significantly higher for the left knee. Data, obtained retrospectively in clinical practice, should not be used to scientifically document the results of therapeutic procedures.
临床检查是初始评估中确定交叉韧带完整性最准确的方法。在前交叉韧带断裂的情况下，拉赫曼试验具有较高的诊断准确性，尤其是在没有终点感时。膝关节测移仪KT - 1000是一种有用的工具，因为经验丰富的检查者操作起来简便快捷。作为无创诊断方法的补充，它提高了临床诊断的可信度。然而，尽管可以获得可重复的结果，但仪器测量的重要性不应被高估。为了比较不同研究的结果，研究设计必须非常相似。尽管本研究中的检查条件非常一致，但仍产生了一个系统性错误。左膝胫骨位移的平均值明显更高。在临床实践中回顾性获得的数据不应被用于科学记录治疗程序的结果。
