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[膝关节内侧副韧带断裂的保守治疗。一项比较性随访研究的结果]

[Conservative therapy of ruptures of the medial collateral ligament of the knee. Results of a comparative follow-up study].

作者信息

Pförringer W, Beck N, Smasal V

机构信息

Staatliche Orthopädische Klinik München.

出版信息

Sportverletz Sportschaden. 1993 Mar;7(1):13-7. doi: 10.1055/s-2007-993477.

DOI:10.1055/s-2007-993477
PMID:8484161
Abstract

The rupture of the medial collateral ligament of the knee joint due to sports injuries is the most common lesion of ligaments of the knee in athletes. The treatment is usually non-operative. We compared in a retrospective study the conservative treatment of these ruptures by two different methods. One group of patients was immobilised in a plaster cast for six weeks, one group of patients was partially immobilised with a brace, initiating early functional therapy. The results proved that the group of early mobilisation was significantly better in late results, in shorter rehabilitation and in all other aspects regarded as important for the treatment of such an injury. Therefore we feel the treatment with plaster casting for isolated ruptures of medial collateral ligaments as the knee should be abandoned.

摘要

运动损伤导致的膝关节内侧副韧带断裂是运动员膝关节韧带最常见的损伤。治疗通常采用非手术方法。我们在一项回顾性研究中比较了两种不同方法对这些断裂的保守治疗。一组患者用石膏固定六周,另一组患者用支具进行部分固定,并开始早期功能治疗。结果证明,早期活动组在远期效果、较短的康复时间以及所有其他被认为对此类损伤治疗很重要的方面都明显更好。因此,我们认为对于膝关节内侧副韧带单纯断裂采用石膏固定的治疗方法应该被摒弃。

相似文献

1
[Conservative therapy of ruptures of the medial collateral ligament of the knee. Results of a comparative follow-up study].[膝关节内侧副韧带断裂的保守治疗。一项比较性随访研究的结果]
Sportverletz Sportschaden. 1993 Mar;7(1):13-7. doi: 10.1055/s-2007-993477.
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[Treatment of isolated medial ligament lesions of the knee joint].[膝关节孤立性内侧韧带损伤的治疗]
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Operative and nonoperative treatments of medial collateral ligament rupture with early anterior cruciate ligament reconstruction: a prospective randomized study.内侧副韧带断裂合并早期前交叉韧带重建的手术与非手术治疗:一项前瞻性随机研究。
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[Conservative treatment of rupture of the medial collateral ligament of the knee].膝关节内侧副韧带断裂的保守治疗
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[Conservative functional treatment of fibular capsule ligament rupture even in the performance athlete?].即使对于职业运动员,腓骨囊韧带断裂也采用保守功能治疗?
Sportverletz Sportschaden. 1987 Apr;1(1):25-9. doi: 10.1055/s-2007-993691.

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The use of early immobilization in the management of acute soft-tissue injuries of the knee: results of a survey of emergency physicians, sports medicine physicians and orthopedic surgeons.早期固定在膝关节急性软组织损伤治疗中的应用:急诊医师、运动医学医师和骨科医师调查结果。
Can J Surg. 2015 Feb;58(1):48-53. doi: 10.1503/cjs.004014.
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Single allograft medial collateral ligament and posterior oblique ligament reconstruction: a technique to improve valgus and rotational stability.单一同种异体内侧副韧带和后斜韧带重建:一种改善外翻和旋转稳定性的技术。
Eur J Orthop Surg Traumatol. 2014 Aug;24(6):1025-9. doi: 10.1007/s00590-013-1265-3. Epub 2013 Jun 27.
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Operative management of the medial collateral ligament in the multi-ligament injured knee: an evidence-based systematic review.
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Knee Surg Sports Traumatol Arthrosc. 2009 Jul;17(7):823-9. doi: 10.1007/s00167-009-0810-4. Epub 2009 May 7.
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MCL injuries of the knee: current concepts review.膝关节内侧副韧带损伤:当前概念综述
Iowa Orthop J. 2006;26:77-90.