Lobenhoffer P, Oestern H J
Unfallchirurgische Klinik, Medizinische Hochschule Hannover.
Chirurg. 1997 Nov;68(11):1093-105. doi: 10.1007/s001040050328.
The treatment of knee joint injuries has seen marked development in the last few years. The surgical trauma of intra-articular fracture reconstruction has been reduced significantly. Retrograde nailing, percutaneous plating and specific exposures to distal femur and proximal tibia fractures have been established. Percutaneous osteosynthesis controlled by arthroscopy or fluoroscopy is widely used for B-fractures of the tibial plateau. Injectable bone mineral cement adds to reduced trauma of surgical treatment of these fractures. In all knee ligament procedures, arthroscopy is obligatory for diagnosing and conducting meniscus surgery. Ligament reconstruction should be performed either arthroscopically or by a limited arthrotomy, the results being comparable at present.
在过去几年中,膝关节损伤的治疗取得了显著进展。关节内骨折重建的手术创伤已大幅减少。逆行髓内钉固定、经皮钢板固定以及针对股骨远端和胫骨近端骨折的特定显露方式已确立。由关节镜或透视控制的经皮骨固定术广泛应用于胫骨平台B型骨折。可注射骨水泥减少了这些骨折手术治疗的创伤。在所有膝关节韧带手术中,关节镜检查对于诊断和进行半月板手术是必不可少的。韧带重建应通过关节镜或有限切开术进行,目前两者效果相当。