Friis J, Jensen K H
Ortopaedkirurgisk afdeling O, Hillerød Sygehus.
Ugeskr Laeger. 1998 Aug 31;160(36):5197-9.
This report is based on two case stories. Traumatic knee dislocation is a rare but serious event. There is extensive damage to the ligaments of the knee, but the vascular lesions, with an incidence of approximately 29% are of primary concern. Signs of ischaemia indicate arteriography or exploration, and if the vascular lesion is repaired within eight hours, the majority can avoid amputation. Complicating fractures, ligament lesions and nerve lesions have secondary priority to arterial lesions. A combination of surgical ligament-repair/reconstruction and intensive rehabilitation seems the most promising.
本报告基于两个病例。创伤性膝关节脱位虽罕见但严重。膝关节韧带会受到广泛损伤，不过血管损伤更为令人担忧，其发生率约为29%。缺血迹象表明需进行动脉造影或探查，若在八小时内修复血管损伤，多数患者可避免截肢。复杂骨折、韧带损伤和神经损伤相对于动脉损伤而言为次要问题。手术韧带修复/重建与强化康复相结合似乎是最有前景的治疗方法。
