【摘要】 目的分析膝关节脱位合并多韧带损伤的手术治疗效果。方法 2009年9月—2013年8月收治膝关节脱位合并多韧带损伤患者31例,应用关节镜技术重建前后交叉韧带,并同时通过微创切口修补内侧副韧带、外侧副韧带及内、外侧复合体损伤。重建材料选择自体或异体肌腱,术后进行康复训练。结果所有患者均获得随访,时间6~24个月。术后6个月随访膝关节Lysholm评分平均(85.0±1.2)分,终末随访时平均(92.0±1.8)分,与术前(5.0±2.1)分相比差异具有统计学意义(t=5.036,P<0.01);膝关节活动度术后6个月达(121.0±1.6)°。结论关节镜下重建前后交叉韧带结合微创切口修复多韧带损伤,可以明显改善膝关节功能,临床疗效较好。更多还原

【Abstract】 Objective To analyze the effect of operation for dislocation of knee joint combined with ligament injury.Methods From 2009 Septemher to 2013 August,31 patients with multiple ligament injury of knee dislocation were enrolled,they received the reconstruction of anterior and posterior cruciate ligament were achieved under arthroscopy,and at the same lime by minimally invasive to repair collateral ligament,lateral collateral ligament,lateral complex injury.Reconstruction material was selected wiht autologous or allogeneic tendon,rehabilitation training was performed after operation.Results All the patients were followed up for 6-24 months.After 6 months of follow-up,the Lysholm knee score was(85.0 ±1.2) points,at final follow-up,the average soere was(92.0 ±1.8) points,and has a statistical significance difference from the preoperative(5.0 ±2.1) phase(t =5.036,P <0.01);up to 6 months,activity of knee joint after operation was(121.0 ± 1.6) °.Conclusion Arthroscopic reconstruction of anterior cruciate ligament and combined with minimally invasive incision repair of ligament injury can significantly improve the function of knee joint with good clinical curative effect.更多还原