不同手术时机修补急性膝关节后内侧角损伤的疗效分析
《创伤外科杂志》[ISSN:/CN:]
- 期数:
- 2020年12期
- 页码:
- 915-918
- 栏目:
- 论著·临床研究
- 出版日期:
- 2020-12-20
文章信息/Info
- Title:
- Evaluation of different operation time in treatment of acute injury of posteromedial corner of the knee
- 文章编号:
- 1009-4237(2020)12-0915-04
- Author(s):
- PENG Wei; WNAG Wen-qiao
- Orthopaedic Center,The 8th Center of The General Hospital of the People's Liberation Army,Beijing 100091,China
- 分类号:
- R 684
- DOI:
- 10.3969/j.issn.1009-4237.2020.12.008
- 文献标识码:
- A
- 摘要:
- 目的 探讨比较不同手术时机修补急性膝关节后内侧角(PMC)损伤的临床疗效。方法 回顾性分析2015年12月—2018年12月解放军总医院第八医学中心PMC损伤患者10例,男性7例,女性3例; 年龄19～46岁,平均30.1岁。按手术时机不同分为早期手术组和延期手术组,各5例。早期手术组于患者平均受伤(3.4±1.6)d行手术治疗,延期手术组于患者平均受伤(29.0±5.7)d行手术治疗,两组患者术前一般资料比较差异无统计学意义(P>0.05)。比较两组患者术后国际膝关节文献委员会膝关节评估表(IKDC评分)、Lyshlom评分、膝关节活动度、术后并发症情况。结果 早期手术组IKDC评分(81.8±6.6)分,Lyshlom评分(85.2±8.9)分,与延期手术组(72.8±6.1)分、(73.4±4.7)分比较,差异有统计学意义(P<0.05)。术后4、8、12周早期手术组膝关节活动度(81.0±11.3)°、(115.0±15.8)°、(122.2±10.3)°,延期手术组(53.6±13.6)°、(83.4±19.3)°、(106.8±6.6)°,差异有统计学意义(P<0.05)。两组患者均未出现并发症。结论 早期修补急性PMC损伤有利于膝关节功能的恢复。
参考文献/References
[1] Fanelli GC.Multiple ligament injured knee: initial assessment and treatment[J].Clin Sports Med,2019,38(2):193-198.
[2] Lynch AD,Chmielewski T,Bailey L,et al.Current concepts and controversies in rehabilitation after surgery for multiple ligament knee injury[J].Curr Rev Musculoskelet Med,2017,10(3):328-345.
[3] 李顶夫,雷益,陆伟等.膝关节后内侧结构生物力学意义及损伤的MRI表现[J].放射学实践,2011,26(6):645-648.
[4] Lysholm J,Gillquis J.Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J].Am J Sports Med,1982,10(3):150-154.
[5] Dold AP,Swensen S,Strauss E,et al.The Posteromedial corner of the knee: anatomy,pathology,and management strategies[J].J Am Acad Orthop Surg,2017,25(11):752-761.
[6] Jungmann PM.Posteromedial corner of the knee[J].Radiologe,2019,59(2):155-168.
[7] Cinque ME,Chahla J,Kruckeberg BM,et al.Posteromedial corner knee injuries: diagnosis,management,and outcomes: a critical analysis review[J].JBJS Rev,2017,5(11):e4.
[8] Schein A,Matcuk G,Patel D,et al.Structure and function,injury,pathology,and treatment of the medial collateral ligament of the knee[J].Emerg Radiol,2012,19(6): 489-498.
[9] Lind M,Jakobsen BW,Lund B,et al.Anatomical reconstruction of the medial collateral ligament and posteromedial corner of the knee in patients with chronic medial collateral ligament instability[J].Am J Sports Med,2009,37(6):1116-1122.
[10] Kaplan DJ,Jazrawi LM.Secondary stabilizers of tibial rotation in the intact and anterior cruciate ligament deficient knee[J].Clin Sports Med,2018,37(1):49-59.
[11] Wu XD,Yu JH,Zou T,et al.Anatomical characteristics and biomechanical properties of the oblique popliteal ligament[J].Sci Rep,2017,7:42698.
[12] Fanelli GC,Harris JD.Surgical treatment of acute medial collateral ligament and posteromedial corner injuries of the knee[J].Sports Med Arthrosc Rev,2006,14(2):78-83.
[13] Zhang HZ,Bai XZ,Sun Y,et al.Tibial inlay reconstruction of the medial collateral ligament using Achilles tendon allograft for the treatment of medial instability of the knee[J].Knee Surg Sports Traumatol Arthrosc,2014,22(2):279-284.
[14] Guo J,Yin Y,Jin L,et al.Acute compartment syndrome: Cause,diagnosis,and new viewpoint[J].Medicine(Baltimore),2019,98(27):e16260.
备注/Memo
- 备注/Memo:
- 【通信作者】 王文桥,E-mail:wangwenqiao301@163.com
