摘要
创伤性膝关节脱位包括了关节稳定结构的各种软组织损伤,当前后交叉韧带和至少1条侧副韧带复合撕裂后,膝关节表现为极不稳定,即出现膝关节脱位。治疗创伤性膝关节脱位应该多考虑其复杂性,自2006年2月至2009年3月,我们采用关节镜和有限开放手术治疗35例膝关节脱位患者,31例得到随访,效果满意,现介绍如下。
出处
《中华临床医师杂志(电子版)》
CAS
2013年第9期200-201,共2页
Chinese Journal of Clinicians(Electronic Edition)
基金
国家自然科学基金(31260230)
内蒙古自治区自然科学基金(2010MS1109)
参考文献15
-
1Tzurbakis M,Diamantopoulos A,Xenakis T. Surgical treatment of multiple knee ligament injuries in 44 patients:2-8 years follow-up re-sults[J].Knee Surgery Sports Traumatology Arthroscopy,2006.739-749.
-
2黄长征,范伟杰,陈志伟,廖瑛.成形联合修补术在盘状半月板损伤治疗中的应用[J].中国骨伤,2010,23(6):409-412. 被引量:20
-
3Eric T,Ricchetti MD,Samir Mehta MD. Comparison of Lateral Release Versus Lateral Release With Medial Soft-Tissue Realignment for the Treatment of Recurrent Patellar Instability:A Systematic Re-view[J].Arthroscopy:The Journal of Arthroscopic and Related Surgery,2007.463-468.
-
4Owens BD,Neaull M,Benson E. Primary repair of knee disloca-tion:results in 25 patients (28 knees) at a mean follow-up of four years[J].Journal of Orthopaedic Trauma,2007.92-96.
-
5段鑫,杨勇,肖国庆,张大刚,付维力,张俊,李箭.关节镜下修复重建膝关节脱位合并多发韧带损伤的疗效观察[J].中国修复重建外科杂志,2008,22(6):673-675. 被引量:19
-
6李皓,王大平,陆伟,欧阳侃,朱伟民,柳海峰,彭亮权.关节镜下前交叉韧带重建300例临床研究[J].中华临床医师杂志(电子版),2012,6(8):40-42. 被引量:7
-
7Mills WJ,Barei D,Mcnair P. The value of the the ankle-brachial index for diagnosing arterial injury after knee dislocations:a prospective stud-y[J].Journal of Trauma-Injury Infection and Critical Care,2004.1261-1265.
-
8Frykberg ER. Popliteal vascular injuries[J].Surgical Clinics of North America,2002.67-89.
-
9Klineberg EO,Crites BM,Flinn WR. The role of arteriography in assessing popl iteal artery injury in knee dislocations[J].Journal of Trauma-Injury Infection and Critical Care,2004.786-790.
-
10Ríos A,Villa A,Fahandezh H. Results after treatment of traumat-ic knee dislocations:A report of 26 cases[J].Journal of Trauma-Injury Infection and Critical Care,2003.489-494.
二级参考文献86
-
1谷守滨,郝晨光,徐璐.关节镜辅助下膝关节前、后交叉韧带联合损伤的治疗[J].中国内镜杂志,2008,14(8):815-817. 被引量:10
-
2徐海斌,赵斌,余占洪,华方方,吴大鹏,刘珂.膝关节镜下治疗半月板损伤30例疗效分析[J].中国骨伤,2004,17(7):421-422. 被引量:6
-
3孙磊,宁志杰,宁廷民,田敏,胡宏伟,张红,马清元,高加智,刘欣欣.膝关节多韧带损伤[J].中国骨与关节损伤杂志,2006,21(10):787-790. 被引量:16
-
4王飞,陈百成,高石军,张奇.盘状半月板水平撕裂的手术治疗[J].中国矫形外科杂志,2006,14(22):1704-1706. 被引量:9
-
5Rohren EM,Kosarek FJ,Helms CA.Discoid lateral meniscus and the frequency of meniscal tears.Skeletal Radiol,2001,30(6):316-320.
-
6Ikeuchi H.Arthroscopic treatment of the discoid lateral meniscus:technique and long termresults.Clin Orthop,1998,167:19-28.
-
7Bin SI,Kim JC,Kim JM,et al.Correlation between type of discoid lateral menisci and tear pattern.Knee Surg Sports Traumatol Arthrosc,2002,10(4):218-222.
-
8Bin SI,Jeong SI,Kim JM,et al.Arthroscopic partial meniscectomy for horizontal tear of discoid lateral meniscus.Knee Surg Sports Traumatol Arthrosc,2002,10(1):20-24.
-
9Lu Y,Tang WY.The curative effect of rehabilitative training in the arthroscopic treatment of meniscus.Chinese Journal of Physical Medicine and Rehabilitation,2002,24:559-560.
-
10Yang SC,Kuo PW,Wang JD,et al.Development and psychometric properties of the dialysis module of the WHOQOL-BREF Taiwan version.J Formos Med Assoc,2006,105(4):299-309.
共引文献71
-
1邬燕.1例膝关节脱位合并下肢血管损伤患者的观察和护理[J].医学信息(医学与计算机应用),2014,0(1):232-232.
-
2曾昭池,周国和,陈斌.关节镜在膝关节军事训练伤早期诊断与治疗中的价值[J].医学临床研究,2009,26(2):279-281. 被引量:1
-
3吴峰,孙国强,郭庆升.关节镜下应用同种异体肌腱一期重建前后交叉韧带[J].中国当代医药,2009,16(11):55-56. 被引量:2
-
4常青,黄迅悟,余方圆,关长勇,孙继桐,吴广森,蒋长亮.应用异体跟腱重建膝交叉韧带10年随访[J].国际骨科学杂志,2009,30(4):264-265. 被引量:6
-
5冯晓娜,李春江,李文宏,徐开达.双套索锁扣结错位缝合悬吊固定法修复膝关节内侧副韧带起点断裂[J].中国修复重建外科杂志,2010,24(6):701-703. 被引量:4
-
6卫小春.膝关节损伤的诊断与治疗[J].中国骨伤,2010,23(6):403-405. 被引量:11
-
7蒋青.膝关节运动损伤的诊治要点[J].中国骨伤,2010,23(6):406-408. 被引量:2
-
8王邦军,莫树喜,严力军.关节镜辅助下修复重建膝关节多韧带损伤[J].临床骨科杂志,2010,13(5):532-533. 被引量:6
-
9戴祝,陈疾忤,陈世益,陈志伟,范伟杰,廖瑛,蒋佳.半月板成形和缝合治疗累及腘肌腱裂孔的盘状软骨损伤[J].中国修复重建外科杂志,2011,25(1):13-16. 被引量:24
-
10陈志伟,刘春磊,杨乐忠,戴祝,曹盛俊.分期治疗外伤性膝关节脱位合并多韧带损伤的疗效观察[J].中国修复重建外科杂志,2011,25(2):225-228. 被引量:28
同被引文献42
-
1Zhang Y,Zhang X, Hao Y, et al. Surgical management of the multiple-ligament injured knee:a case series from Chongqing, China and review of published reports[J]. Orthop Surg, 2013, 5(4) :239-249.
-
2Schenck R. Classification of knee dislocations[J]. Oper Tech Sports Med, 2003,11 (3) : 193-198.
-
3Stannard JP, Bauer KL. Current concepts in knee disloca- tions: PCL, ACL, and medial sided injuries[J]. J Knee Surg, 2012,25 (4) : 287-294.
-
4Dedmond BT, Almekinders LC. Operative versus nonoperative treatment of knee disloeations:a meta-analysis[J]. Am J Knee Surg, 2001,14(1) : 33-38.
-
5Fanelli GC, Edson CJ. Combined posterior cruciate ligament- posterolateral reconstructions with Achilles tendon allograft and biceps femoris tendon tenodesis: 2- to 10-year follow-up [J]. Arthroscopy, 2004,20(4) : 339-345.
-
6Kurtz CA, Sekiya JK. Treatment of acute and chronic anterior cruciate ligament-posterior cruciate ligament-lateral side knee injuriesD]. J Knee Surg, 2005,18(3) : 228-239.
-
7H arner CD, Waltrip RL, Bennett CH, et al. Surgical manage- ment of knee dislocations[J]. J Bone Joint Surg Am, 2004, 86-A(2) :262-273.
-
8Miller MD. Re:primary repair of knee dislocations:results in 25 patients(28 knees) at a mean follow-up of four years[J]. J Orthop Trauma,2007,21(2) :97-98.
-
9Mook WR, Miller MD, Diduch DR, et al. Multiple-ligament knee injuriesz a systematic review of the timing of operative intervention and postoperative rehabilitation[J]. J Bone Joint Surg Am, 2009,91 (12) : 2946-2957.
-
10Gwathmey FW, Shafique DA, Miller MD. Our approach to the management of the multiple-ligament knee injury[J]. Oper Tech Sports Med, 2010,18 (4) : 235-244.
引证文献4
-
1沈逊,王青.膝关节多韧带损伤的治疗时机与策略[J].江苏医药,2015,41(7):818-820. 被引量:2
-
2谌勇,魏大成,杨伟,许家祥.创伤性膝关节脱位失稳性的临床诊治[J].创伤外科杂志,2016,18(6):368-370. 被引量:1
-
3张素杰,何鹏宇.膝关节交叉韧带在不同运动状态下的生物力学特性及其损伤机制研究[J].临床和实验医学杂志,2016,15(22):2255-2258. 被引量:4
-
4徐国浩,桂鉴超,陈福扬,朱亮亮.一期关节镜下多韧带修复重建治疗膝关节脱位的疗效观察[J].山西医药杂志,2016,45(22):2654-2657. 被引量:4
二级引证文献11
-
1曹方铭.PRP凝胶对膝关节韧带重建术后患者韧带功能恢复的影响[J].中国现代医生,2018,56(21):6-8.
-
2冯旭,鲍丰,陈红卫.关节镜下一期手术修复膝关节多发韧带损伤疗效分析[J].中国骨与关节损伤杂志,2018,33(8):853-854. 被引量:9
-
3刘文祥,余润泽,张彪.微创接骨板内固定术治疗膝关节内骨折的疗效观察[J].中国临床研究,2018,31(9):1236-1239. 被引量:7
-
4郭靖.64层螺旋CT诊断膝关节创伤后骨折的临床价值[J].医疗装备,2018,31(6):20-21. 被引量:3
-
5周红星,张保健,成小辉,兰宇斌,王永朝,姜祖康,袁祥生.创伤性膝关节多发韧带损伤关节镜下重建的疗效分析[J].现代诊断与治疗,2018,29(9):1419-1421. 被引量:1
-
6朱彦青,赵丽.“挠羊赛”双抱腿技术动作三维力学分析[J].四川体育科学,2019,38(4):70-73.
-
7苏建文,关红.CPM治疗急性膝关节多发韧带损伤的效果分析[J].检验医学与临床,2019,16(18):2731-2733. 被引量:3
-
8陈改梅,孟娟,王彩燕.关节镜下一期重建修复膝关节前后交叉韧带及内侧副韧带损伤的手术配合[J].西北国防医学杂志,2020,41(10):642-645. 被引量:6
-
9王长青,杨荣丽,付升旗.前交叉韧带弥散张量纤维示踪成像观测及临床应用[J].中国临床解剖学杂志,2021,39(4):405-409. 被引量:2
-
10岳茂兴.关节镜下手术与传统开放手术治疗膝关节多韧带损伤临床比较[J].双足与保健,2017,26(4):48-49. 被引量:1
-
1李海波.闭合扩髓与开放非扩髓交锁髓内钉治疗胫骨干骨折疗效比较[J].四川医学,2004,25(2):188-189. 被引量:1
-
2刘锦钰.双膝关节人工表面置换术[J].人人健康,2008,0(11):48-49.
-
3宋进良,郑稼,罗建平,田书建,赵炬才,张广泉.髓内扩张自锁钉内固定治疗胫腓骨骨折疗效探讨[J].中国矫形外科杂志,2003,11(19):1427-1428. 被引量:5
-
4齐晓红.脊髓空洞症伴夏科关节误诊2例分析[J].山西医药杂志,2004,33(2):177-178.
-
5彭耀金,张朝跃,文雪平.25例开放性Ⅲ型Pilon骨折手术疗效分析[J].医学临床研究,2009,26(8):1455-1456.
-
6张明宇,郑江,杨镇,张宪,刘阳,周伟,周运平.反应性关节炎治疗的探讨[J].美中国际创伤杂志,2011,10(1):44-44.
-
7王海燕,陈立忠,李雪松.免疫抑制剂等联合用药治愈较重银屑病关节炎1例[J].中国现代医生,2008,46(31):157-157.
-
8金震滨,陆健,梁宏伟,缪小芬,朱纪吾,孙春锋.掌跖脓疱病性骨关节炎影像学表现并文献复习[J].实用放射学杂志,2011,27(8):1279-1281. 被引量:1
-
9梁显球,黄绍贤,陈志军,余斌.MED术中难题、对策及中转有限开放时机的探讨[J].中国医师杂志,2005,7(S1):206-208. 被引量:1
-
10金红花,程若勤,王化敏.强直性脊柱炎的MRI分析[J].实用放射学杂志,2010,26(8):1166-1168. 被引量:15