膝关节脱位合并多发韧带损伤患者血管神经损伤诊治的研究进展  

Advances in the research of the diagnosis and treatment of vascular and nerve injury in the knee dislocation with multiple ligament injuries

作　　者：孙正宇[1] 李箭[1] 

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《中国骨与关节杂志》2015年第12期978-983,共6页Chinese Journal of Bone and Joint

摘　　要：膝关节脱位合并多发韧带损伤（knee dislocation＆multiple ligament injury,KDMLI）,指膝关节因创伤导致胫股关节正常的对合关系丧失,伴发多组韧带损伤,同时可合并关节周围的重要结构损伤,损伤形式多种多样,四组韧带结构中不同组合及类型的损伤更具多样性及复杂性。Objective To explore advances in the research of knee dislocation （ KD ） with vascular and nerve injury and to provide theoretical reference for the clinic. Methods Literature of the diagnosis and treatment of KD with vascular and nerve injury at home and abroad was extensively reviewed and analyzed. Results Currently, emergency surgery of repair and revascularization was needed in KD with vascular and nerve injury, while most nerve injury could be treated with conservative treatment or delayed surgery. Fast and accurate assessment was essential for the determination of treatment options and prognosis. Conclusions Knee dislocation （ KD ） with vascular and nerve injury can severely affect the lower limb functions. Comprehensive and systematic evaluation and imaging examination are needed to put forward reasonable treatment options due to complex conditions and rapid progress. At present, there is no academic consensus on the treatment of neurovascular injury, and therefore individualized treatment need to be developed.

关 键 词：创伤和损伤 韧带 关节 血管系统损伤 周围神经损伤 危险性评估 膝关节 膝脱位 

分 类 号：R684.7[医药卫生—骨科学]