急性膝后外侧结构损伤的诊断和治疗  

Diagnosis and Treatment of Acute Posterolateral Structure Injuries of the Knee

作　　者：张家红[1] 戴力扬[1] 陈晓东[1] 

机构地区：[1]上海第二医科大学附属新华医院骨科,上海市200092

出　　处：《骨与关节损伤杂志》2002年第6期419-420,共2页The Journal of Bone and Joint Injury

摘　　要：目的　探讨膝后外侧结构损伤的诊断和治疗方法。方法　自 1996年 6月～ 2 0 0 0年 7月共收治急性膝后外侧结构损伤患者 15例 ,均行损伤结构修补和加强手术。结果　 15例平均随访 30个月 ,术后膝关节功能优良 11例 ,中 4例 ,无关节严重不稳而再次手术者。结论　详细地了解病史和正确的临床检查 ,结合MRI和关节镜检查仍是诊断膝后外侧结构损伤的可靠方法 ,急性Ⅰ、Ⅱ度膝后外侧结构损伤保守治疗 ,急性Ⅲ度膝后外侧结构损伤应手术治疗 ,术中避免损伤腓总神经 ,术后提倡膝关节早期功能锻炼。Objective To investigate the diagnosis and treatment for injuries of the posterolateral structures of the knee(PLC).Methods Fifteen patients with acute posterolateral injuries were treated from June. 1996 to July. 2000 by operative repair and augmentation.Results Fifteen cases were followed-up for thirty months. It showed that excellent and good function in 11 cases , fair was 4.there was no recurrence of instability.Conclusion To find out detailed medical history and correct clinic examination linking MRI and arthroscopy are still a reliable way for diagnosis of injuries of PLC. Acute gradeⅠ?Ⅱinjuries of PLC is treated conservetively,acute grade Ⅲ isolated or combined injury of the posterolateral corner is best treated operatively,demage of commom peroneal nerve should be avoid in operation. Early functional exercises and mobilization after operation should be recommened.

关 键 词：后外侧结构 膝损伤 治疗 外科手术 诊断 

分 类 号：R684.7[医药卫生—骨科学]