膝关节多发韧带损伤关节镜下重建的临床方法与疗效观察

目的探讨关节镜下重建断裂的前交叉韧带和后交叉韧带及修复膝关节内部结构,治疗膝关节脱位合并多发韧带损伤的临床疗效。方法 2009年5月至2010年12月,收治创伤性膝关节脱位16例,男性10例,女性6例。年龄20~62岁,平均年龄43.8岁。按照膝关节脱位的Schenck分型标准:KD-Ⅰ型5例,KD-Ⅱ型4例,KD-Ⅲ型5例,KD-Ⅳ型1例,KD-Ⅴ型1例,均为单膝损伤。其中左膝7例,右膝9例,采用关节镜下重建ACL和PCL,修复内侧副韧带、外侧副韧带和其他膝关节损伤结构。结果依据国际膝关节文件编制委员会(IKDC)综合评定,入院时平均为D级,术后均为B级。结论膝关节脱位后关节镜下重建ACL、PCL和修复其他膝关节结构治疗膝关节多发韧带损伤,疗效确实,具有手术创口小,安全可靠等优点,是一种有效方法。

Application of Multiple Ligament Injury and Its Clinical Efficacy and Clinical Methods

Objective To investigate the clinical efficacy and clinical methods with arthroscopic monitoring in multiple ligaments injuries by anterior cruciate ligament（ACL） and posterior cruciate ligament（PCL） reconstruction and collateral ligament suture treatment of multiple knee ligament injury.Methords The group of 16 patients with traumatic knee dislocation,10 cases of male and female in 6 cases.Aged 20-62 years old,the average age 43.8 years old.In accordance with knee dislocation Schenck classification criteria： KD-Ⅰ type in 5 cases,KD-Ⅱ in 4 cases,KD-Ⅲ in 5 cases,KD-Ⅳ 1 case,KD-Ⅴ 1 case,both are single knee injury.The left knee in 7 cases,9 cases of right knee.Results According to International Knee Documentation Committee（IKDC） comprehensive assessment,the average D grade on admission,final all B grade.Conclusion With arthroscopic monitoring in multiple ligaments injuries by anterior cruciate ligament（ACL） and posterior cruciate ligament（PCL） reconstruction and collateral ligament suture treatment of multiple knee ligament injury.Effect does Excellent,with a surgical micro-wound,safe and reliable,worthy to be clinical promotion.