Mesh : Male Humans Middle Aged Knee Joint Tibia Knee Dislocation / diagnostic imaging surgery Knee Injuries Ligaments, Articular

来  源:   DOI:10.2106/JBJS.CC.23.00071

Abstract:
A 47-year-old man suffered a knee dislocation while skiing with associated damage to the anterior cruciate, posterior cruciate, medial collateral, and medial patellofemoral ligaments. The patient underwent a multiple-ligament knee reconstruction using the supine Lobenhoffer approach, which resulted in remarkable outcomes that persisted throughout the 56-month follow-up period.
The utilization of this approach can prevent inappropriate graft tension and iatrogenic damage, reduce surgical time, and minimize airway complications by eliminating the need for the prone position. Optimizing these factors enhances the patient\'s chances for long-term outcomes; thus, surgeons should consider this approach in managing multiple-ligament knee injuries.
摘要:
方法:一名47岁的男子在滑雪时膝盖脱臼,并伴有前十字韧带损伤,后交叉,内侧侧支,内侧髌股韧带。患者使用仰卧Lobenhoffer方法进行了多韧带膝关节重建,这导致了在整个56个月随访期间持续存在的显著结局.
结论:使用这种方法可以防止不适当的移植物张力和医源性损伤,减少手术时间,并通过消除对俯卧位的需求来最大程度地减少气道并发症。优化这些因素可以提高患者获得长期结果的机会;因此,外科医生在处理多韧带膝关节损伤时应考虑这种方法。
公众号