■这项研究旨在介绍一种新颖的关节镜治疗膝关节内侧和后内侧不稳定的方法,并提出主要和随访结果。
■本报告包括2007年至2017年接受关节镜入路治疗内侧和后内侧角不稳定的所有患者。总的来说,包括45名患者,其中75.6%为男性。患者的平均年龄为32.2±8.4岁。总的来说,44.4%和15.6%的患者有相关的半月板损伤和软骨损伤,分别。患者平均随访时间为84.2±25.3个月。
■总的来说,37例患者发展了全方位的运动(82.2%),大多数患者(95.6%)表现出出色的股四头肌力量(4级和5级)。所有患者的后抽屉试验正常或1+。枢轴移位试验,和拉赫曼体检测试。此外,60%有孤立的前交叉韧带损伤,17.8%有孤立的后副韧带损伤,17.6%的患者有一次以上的韧带损伤。一名患者出现化脓性关节炎。两名患者经历了疼痛,一名疼痛患者出现疼痛,内上髁有骨刺形成。3例患者在最后一次随访时表现为2+内侧副韧带(MCL)测试(中度不稳定),所有这些人都有多韧带损伤。所有患者,除了三名MCL重建失败的患者,回到以前的活动。
■这项研究描述了一种新型的MCL损伤关节镜治疗方法,结果显示术后和临床结局可接受.由于使用微创手术可以最大限度地减少与开放手术相关的多种并发症,建议在面对MCL损伤需要手术的患者时,对这种方法进行进一步的研究.
UNASSIGNED: This study aimed to introduce a novel arthroscopic treatment for medial and posteromedial
instability of the knee and present the primary and follow-up results.
UNASSIGNED: All patients who underwent the arthroscopic approach to treat medial and posteromedial corner
instability from 2007 to 2017 were included in this report. Overall, 45 patients were included, among which 75.6% were male. The mean age of patients was 32.2 ± 8.4 years. Overall, 44.4% and 15.6% of patients had associated meniscal injuries and chondral lesions, respectively. The mean follow-up duration of patients was 84.2 ± 25.3 months.
UNASSIGNED: Overall, 37 patients developed a full range of motion (82.2%), and most patients (95.6%) showed excellent quadriceps strength (grades 4 and 5). All patients had a normal or 1+ posterior drawer test, Pivot shift test, and Lachman test on physical examination. Moreover, 60% had an associated isolated anterior cruciate ligament injury, 17.8% had an isolated posterior collateral ligament injury, and 17.6% had a combination of more than one ligament injury. One patient developed septic arthritis. Two patients experienced pain, and one pain patient developed pain with a bony spur formation in the medial epicondyle. Three patients showed a 2+ medial collateral ligament (MCL) test (moderate
instability) at the final follow-up, all of whom had multi-ligament injuries. All patients, except the three patients who had a failed MCL reconstruction, returned to their previous activities.
UNASSIGNED: This study described a novel arthroscopic treatment of MCL injury, and the results showed acceptable postoperative and clinical outcomes. As the use of minimally invasive surgery may minimize multiple complications associated with open surgery, it is suggested that further studies be conducted regarding this approach when faced with patients who have MCL injuries requiring surgery.