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目的 探讨关节镜下重建断裂的前交叉和后交叉韧带及修复膝关节内部结构,治疗膝关节多发韧带损伤的临床疗效.方法 2009年6月至2011年5月漯河医学高等专科学校第二附属医院收治创伤性膝关节脱位患者28例,按照膝关节脱位的Schenckf分型标准分为KD-Ⅰ型5例,KD-Ⅱ型11例,KD-Ⅲ型10例KD-Ⅳ型1例,KD-Ⅴ型1例.左膝13例,右膝15例.结果 按照国际膝关节文件编制委员会综合评定入院时平均为D级,术后正常(A级)18例,接近正常(B级)8例,不正常(C级)2例.结论 关节镜下重建前交叉和后交叉韧带修复其他膝关节结构治疗膝关节多发韧带损伤,同期行关节外韧带结构修复增强,能有效恢复关节功能,治疗效果满意.

Objective To investigate the clinical efficacy 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.Methods The group of 28 patients with traumatic knee dislocation.In accordance with knee dislocation scheck classification criteria:KD-Ⅰ type in 5 cases,KD-Ⅱ type in 11 cases,KD-Ⅲ type in 10 cases,KD-Ⅳ type in 1 case,KD-Ⅴ type in 1 case,both were single knee injury.The left knee in 13 cases,15 cases of right knee.Results According to International Knee Documentation Committee (IKDC),there was a improvement from severely abnormal (grade D) in 28 cases before surgery.After operation to normal (grade A) in 18 cases,nearly normal(grade B) in 8 cases and abnormal (grade C) in 2 cases.Conclusions Excellence clinical results and good stability were achieved with arthroscopic reconstruction of ACL and PCL combined with repair of the collateral ligament suture.