Medial collateral ligament injuries of the knee: a rationale for treatment.
Medial collateral ligament injuries of the knee: a rationale for treatment.
复制标题
膝关节内侧副韧带损伤：治疗的基本原理。
DOI：
--
复制
发表时间：
1978
影响因子：
4.2
通讯作者：
J. Marshall
中科院分区：
文献类型：
--
作者：
J. Fetto;J. Marshall
孤立的MCL I和MCL II病变在非手术治疗模式下证明了良好的完整性和功能恢复。孤立的MCL III型病变也可以通过非手术治疗，但预期效果略差。然而，有80%的发生率伴随韧带损伤与这种级别的病变。MCL损伤后的预后受到其他韧带并发损伤的影响，特别是前交叉韧带。任何严重程度的混合MCL损伤后膝关节不稳定和功能障碍的解决最好通过手术干预来完成。因此，作者认为孤立性MCL III和所有混合性MCL病变最好采用手术治疗。由于其他韧带结构的损伤对MCL功能的恢复有明显的影响，因此必须在手术时尝试修复所有急性损伤的结构。早期准确的诊断、及时的治疗和完全的手术修复是获得满意疗效的关键。
Isolated MCL I and MCL II lesions evidence good recovery of integrity and function under non-operative modes of treatment. Isolated MCL III lesions may also be treated by non-operative management, but with the expectation of a slightly less successful result. However, there is an 80% incidence of concomitant ligament injury with this grade of lesion. The prognosis following injury to the MCL is significantly influenced by the presence of concurrent compromise of other ligaments, particularly that of the anterior cruciate ligament. Resolution of knee instability and dysfunction following a mixed MCL injury of any grade severity is best accomplished through operative intervention. Therefore, it is the authors' opinion that isolated MCL III and all mixed MCL lesions are best managed with operative treatment. Because of the apparent influence compromise of other ligament structures have on the recovery of MCL function, an attempt must be made to repair all acutely injured structures at the time of surgery. The keystones of a satisfactory result are early and accurate diagnosis, prompt treatment, and when indicated, complete surgical repair.