| Müller法重建膝关节后外侧结构 |
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Received:October 23, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 周晓波 |
ZHOU Xiao-bo |
台州医院骨科,浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital,Linhai 317000,Zhejiang,China |
dafuz@tom.com |
| 陈忠义 |
CHEN Zhong-yi |
台州医院骨科,浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital,Linhai 317000,Zhejiang,China |
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| 梁军波 |
LIANG Jun-bo |
台州医院骨科,浙江 临海 317000 |
Department of Orthopaedics,Taizhou Hospital,Linhai 317000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2009年22卷，第3期，第174-175页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨Müller法重建膝关节后外侧结构的临床疗效。
方法：2005年6月至2007年6月治疗13例膝关节后外侧损伤，7例伴有后交叉韧带损伤，4例伴有前后交叉韧带损伤，1例伴前交叉韧带损伤，1例伴前交叉韧带止点骨折，其中5例为陈旧损伤。先关节镜下重建交叉韧带，采用髂胫束前侧约10 mm宽腱束经胫骨骨隧道至后侧腘肌腱通道，与腘肌腱平行返回腘肌腱上止点，挤压螺钉固定重建腘肌腱。采用股二头肌腱前1/3腱束及挤压螺钉固定重建外侧副韧带，术后早期进行CPM锻炼及股四头肌锻炼，6～8周扶拐下地。
结果：术后随访6～27个月，平均13个月，无屈伸活动障碍，外旋稳定性和对侧相比无明显差别。术后1年，有2例在屈膝30°位存在内翻Ⅰ度松弛。术后膝关节功能评分(Lysholm)77～94分，平均86分。
结论：Müller法重建治疗膝关节后外侧结构损伤临床操作简便，不受重建材料限制，重建效果满意。 |
| [关键词]:膝关节 韧带 重建外科手术 创伤和损伤 |
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| Reconstruction of posterolateral structure in knee with Müller method |
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Abstract:
Objective: To study the clinical effects of Müller method for reconstruction of posterolateral corner(PLS) of knee joint.
Methods: From June 2005 to June 2007,13 patients with PLS injured were treated with Müller method. Four patients complicated with injuries in anterior cruciate ligament(ACL) and posterior cruciate ligament(PCL),7 patients complicated with injuries in PCL,4 patient also had injuries in ACL,1 patient complicated with ACL injury,and 1 patient complicated with avulsions fractures of the tibial ACL insertion. Among the patients, 5 patients had chronic injuries with a duration of 2 to 7 months. After the cruciate ligament was reconstructed,the popliteus tendon was reconstructed with iliotibial band and lateral collateral ligament(LCL) reconstructed with biceps femoris tendon. All the ligaments were fixed with interface screws. The patients were encouraged to do strength and motion exercise on bed immediately after operation and permit toe-touch weight-bearing till two months after operation. The brace was used till six months after operation.
Results: The average follow-up period was 13 months(ranged from 6 to 27 months).There was no restriction of range of motion. External rotation range were good compared to the normal side. One year after operation,one-grade varus instability at 30° flexion was found only in 2 patients. The postoperative Lysholm scores were from 77 to 94(average 86).
Conclusion: The method is easier to perform,easier to get the materiar for reconstruction and promised satisfactory clinical results. |
| KEYWORDS:Knee joint Ligament Reconstructive surgical procedures Wounds and injuries |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 周晓波,陈忠义,梁军波.Müller法重建膝关节后外侧结构[J].中国骨伤,2009,22(3):174~175 |
| 英文格式: | ZHOU Xiao-bo,CHEN Zhong-yi,LIANG Jun-bo.Reconstruction of posterolateral structure in knee with Müller method[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(3):174~175 |
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