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膝关节前外侧韧带损伤的诊治进展
Hits: 1792   Download times: 1129   Received:July 12, 2016    
作者Author单位UnitE-Mail
曾宇晴 ZENG Yu-qing 浙江省立同德医院骨伤科, 浙江 杭州 310012 Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China  
胡劲涛 HU Jin-tao 绍兴市柯桥区中医医院骨伤科, 浙江 绍兴 312030  
万俊明 WAN Jun-ming 浙江省立同德医院骨伤科, 浙江 杭州 310012 Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China  
钟甫华 ZHONG Fu-hua 浙江省立同德医院骨伤科, 浙江 杭州 310012 Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China  
江彬峰 JIANG Bin-feng 浙江省立同德医院骨伤科, 浙江 杭州 310012 Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China  
张建方 ZHANG Jian-fang 浙江省立同德医院骨伤科, 浙江 杭州 310012 Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China  
陆建伟 LU Jian-wei 浙江省立同德医院骨伤科, 浙江 杭州 310012 Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, Zhejiang, China Lujianwei1202@163.com 
期刊信息:《中国骨伤》2017年30卷,第8期,第773-776页
DOI:10.3969/j.issn.1003-0034.2017.08.020
基金项目:浙江省中医药科技计划项目(编号:2016ZB006)
尽管在前交叉韧带损伤中,前外侧稳定结构的稳定作用许多年前就已被认识到。但大多术者在进行前交叉韧带重建时并没有将前外侧结构考虑进去。虽然对前交韧带进行解剖单束或解剖双束重建可明显提高膝关节的稳定性,但仍有部分患者残留前后和旋转不稳。由此很多学者开始关注前外侧结构,特别是前外侧韧带。目前对在何种情况下需要进行前交叉韧带联合前外侧韧带重建术缺少统一标准,运用何种技术重建也缺乏循证医学支持,期待以后更多随机对照研究来验证。
[关键词]:膝关节  前外侧韧带  外科手术
 
Current knowledge in the treatment of anterolateral ligament injury of knees
Abstract:Although the function of the anterolateral stabilizing structures of the knee in the anterior cruciate ligament (ACL) injuries has been recognized since many years,most of orthopedic surgeons do not take the anterolateral structure into consideration when performing an ACL reconstruction. Anatomic ACL reconstruction will improve knee stability,but a small subset of patients may experience some residual anteroposterior and rotational instability. For this reason,some researchers have paid attention to the anterolateral aspects of the knee,especially the anterolateral ligament. We don't know the best time to perform ACL and ALL reconstruction. And we lack the evidence to prove which technique is the best one. So we look forward to more random controlled trial.
KEYWORDS:Knee joint  Anterolateral ligament  Surgical procedure,operative
 
引用本文,请按以下格式著录参考文献:
中文格式:曾宇晴,胡劲涛,万俊明,钟甫华,江彬峰,张建方,陆建伟.膝关节前外侧韧带损伤的诊治进展[J].中国骨伤,2017,30(8):773~776
英文格式:ZENG Yu-qing,HU Jin-tao,WAN Jun-ming,ZHONG Fu-hua,JIANG Bin-feng,ZHANG Jian-fang,LU Jian-wei.Current knowledge in the treatment of anterolateral ligament injury of knees[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(8):773~776
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