Treatment of medial-sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation.,Knee Surgery, Sports Traumatology, Arthroscopy

当前位置： X-MOL 学术 › Knee Surg. Sports Traumatol. Arthrosc. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Treatment of medial-sided injuries in patients with early bicruciate ligament reconstruction for knee dislocation.
Knee Surgery, Sports Traumatology, Arthroscopy ( IF 3.3 ) Pub Date : 2020-08-30 , DOI: 10.1007/s00167-020-06207-x
Mikko A Jokela _{1,

2,

3} , Tatu J Mäkinen _{1,

2} , Mika P Koivikko _{2,

4} , Joonas M Lindahl ₂ , Jyrki Halinen ₃ , Jan Lindahl _{1,

2}

Affiliation

Purpose

In knee dislocation with bicruciate ligament and medial side injury (KDIIIM), treatment method of medial side injuries is controversial. The purpose of this study was to evaluate the outcomes of non-operative treatment of proximal and midsubstance and operative treatment of distal avulsion medial collateral ligament (MCL) ruptures in patients with early bicruciate reconstruction.

Methods

One-hundred and forty-seven patients with a knee dislocation and bicruciate ligament injury (KDII-KDV) were identified. Sixty-two patients had KDIIIM injury. Of these, 24 patients were excluded and 13 were lost to follow-up. With a minimum of 2 years of follow-up, IKDC2000 (subjective and objective), Lysholm and Tegner scores and stress radiographs were recorded.

Results

Twenty-five patients were available for follow-up: 18 had a proximal or midsubstance grade-III MCL rupture (proximal MCL group) and 7 had a distal MCL avulsion (distal MCL group). In the proximal MCL and distal MCL groups, respectively, median IKDC2000 subjective scores were 80 (range 57–99) and 62 (range 39–87), and median Lysholm scores were 88 (range 57–99) and 75 (range 40–100). The median medial opening (side-to-side difference) was 2.4 mm (range 0.1–9.2) in the proximal MCL group and 2.5 mm (range 0.2–4.8) in the distal MCL group.

Conclusion

We found acceptable recorded outcomes in patients who underwent non-operative treatment of proximal and midsubstance grade-III MCL rupture and operative treatment of distal MCL avulsion with early bicruciate ligament reconstruction.

Level of evidence

Level IV

中文翻译：

早期双韧带韧带重建患者膝关节脱位的内侧损伤治疗。

目的

在双韧带韧带合并内侧副伤（KDIIIM）的膝关节脱位中，内侧副伤的治疗方法存在争议。这项研究的目的是评估早期双眼重建患者的近端和中端非手术治疗和远端撕脱性内侧副韧带（MCL）破裂的手术治疗效果。

方法

确定了147例膝关节脱位和双韧带损伤（KDII-KDV）的患者。62例患者患有KDIIIM损伤。在这些患者中，有24例被排除在外，另有13例失访。至少进行了2年的随访，记录了IKDC2000（主观和客观），Lysholm和Tegner评分以及应力X线照片。

结果

25位患者可以进行随访：18例发生近端或中度Ⅲ级MCL破裂（近端MCL组），7例发生远端MCL撕脱（远端MCL组）。在近端MCL组和远端MCL组中，IKDC2000主观评分中位数分别为80（范围57-99）和62（范围39-87），中位数Lysholm评分分别为88（范围57-99）和75（范围40-90）。 100）。近端MCL组中位内侧开口（左右差）为2.4毫米（范围0.1-9.2），远端MCL组为2.5毫米（范围0.2-4.8）。