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    膝關節(jié)PLC重建時,采用單根肌腱條可以同時完成LCL、PFL和PT的重建。肌腱可以采用自體半腱肌肌腱或者腓骨長肌肌腱前半部,也可以采用異體半腱肌肌腱,一般要求肌腱長度大于24cm。如果采用異體脛前肌或者腓骨長肌肌腱,建議采用肌腱...[繼續(xù)閱讀]

    [1]趙金忠.股二頭肌長頭肌腱重建膝關節(jié)后外側韌帶結構[J]。中華骨科雜志.2004,24(3):141-145....[繼續(xù)閱讀]

    [1]GREENA,ALLENBL.Vascularinjuriesassociatedwithdislocationoftheknee[J].JBoneJointSurgAm.1977,59:236-239.[2]O’DONNELLTF,BREWSTERDC,DARLINGRC,etal.Arterialinjuriesassociatedwithfracturesand/ordislocationsoftheknee[J].JTrauma.1977,17:775-784.[3]SAVAGER.Popl...[繼續(xù)閱讀]

    [1]MILLSWJ,BAREIDP,MCNAIRP.Thevalueoftheankle-brachialindexfordiagnosingarterialinjuryafterkneedislocation:aprospectivestudy[J].JTrauma.2004,5:1261-1265....[繼續(xù)閱讀]

    對于陳舊性膝關節(jié)脫位,如果關節(jié)已經復位,膝關節(jié)活動度已經恢復,僅需要根據各方向不穩(wěn)的程度進行相應的韌帶重建手術。如果在治療前期未能復位,隨后的治療則非常棘手。陳舊性固定型膝關節(jié)脫位絕大部分為后外側旋轉脫位,少數...[繼續(xù)閱讀]

    [1]ZHAOJ,HEY,WANGJ.Simultaneousarthroscopicreconstructionoftheanteriorandposteriorcruciateligamentswithautogenoushamstringtendons.Arthroscopy[J].2006,22(5):497-504.[2]ZHAOJ,HUANGFUX,HEY,etal.Simultaneousdouble-bundleanteriorcruciateligamentandposteriorcru...[繼續(xù)閱讀]

    一、半月板的解剖半月板是介于股骨髁和脛骨平臺之間的半月狀軟骨,其外側緣較厚,內側緣較薄,內側半月板呈“C”形,外側半月板近似呈“O”形。內側半月板前角附著于ACL脛骨止點之前,后角附著于外側半月板后角止點之后和PCL脛骨...[繼續(xù)閱讀]

    半月板損傷的手術主要包括半月板切除、修補和盤狀半月板成形等方式。一、內側半月板后角切除術內側半月板后角切除不屬于膝關節(jié)解剖重建的范疇,對于有手術指征的患者,該手術能夠緩解癥狀,改善功能,故可將之歸于膝關節(jié)功能...[繼續(xù)閱讀]

    [1]ROYLESG,NOBLEJ,DAVIESDR,etal.Thesignificanceofchondromalacicchangesonthepatella[J].Arthroscopy.1991,7:158-160.[2]HUGHSTONJC.Subluxationofthepatella[J].JBoneJointSurg.1968,50A:1003-1026.[3]MERCHANTAC,MERCERRL.Lateralreleaseofthepatella:apreliminaryrepor...[繼續(xù)閱讀]