多重的二次稳定器损伤增加了前十字带缺陷膝盖的旋转不稳定性
Jiro Kato1,2, Hiroaki Fukushima1, Abe Kensaku1
1Department of Orthopedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan.
概括
前十字带 (ACL) 损伤与二次稳定器损伤相结合,如中介阴茎斜坡病变 (MMRLs),显著增加膝盖的不稳定性. 及时诊断和量身定制的治疗对于管理这些复杂的膝盖损伤至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 前十字带 (ACL) 损伤通常涉及对二级膝关节稳定器的损伤.
- 中间阴茎斜坡病变 (MMRLs),侧阴茎后根撕裂 (LMPRTs) 和前侧复合损伤 (ALCIs) 是关键的二次稳定剂.
- 这些联合伤害对膝盖不稳定性的累积影响需要进一步调查.
研究的目的:
- 评估二次稳定器损伤数量对 ACL 损伤患者膝盖不稳定性的影响.
- 为了将二次稳定器损伤的程度与膝盖不稳定的客观测量相关联.
主要方法:
- 分析了一组158名接受初级ACL重建的患者.
- 根据二次稳定剂损伤的数量,患者被分为四组 (单,双,三元,四元).
- 膝盖的不稳定性被评估使用轴向转移分级,惯性传感器基于旋转加速和前转移 (ATT).
主要成果:
- 其次性损伤的患病率包括ALCI (53.8%),MMRL (36.7%) 和LMPRT (14.6%).
- 较高级别的枢纽转移与增加的二次稳定器损伤数量显著相关.
- 旋转不稳定性,以较低的加速来衡量,随着每次额外的二次损伤而恶化,而ATT显示没有显著的变化.
结论:
- 组合的二次稳定剂损伤显著加剧膝盖不稳定在ACL缺陷的膝盖.
- 对MMRL,LMPRT和ALCI的准确诊断对于ACL重建中的有效治疗计划至关重要.
- 解决多次二次稳定器损伤对于恢复膝盖稳定性和功能至关重要.
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