研究关节参与高能量和多创伤多关节膝关节损伤,与低能量或孤立损伤相比
Collin D R Hunter1, Joseph Featherall1, Natalya McNamara1
1Department of Orthopaedics, University of Utah, Salt Lake City, Utah, USA.
Orthopaedic journal of sports medicine
|February 14, 2025
概括
高能 (HE) 和多创伤 (PT) 多关节膝关节损伤 (MLKIs) 涉及更多的带损伤,特别是后十字带 (PCL) 和侧侧侧带 (LCL). 这些严重的伤害往往需要LCL重建或修复.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 创伤外科 手术 创伤外科
背景情况:
- 由于高能 (HE) 或多创伤 (PT) 机制造成的多关节膝关节损伤 (MLKIs) 与低能 (LE) 或非多创伤 (NPT) 损伤相比,与较差的外科治疗结果有关.
- 关于由HE或PT机制产生的MLKIs的特定特征的研究有限.
研究的目的:
- 为了比较高能 (HE) 与低能 (LE) 机制在MLKIs中的带损伤和手术模式.
- 为了比较多创伤 (PT) 与非多创伤 (NPT) 分类之间的MLKIs中的带损伤和手术模式.
主要方法:
- 对接受手术MLKI治疗的176名患者的回顾性图表审查.
- 根据受伤机制对患者进行了分层分类:HE与HE. LE和PT与NPT的对比.
- 收集的数据包括人口统计,临床/放射性发现和手术内变量.
主要成果:
- 与非多创伤 (NPT) 和低能量 (LE) 组相比,多创伤 (PT) 和高能量 (HE) MLKIs显示后十字带 (PCL) 和侧侧带 (LCL) 损伤率显著更高.
- 在PT和HE组中,受伤带的平均数量 (分别为2.9和2.8) 与NPT和LE组 (每组为2.4) 相比较高.
- 与NPT (36%) 和LE (34%) 患者相比,LCL手术 (重建/修复) 在PT (55%) 和HE (53%) 患者中更频繁.
结论:
- 高能量 (HE) 和多创伤性 (PT) 多关节膝关节损伤 (MLKIs) 是不同的,具有增加的PCL和LCL参与.
- 这些严重的损伤模式需要更频繁的LCL手术修复或重建.
- 损伤的严重程度和机制是指导MLKI临床决策的关键因素.
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