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在KD3M膝关节脱位中"浮动的中间半月经"损伤

Dinshaw N Pardiwala¹, Clevio Desouza¹, Arzan Jesia¹

¹Arthroscopy and Knee Preservation Service, Centre for Bone and Joint, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra India.

Indian journal of orthopaedics

|April 25, 2025

概括

一种罕见的浮动中间半径损伤,涉及前后两根根的脱落,可以成功修复. 对这种复杂的膝关节损伤的早期手术干预可以改善结果,并允许运动员重返运动.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
膝盖受伤膝盖受伤

背景情况:

高能量的膝关节脱位会导致异常的半径撕裂,称为"浮动中间半径"病变.
这些病变涉及中间半月体前后两根根的脱落,并带有关节外位移.
这种特殊的撕裂模式偶尔在严重的膝盖伤害中观察到.

研究的目的:

为了定义"浮动中间半月"的病变.
报告其在多重带膝关节损伤中的发生率.
评估手术时间的影响,并评估修复结果.

主要方法:

对341次多重带膝关节损伤手术 (2008-2022) 的回顾性分析.
识别浮动介质阴茎病变的病例.
结合关节镜和开放的中间方法进行一阶段的修复;早期干预定义为在3周内进行手术.

主要成果:

七名患者 (所有男性,平均年龄为27.2) 发现浮动中间阴茎病变.
手术前的MRI在病变识别方面是有效的.
早期的手术 (5名患者) 促进了更容易的修复;延迟的手术 (2名患者) 提出了挑战.
所有患者都实现了0-130°ROM,没有不稳定性/疼痛,在MRI上治愈了阴茎根,平均IKDC得分为89.5.5.
两名精英运动员回到他们以前的体育水平.

结论:

浮动中间半月体病变虽然复杂,但可以通过系统的手术治疗来修复.
可以实现令人满意的功能结果和恢复体育运动.
早期的手术干预简化了阴茎剖析,缩小和修复,从而获得更好的结果.

关键词:

漂浮的半月体是一个漂浮的半月体.膝盖脱位膝盖脱位膝盖脱位阴茎的剥离是阴茎的剥离.阴茎修复阴茎修复阴茎的根撕裂是阴茎的根撕裂.多重带膝关节损伤多重带膝关节损伤

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