膝关节外侧副韧带断裂——附32例手术病例分析

T,ear of the Lateral Collateral Ligament of the Knee——32 Operative Case Report

本文报告了我所自1966—1993年间32例手术治疗的膝外侧副韧带断裂病例。对其受伤项目、受伤机转、复合伤情况及治疗结果加以分析。结果表明:膝关节外侧副韧带损伤为较少见损伤,占膝韧带伤的2.4％,受伤项目以摔跤、柔道、足球、跳远为多见,伸直内翻伤的复合伤发生率明显高于屈曲内翻伤(p=0.02);强调了对复合伤及时、全面诊断与处理的重要性;强调了运动员膝外侧副韧带断裂手术治疗的必要性;并介绍了一种膝外侧副韧带下止点断裂前移固定于胫骨的手术方法。

Tear of the lateral collateral Iigament(LCL)of the knee joint was rare in clinics. In our institute, it constituted 2.4% of ligamentous injuries of the knee. Most of the involved sports were wrestle, football and long-jump.22 of the 32 cases were combined with the injuries of other structures of the knee, which combined in higher rate with tears of anterior and posterior cruciate ligaments, femoral biceps tendon,lateral meniscus and capsule. The rate of combined injuries was much higher in extension-varus group than in flexion-varus one(p=0.02). The authors took emphasis on the importance of the timely and complete treatment of the combined injuries, and on the necessity of the repair of the LCL for the athletes, and introduced a new repairing procedure for the lower insertion avulsion which was fixed to the anterior lateral part of the tibia.