The association between injuries to the anterior cruciate ligament,medial collateral ligament,and medial meniscus(MM)has been known to orthopedic surgeons since 1936;O’Donoghue first used the term"unhappy triad&...The association between injuries to the anterior cruciate ligament,medial collateral ligament,and medial meniscus(MM)has been known to orthopedic surgeons since 1936;O’Donoghue first used the term"unhappy triad"of the knee to describe this condition in 1950.Later studies revealed that involvement of the lateral meniscus is more common than MM in these cases,leading to a change in the definition.Recent studies have revealed that this triad may be primarily linked to knee anterolateral complex injuries.Although there is not a definite management protocol for this triad,we try to mention the most recent concepts about it in addition to expert opinions.展开更多
目的 探讨无明显外伤史情况下,内侧半月板损伤是否可作为前交叉韧带（anterior cruciate ligament,ACL）重建后失效的判断指标。方法 回顾比较2011年3月-2015年12月随访并符合选择标准的117例单膝ACL重建患者临床资料,其中56例MRI检查...目的 探讨无明显外伤史情况下,内侧半月板损伤是否可作为前交叉韧带（anterior cruciate ligament,ACL）重建后失效的判断指标。方法 回顾比较2011年3月-2015年12月随访并符合选择标准的117例单膝ACL重建患者临床资料,其中56例MRI检查示内侧半月板损伤（试验组）,61例MRI检查示内侧半月板无损伤（对照组）。两组性别、手术时年龄、患肢侧别、重建术式以及术后至该次随访时间比较,差异无统计学意义（P〉0.05）,具有可比性。采用KT-2000关节动度仪检测双侧膝关节屈曲30°时胫骨前移距离差值,并根据Rijke等提出的判断标准评定重建ACL是否失效。结果 试验组双侧膝关节胫骨前移距离差值〈3 mm 7例,3~5 mm 11例,〉5 mm 38例;重建ACL失效率为67.9%。对照组〈3 mm 31例,3~5 mm 18例,〉5 mm 12例;重建ACL失效率为19.7%。试验组重建ACL失效率明显高于对照组,比较差异有统计学意义（χ2=27.700,P=0.000）。试验组翻修术中观察结果与术前双膝胫骨前移距离差值评定结果一致。结论 ACL重建术后,若无明显外伤史情况下出现内侧半月板损伤,提示重建ACL可能失效。展开更多
文摘The association between injuries to the anterior cruciate ligament,medial collateral ligament,and medial meniscus(MM)has been known to orthopedic surgeons since 1936;O’Donoghue first used the term"unhappy triad"of the knee to describe this condition in 1950.Later studies revealed that involvement of the lateral meniscus is more common than MM in these cases,leading to a change in the definition.Recent studies have revealed that this triad may be primarily linked to knee anterolateral complex injuries.Although there is not a definite management protocol for this triad,we try to mention the most recent concepts about it in addition to expert opinions.
文摘目的 探讨无明显外伤史情况下,内侧半月板损伤是否可作为前交叉韧带（anterior cruciate ligament,ACL）重建后失效的判断指标。方法 回顾比较2011年3月-2015年12月随访并符合选择标准的117例单膝ACL重建患者临床资料,其中56例MRI检查示内侧半月板损伤（试验组）,61例MRI检查示内侧半月板无损伤（对照组）。两组性别、手术时年龄、患肢侧别、重建术式以及术后至该次随访时间比较,差异无统计学意义（P〉0.05）,具有可比性。采用KT-2000关节动度仪检测双侧膝关节屈曲30°时胫骨前移距离差值,并根据Rijke等提出的判断标准评定重建ACL是否失效。结果 试验组双侧膝关节胫骨前移距离差值〈3 mm 7例,3~5 mm 11例,〉5 mm 38例;重建ACL失效率为67.9%。对照组〈3 mm 31例,3~5 mm 18例,〉5 mm 12例;重建ACL失效率为19.7%。试验组重建ACL失效率明显高于对照组,比较差异有统计学意义（χ2=27.700,P=0.000）。试验组翻修术中观察结果与术前双膝胫骨前移距离差值评定结果一致。结论 ACL重建术后,若无明显外伤史情况下出现内侧半月板损伤,提示重建ACL可能失效。
