| 周晓彬 周文琦 张华 付强 王江泳 武永富 冯建书.III 度膝关节内侧副韧带损伤缝合锚重建术后异位骨化8 例临床分析[J].,2015,15(25):4960-4963 |
| III 度膝关节内侧副韧带损伤缝合锚重建术后异位骨化8 例临床分析 |
| Clinical Analysis of Heterotopic Ossification after Suture Anchors onThird-degree Injury of Medial Collateral Ligament (MCL) of Knee Joint:Report of 8 Cases |
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| DOI： |
| 中文关键词: 膝关节 内侧副韧带 异位性 骨化 韧带 |
| 英文关键词: Knee joint Medial collateral ligament Heterotopic Ossification Ligaments |
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| 中文摘要: |
| 目的：分析8 例III度膝关节内侧副韧带损伤的患者行缝合锚重建术后异位骨化发生与损伤的关系。方法：回顾性收集8 例
Ⅲ度膝关节内侧副韧带损伤行缝合锚重建术后发生异位骨化的患者，对其临床一般资料、损伤程度及部位、膝关节活动度及异位
骨化程度等进行分析。结果：8 位中Ⅰ度异位骨化4 例，膝关节活动度73.75° ～176.25° ，平均125° ，Ⅱ° 异位骨化4 例，膝关节
活动度78.75° ～157.25° ，平均117.4° 。在发生内侧副韧带异位骨化的8 名患者中，仅有1 名为单纯内侧副韧带损伤导致，其余
7 名患者中5 名合并前叉或前、后叉韧带损伤，1 例伴有胫骨髁间棘的撕脱骨折，1 例合并胫骨平台骨折，4 例合并胫骨或股骨髁
骨折。结论：膝关节内侧异位骨化是异位骨化的好发部位，其发生与膝关节多发韧带损伤有关。 |
| 英文摘要: |
| Objective:To analyze the association between occurrence probability of heterotopic ossification and injury by
observing 8 cases of III -degree of medial collateral ligament injury with suture anchor reconstruction treated.Methods:Eight patients
with degree III of medial collateral ligament injury of knee joint were treated with suture anchor reconstruction, and was analyzed on
general clinical data, the degree and site of injuru, the motion of joint and heterotopic ossification degree.Results:Heterotopic
ossification occurred in 8 patients, the knee flexion of 4 cases with degree I of heterotopic ossification was between 73.75-176.25° , with
an average of 125° , another knee flexion of 4 cases with degree II of heterotopic ossification was between 78.75-157.25° , with an
average of 117.4° . In 8 patients with heterotopic ossification on medial collateral ligament, there were one case of simple medial
collateral ligament injury and 5 cases associated with anterior cruciate ligament injury or anterior and the posterior cruciate ligament
injury. There were one case of heterotopic ossification associated with avulsion fracture of tibial spine, one case with tibial plateau
fracture and 4 cases with tibial or femoral condylar fracture.Conclusion:The predilection site of heterotopic ossification was medial of
knee joint. Heterotopic ossification was correlated with multiple ligamentous injury. |
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