早期关节镜辅助一期重建膝关节多韧带损伤的重要性

Importance of early one-stage arthroscopically assisted reconstruction in multi-ligament knee injuries

摘要:

摘要：目的??探讨膝关节镜下多韧带一期重建的临床疗效，并对比分析早期和延迟重建手术对膝关节多韧带损伤的疗效。方法 回顾性分析99例膝关节镜下多韧带一期重建患者的病例资料，根据膝关节初次外伤至手术间隔时间分为早期手术组（

Abstract:

Abstract: Objective?To explore the clinical outcome of one-stage arthroscopically assisted ligament reconstruction in multi-ligament knee injuries, and comparing early versus delayed surgical treatment of multi-ligament knee injuries.?Methods?99 patients who underwent arthroscopic multi-ligament knee injuries reconstruction were evaluated retrospectively. According to time from initial trauma to surgery less than 21 days grouped as early surgical group (44 patients) and 21 days or longer defined as delayed surgical group (45 patients). The incidence of surgical complications was statistically analyzed, the VAS scores, knee joint Lysholm scores and IKDC scores before and after operation in each group were recorded and compared.?Results?All the surgical incisions healed by first intention, and there was no early complications. VAS scores, knee joint Lysholm scores and IKDC scores were improved significantly at the last follow-up (P?=?0.000). The VAS scores, knee joint Lysholm scores and IKDC scores before and after operation in each group were analyzed, the VAS scores of the last follow-up in the early surgical group were lower comparing with those in delayed surgical groups, and knee joint Lysholm scores and IKDC scores were higher improved at the last follow-up, however, significant differences were only noted on IKDC scores between the early or delayed surgical group (P?