The management of medial ligament tears in patients with combined anterior cruciate and medial ligament lesions

被引:26
作者
Shirakura, K [1 ]
Terauchi, M [1 ]
Katayama, M [1 ]
Watanabe, H [1 ]
Yamaji, T [1 ]
Takagishi, K [1 ]
机构
[1] Gunma Univ, Fac Med, Dept Orthopaed Surg, Maebashi, Gumma 3718511, Japan
关键词
D O I
10.1007/s002640000119
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The management of patients with combined medial collateral (MCL) and anterior cruciate (ACL) rupture remains controversial. We studied 25 such patients who elected to have the ACL lesion treated conservatively; 14 underwent MCL repair with early mobilization and 11 were treated with immobilization for two weeks. The mean follow up was 5.9 years (2 to 11). There was no difference in the clinical assessment of ligamentous laxity, KT-1000 measurements or Tegner activity scores between the two groups but there were significantly higher Lysholm function scores in the operated group.
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页码:108 / 111
页数:4
相关论文
共 13 条
[1]   THE EARLY EFFECTS OF JOINT IMMOBILIZATION ON MEDIAL COLLATERAL LIGAMENT HEALING IN AN ACL-DEFICIENT KNEE - A GROSS ANATOMIC AND BIOMECHANICAL INVESTIGATION IN THE ADULT-RABBIT MODEL [J].
BRAY, RC ;
SHRIVE, NG ;
FRANK, CB ;
CHIMICH, DD .
JOURNAL OF ORTHOPAEDIC RESEARCH, 1992, 10 (02) :157-166
[2]   NONOPERATIVE TREATMENT OF RUPTURES OF THE ANTERIOR CRUCIATE LIGAMENT IN MIDDLE-AGED PATIENTS - RESULTS AFTER LONG-TERM FOLLOW-UP [J].
CICCOTTI, MG ;
LOMBARDO, SJ ;
NONWEILER, B ;
PINK, M .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1994, 76A (09) :1315-1321
[3]   FATE OF THE ACL-INJURED PATIENT - A PROSPECTIVE OUTCOME STUDY [J].
DANIEL, DM ;
STONE, ML ;
DOBSON, BE ;
FITHIAN, DC ;
ROSSMAN, DJ ;
KAUFMAN, KR .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1994, 22 (05) :632-644
[4]   RECONSTRUCTION OF OLD ANTERIOR CRUCIATE LIGAMENT TEARS WITH A DACRON PROSTHESIS - A PROSPECTIVE-STUDY [J].
GILLQUIST, J ;
ODENSTEN, M .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1993, 21 (03) :358-366
[6]   Complications following arthroscopic anterior cruciate ligament reconstruction - A 2-5-year follow-up of 604 patients with special emphasis on anterior knee pain [J].
Kartus, J ;
Magnusson, L ;
Stener, S ;
Brandsson, S ;
Eriksson, BI ;
Karlsson, J .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 1999, 7 (01) :2-8
[7]   HEALING OF THE MEDIAL COLLATERAL LIGAMENT IN UNSTABLE RAT KNEES [J].
LECHNER, CT ;
DAHNERS, LE .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1991, 19 (05) :508-512
[8]   NON-OPERATIVE MANAGEMENT OF ACUTE GRADE-III MEDIAL COLLATERAL LIGAMENT INJURY OF THE KNEE - A PROSPECTIVE-STUDY [J].
MOK, DWH ;
GOOD, C .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1989, 20 (05) :277-280
[9]   THE SYMPTOMATIC ANTERIOR CRUCIATE-DEFICIENT KNEE .1. THE LONG-TERM FUNCTIONAL DISABILITY IN ATHLETICALLY ACTIVE INDIVIDUALS [J].
NOYES, FR ;
MOOAR, PA ;
MATTHEWS, DS ;
BUTLER, DL .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1983, 65 (02) :154-162
[10]   THE TREATMENT OF ACUTE COMBINED RUPTURES OF THE ANTERIOR CRUCIATE AND MEDIAL LIGAMENTS OF THE KNEE [J].
NOYES, FR ;
BARBERWESTIN, SD .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1995, 23 (04) :380-391