韧带损伤.ppt

关节镜辅助修复重建膝十字韧带合并后内侧结构或后外侧结构的临床研究 蚌埠市第三医院 戴永立 研究背景 运动损伤 关节镜技术的发展 随着全民体育运动的普及与发展，运动损伤预防和治疗已成为广大骨科医生面临的重要课题； 车祸、工伤等导致的严重多韧带损伤的修复重建更是巨大挑战； 运动损伤与创伤 关节镜技术的发展 当前，关节镜外科作为微创外科的重要方面发展迅猛； 膝关节镜技术作为关节镜外科的重要内容技术已经成熟； 韧带重建的固定方式和材料的研究与应用已取得可喜的临床结果； 关节镜辅助修复重建膝部韧带的技术已从单一韧带发展为多韧带修复重建； 传统的治疗方法均难以恢复膝关节周围稳定结构而处现膝关节不稳； 目前，膝关节韧带复合损伤的治疗仍存在争议。 国外进展 Fanelli GC Department of Orthopaedic Surgery, Geisinger Orthopaedics, Danville,Pennsylvania. 1 Arthroscopically assisted combined posterior cruciate ligament/posterior lateral complex reconstruction. Fanelli GC, Giannotti BF, Edson CJ. Arthroscopy. 1996 Oct;12(5):521-30. 2 Treatment of combined anterior cruciate ligament-posterior cruciate ligament-lateral side injuries of the knee. Fanelli GC.2000 Clin Sports Med. 2000 Jul;19(3):493-502. Review 3 Evaluation and treatment of the multiple ligament injured knee. Fanelli GC. Arthroscopy. 2003 Dec;19 Suppl 1:30-7.. Fanelli GC Department of Orthopaedic Surgery, Geisinger Orthopaedics, Danville,Pennsylvania. 4 The multiple-ligament injured knee: evaluation, treatment, and results. Fanelli GC, Orcutt DR, Edson CJ Arthroscopy. 2005 Apr;21(4):471-86. Review. 5 Treatment of combined anterior cruciate-posterior cruciate ligament-medial-lateral side knee injuries. Fanelli GC, Edson CJ, Orcutt DR, Harris JD, Zijerdi D. J Knee Surg. 2005 Jul;18(3):240-8. Review. No abstract available. 6 Diagnosis and management of knee dislocations. Peskun CJ, Levy BA, Fanelli GC, Stannard JP, Stuart MJ, MacDonald PB, Marx RG, Boyd JL, Whelan DB. Phys Sportsmed. 2010 Dec;38(4):101-11. Review Fanelli GC Department of Orthopaedic Surgery, Geisinger Orthopaedics, Danville,Pennsylvania. 7 Combined PCL-ACL lateral and medial side injuries: treatment and results. Fanelli GC, Beck JD, Edson CJ. Sports Med Arthrosc.2011 Jun;19(2):120-30. 8 Rehabilitation after multiple-ligament reconstruction of the knee. Edson CJ, Fanelli GC, Beck JD. Sports Med Arthrosc. 2011 Jun;19(2):162-6. Review. 9 M