Multiligamentous Injuries in the Aging Athlete, to Reconstruct or Replace?

IF 0.4 4区 医学 Q4 SPORT SCIENCES
Zachary J. Herman, Ariana Lott, Bryson P. Lesniak
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引用次数: 0

Abstract

Multiligamentous knee injuries (MLKIs) are a rare, devastating, heterogenous group of injuries defined by injury to at least 2 of the 4 major ligaments in the knee and are often associated with a knee dislocation (KD). They can result from high-velocity accidents, pivoting knee injuries during athletic activity, or even ultra-low velocity mechanisms in older, obese individuals. Management is complex and should be centered around re-establishing stability of the knee joint. Surgical intervention is considered standard, however, the type and timing of intervention are heavily studied and debated, especially as athletic individuals continue to age. Traditional options include both ligament repair and reconstruction; however, total knee arthroplasty (TKA) with revision-type, constrained prosthetic components may also have a role. This chapter provides an overview of the evaluation of KDs and MLKIs, with a focus on management strategies and outcomes and complications in aging athletes based on the current available evidence.

老年运动员的多韧带损伤,重建还是置换?
多韧带膝关节损伤(MLKIs)是一种罕见、破坏性强的异质性损伤,其定义是膝关节 4 条主要韧带中至少有 2 条受到损伤,通常与膝关节脱位(KD)有关。膝关节脱位可能源于高速事故、运动中的膝关节旋转损伤,甚至是老年肥胖者的超低速度损伤。处理方法很复杂,应以重建膝关节的稳定性为中心。手术治疗被认为是标准的治疗方法,然而,对于手术治疗的类型和时机还存在大量的研究和争论,尤其是随着运动员年龄的增长。传统的选择包括韧带修复和重建;不过,使用翻修型受限假体组件的全膝关节置换术(TKA)也有可能发挥作用。本章概述了 KDs 和 MLKIs 的评估,并根据现有证据重点介绍了老龄运动员的管理策略、疗效和并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
93 days
期刊介绍: Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.
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