Mert Bektaş, Harun Güngör, Kadir Gem
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引用次数: 0

摘要

外伤性膝关节脱位是一种严重的伤害,威胁到整个四肢,需要紧急评估和多学科的方法。危及肢体的血管损伤、膝关节损伤的误诊或对肢体血管状态的不准确评估的高频率将导致大量本可预防的截肢。我们试图用案例来证明这种情况应该仔细调查,在我们的研究中,积极的治疗是强制性的。对近3年来因外伤性膝关节脱位就诊于Pamukkale大学骨科和创伤诊所及ala ehir国立医院骨科和创伤诊所的8例患者进行评估。术后评价试验显示,多发韧带损伤及神经血管损伤组为损伤最严重组,按Schenck分类属于亚组。有研究表明,KD II组无副韧带损伤的孤立交叉韧带损伤患者术后Lysholm和Cincinnati评分优于其他损伤。KD I组患者中,前交叉韧带(ACL)损伤组术后Lysholm和Cincinnati评分相对于后交叉韧带(PCL)损伤组较好。在这些严重损伤的治疗中,术后康复的重要性随着有经验的骨科医生采用多学科方法进行早期和适当的干预以及对神经血管损伤的高度认识而变得至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Travmatik Diz Çıkıkları
Traumatic knee dislocations are a serious injury that threatens the entire extremity, requiring urgent evaluation and a multidisciplinary approach. The high frequency of limb-threatening vascular injury, misdiagnosis of knee injury, or failure to assess the limb's vascular status will result in a large number of potentially preventable amputations. We tried to demonstrate with case examples that this situation should be investigated carefully and aggressive treatment is mandatory in our study. 8 patients who applied to Pamukkale University Orthopedics and Traumatology Clinic and Alaşehir State Hospital Orthopedics and Traumatology Clinic in the last 3 years due to traumatic knee dislocation were evaluated. It was revealed that the group with multiple ligament injuries and neurovascular injuries, which is in the subgroup according to the Schenck classification, was the worst injury group according to the postoperative evaluation tests. It has been shown that postoperative Lysholm and Cincinnati scores of patients in the KD II group with isolated cruciate ligament injury without collateral ligament injury were better than other injuries.Among the patients in the KD I group, it was shown that the postoperative Lysholm and Cincinnati scores were relatively better in the group with anterior cruciate ligament (ACL) injury compared to the group with posterior cruciate ligament (PCL) injury.Management of these serious injuries, the importance of post-operative rehabilitation comes to the forefront with the early and appropriate intervention of experienced orthopedic surgeons with a multidisciplinary approach, as well as the high awareness in terms of neurovascular injuries.
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