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中华关节外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (03) : 357 -360. doi: 10.3877/cma.j.issn.1674-134X.2020.03.018

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综述

膝关节置换术中内侧副韧带损伤处理的研究进展
孙长鲛1, 许平平1, 李慧敏1, 杨凯1, 蔡谞1,()   
  1. 1. 102218 北京,清华大学附属北京清华长庚医院骨科,清华大学临床医学院
  • 收稿日期:2020-01-24 出版日期:2020-06-01
  • 通信作者: 蔡谞

Progress of treatment of medial collateral ligament injury during knee replacement

Changjiao Sun1, Pingping Xu1, Huimin Li1, Kai Yang1, Xu Cai1,()   

  1. 1. Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing 102218, China
  • Received:2020-01-24 Published:2020-06-01
  • Corresponding author: Xu Cai
  • About author:
    Corresponding author: Cai Xu, Email:
引用本文:

孙长鲛, 许平平, 李慧敏, 杨凯, 蔡谞. 膝关节置换术中内侧副韧带损伤处理的研究进展[J]. 中华关节外科杂志(电子版), 2020, 14(03): 357-360.

Changjiao Sun, Pingping Xu, Huimin Li, Kai Yang, Xu Cai. Progress of treatment of medial collateral ligament injury during knee replacement[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(03): 357-360.

全膝关节置换术中发生内侧副韧带(MCL)损伤比较罕见,但该并发症确是与全膝关节置换(TKA)相关的最严重的并发症之一,且常常被医生忽视。内侧副韧带(MCL)的完整性对于正常的膝关节功能和全膝关节置换术(TKA)术后维持外翻应力的稳定性和软组织平衡至关重要。如果术中没有发现MCL损伤或内侧副韧带受损未进行特殊处理可能会导致聚乙烯衬垫磨损加速和影响假体最终生存率。这表明术中及时识别和采用合适的治疗方法至关重要。本文回顾了TKA术中MCL损伤的特点,高危因素,损伤原因,鉴别方法以及治疗方法等。

Medial collateral ligament (MCL) injury is rare in total knee arthroplasty, but this complication is indeed one of the most serious complications associated with total knee arthroplasty (TKA) and is often overlooked by doctors. The integrity of the medial collateral ligament (MCL) is essential for normal knee function, the maintenance of valgus stress stability and soft tissue balance after total knee arthroplasty (TKA). If MCL damage is overlooked and no special treatment is made for MCL injury, it may result in accelerated polyethylene liner wear and have influence on the final survival rate of the prosthesis. This shows that it is very important to identify and adopt appropriate treatment in time. This article reviewed on the characteristics of MCL injury during TKA, high-risk factors, causes of injury, identification methods and treatment methods.

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