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-  2017 

膝关节脱位后内侧结构及后外侧角损伤分期分型及诊治体系

DOI: doi:10.7507/1002-1892.201611139

Keywords: 膝关节脱位, 后内侧结构, 后外侧角, 分期分型, 诊疗体系

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Abstract:

目的 综述膝关节脱位(knee dislocation,KD)后内侧结构及后外侧角损伤分期分型及诊治的研究进展,以期为临床工作提供指导。 方法 广泛查阅近年国内外相关 KD 后内侧结构及后外侧角的分期分型及诊断、治疗文献,并进行总结。 结果 目前临床 KD 分型标准主要有根据受伤能量大小分型、Kennedy 分型、改良 Schenck 分型,但均不完善;未对 KD 中的多发韧带损伤进行分期、分型,也未针对不同损伤分型提出规范治疗方案。而 KD 多发韧带损伤华西分期分型(Hua Xi Knee Dislocation and Multiple Ligament Injury,HX-KDMLI)诊断及规范化治疗体系对后内侧结构及后外侧角损伤进行分期、分型,并提出针对性治疗方案。 结论 目前关于 KD 后内侧结构、后外侧角损伤的分期分型诊断与治疗仍无统一意见,HX-KDMLI 体系对以上两方面进行了系统描述,对 KD 的诊治具有一定参考价值

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