Analysis of two approaches for the treatment of the knee joint medial collateral ligament injury
10.3760/cma.j.issn.1673-4904.2011.05.005
- VernacularTitle:两种手术方法治疗膝内侧副韧带断裂分析
- Author:
Haichuan WANG
- Publication Type:Journal Article
- Keywords:
Medial collateral ligament,knee;
Direct suture repair;
Semitendinosus transfer to reconstruct
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(5):12-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective To comparatively analyse the effects and methods for the treatment of the medial collateral ligament injury ( Ⅲ degree injury) of knee by direct suture repair and autologous semitendinosus transferred to reconstruct the repair.Methods Sixty-two cases of medial collateral ligament injury were treated by direct suture repair (suturing group,23 cases) and autologous semitendinosus transferred to reconstruct the repair (rebuild group,39 cases) with knee joint injury from March 2002 to September 2009.All cases of knee joints functional assessment were evaluated according to the Lysholm-Scale upgrades function scoring.Compared the effectiveness for stability measurement of genu valgum stress test 6 months after operation.Results All patients were followed up for 6 - 60 ( 12.4 ± 4.8) months.The outcome according to the Lysholm-Scale upgrades function scoring,the excellent and good rate was 65.2%( 15/23 ) with suturing group and 92.3% (36/39) with rebuild group.The curative effectiveness of stabilization for knee joint's medial collateral,as following:the excellent and good rate was 65.2% (15/23)with suturing group and 97.4%(38/39) with rebuild group.The curative effectiveness of stabilization for knee joint's posteromedial,as following the excellent and good rate was 60.9% (14/23) with suturing group and 92.3% (36/39) with rebuild group.There were statistical significance in excellent and good rate between the two groups (P ＜ 0.05 ).Conclusions The treatment of reconstruction medial collateral ligament injury with autologous semitendinosus transfer could provide enough tension to direct suture joint capsule,more robust on anatomy.It can play to inhere biological effect.The therapy of anatomy reconstruction is very satisfactory,has merits of firm fixation,and the method is simple,convenient and available,which is an ideal one.
