目的：分析膝关节镜检查结合关节外微创技术对膝关节多韧带损伤的分期修复的临床效果。方法：收集2012年1月-2014年3月于笔者所在医院接受治疗的膝关节多韧带损伤患者42例(52膝)，均给予膝关节镜检查结合关节外微创技术治疗，手术后均给予Lysholm与IKDC量表评分，评价膝关节修复效果。结果：Lysholm评分：平均分数为89.1分。IKDC评级：31个膝关节A级，17个膝关节B级，4个膝关节C级。Lachman试验：32个膝关节(-)，16个膝关节(+)，4个膝关节(++)。侧方应力试验：52个膝关节的活动度均得到有效恢复，其屈曲受限均<10°，伸直受限均<5°。52个膝关节内、外侧应力试验均表现(-)。结论：采用膝关节镜检查结合关节外微创技术治疗膝关节多韧带损伤，具有良好的临床疗效，值得临床推广应用。%Objective:To analyze the clinical effect on the staged repair of multi-ligament injuries by knee arthroscopy in combination with extra-articular minimally invasive technique.Method:A total of 42 patients(52 knee joints) with knee joint multi-ligament injuries admitted to our hospital from January 2012 to March 2014 were selected as subjects,they all received knee arthroscopy in combination with extra-articular minimally invasive technique.Lysholm scale and IKDC scale were used after operation to evaluate the repair effect of knee joint.Result:The average Lysholm score was 89.1 points.As for the IKDC grading,31 knee joints were classified as grade A,17 knee joints were classified as grade B and 4 knee joints were classified as grade C.The results of Lachman test were as follows:32 knee joints were (-),16 knee joints were (+) and 4 knee joints were (++).According to the lateral stress test,the motion range of 52 knee joints was effectively improved,with flexion limitation<10° and extension limitation<5°.All the 52 knee joints showed negative results (-) in the internal and external lateral stress test.Conclusion:Knee arthroscopy in combination with extra-articular minimally invasive technique has good clinical effect on knee joint multi-ligament injuries,which is worthy of wide clinical application.
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