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首页> 外文期刊>Deutsche Zeitschrift fur Sportmedisin >Strategische Überlegungen bei der Versorgung einer vorderen Kreuzbandruptur
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Strategische Überlegungen bei der Versorgung einer vorderen Kreuzbandruptur

机译：治疗前交叉韧带破裂时的战略考虑

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摘要

When we think about the treatment of a rupture of the anterior cruciate ligament strategically we first of all need to discuss the time of operation. If the patella tendon is implemented too early, the rate of arthrofibro-sis could be increased. Furthermore the scope for movement should be between 0 and 120 degrees, because otherwise preoperati-ve movement limitations will be manifested through the operation. Apparently the situation with regards to termination has become less of an issue through the use of the semi-tendinosus tendon, because the humorale reaction of the kneejoint is obviously more benign and the rate of arthrofibrosis has been reduced substantially. In this expose the advantages of the patella tendon and the semi-tendinosus tendon within the quadruple technique will be compared as well. Particular emphasis will be attached to the semiten-dinosus tendon in a technique with two femoral tunnels because sturgeons will be for the first time in the position to reconstruct isolatedly the antero-medial and postero-la-teral bundle. Rehabilitation will be a special topic because of the them of the convention. During the first phase of rehabilitation the cure factors with regard to intraarticular traumas and graft harvesting defect are taken into consideration. Later the different stages of rehabilitation will be demonstrated. Through the use of arthroscopic operation techniques the indication for the treat- ment can be provided nowadays with the aim of reducing the rate of arthrosis with chronically instable kneejoints. Furthermore it will take into consideration more efficiently the anatomy of the anterior cruciate ligament.
机译：当我们战略性地考虑治疗前交叉韧带破裂时，我们首先需要讨论手术时间。如果the骨肌腱过早实施，则关节炎的发生率可能会增加。此外，运动范围应在0到120度之间，因为否则将通过操作显示手术前的运动限制。显然，通过使用半腱肌腱，终止的情况已不再是一个问题，因为膝关节的幽默反应明显更良性，并且关节纤维化的速度大大降低。在这种情况下，还将比较quad骨肌腱和四头肌内的半腱肌腱的优势。具有两条股骨隧道的技术将特别强调半腱肌腱，因为st鱼将首次独立地重建前内侧和后外侧束。由于公约的规定，康复将是一个特别的主题。在康复的第一阶段，要考虑有关关节内创伤和移植物收集缺陷的治愈因素。稍后将演示康复的不同阶段。通过使用关节镜手术技术，如今可以提供治疗的适应症，目的是减少慢性不稳定膝关节的关节病发生率。此外，它将更有效地考虑前十字韧带的解剖结构。

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