چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| حسین اصلانی | اول |
| عنوان | متن |
|---|---|
| خلاصه مقاله | Literature includes only case reports that discusses about anterior cruciate ligament (ACL). Untreated multi-ligament deficient knees (MLDK) usually will lead to significant instability and intraarticular deformities. The aim of study is report of a prospective cohort of MLDK, its treatment and outcome. Methods: A total of 17 cases of MLDK enrolled in study. All had difficulty in their daily activities and significant limitations. Preoperative evaluation was orthogonal X-rays, alignment view, MRI. All patients had at least 2 ligament deficiency that required surgical intervention. In cases of extraarticular deformity osteotomy was done. Before skeletal maturity combined intra-extraarticular reconstruction have been done. In children near skeletal maturity epicondylar advancement osteotomy for collateral ligament deficiency and conventional open ACL reconstruction have been done. In 12 case anterior dislocation and tethering of iliotibial band and medial hamstrings have been resolved. Results: 13 had ACL, 5PCL , 9LCL, 5MCL deficiency and 3 had discoid meniscus. Mean age was 12 years old (range2-24).7 had bilateral involvement. There were 6 female and 11 male patients. All deficient ligaments repaired/reconstructed.3 patients underwent femoral and 5 tibial osteotomy. Knee functional score improved from 32 preoperatively to 77 postoperatively. Mean follow up was 5.8years. Discussion: untreated MLDK will lead to progressive deformities and significant disability. Published data about the topic are single case reports of only ACL deficiency. This is the first study of MLDk with largest reported number. Conclusion: In MLDK reconstruction should be done earlier before intraarticular deformity development. The outcome of surgical treatment is excellent |
| کلمات کلیدی | developmental, knee, ligament |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| document-053.jpg | 1403/01/06 | 295100 | دانلود |
| pdfjoiner-3.pdf | 1403/01/06 | 1853035 | دانلود |
