内侧副韧带损伤合并前交叉韧带损伤的临床治疗选择

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1、授予单位代码10089学号或申请号10010010001中文图书分类号R873.5HebeiMedicalUniversity硕士学位论文专业学位内侧副韧带损伤合并前交叉韧带损伤的临床治疗选择研究生：许宏涛导师：高石军教授专业：外科学二级学院：第三医院2018年3月学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，

2、试验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应法律责任。研究生签名：导师签章：二级学院领导盖章：年月日河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名：导师签章：年月日目录目录中文摘要···································································

3、········································1英文摘要···········································································································2英文缩写···········································································································3综

4、述内侧副韧带损伤合并前交叉韧带损伤的临床治疗选择·····················4致谢··················································································································21个人简历··································································································

5、········22中文摘要内侧副韧带损伤合并前交叉韧带损伤的临床治疗选择摘要膝关节内侧副韧带HughstonIII级损伤往往合并有前交叉韧带损伤，韧带重建术是目前针对该类损伤的主要治疗方式。其中，前交叉韧带重建术从传统的等长重建发展到解剖重建，膝关节前后稳定性和患者运动水平的恢复获得了满意的临床效果；虽然目前内侧副韧带重建的方式较多，但是膝关节旋转稳定性的恢复效果均欠佳。内侧副韧带和前交叉韧带的合并损伤会造成旋转稳定性的叠加损失，这需要更好的临床治疗方法。本文回顾并对内侧副韧带和前交叉韧带的生物力学作用机制，手术治疗选择进行

6、综述，并总结了内侧副韧带和前交叉韧带合并损伤的临床治疗策略。关键词：内侧副韧带，前交叉韧带，解剖重建，三角矢量重建，旋转稳定性1英文摘要TheClinicalTreatingStrategiesofCombinedMCL-ACLTearsABSTRACTTheHughstongradeIIIinjuryofmedialcollateralligament(MCL)oftencombineswiththeanteriorcruciateligament(ACL)injury.Intheclinic,ligamentreconst

7、ructionisthemajortreatmenttillthepresentmoment.ThetreatmentofACLinjuryhasevolvedfromisometricreconstructiontoanatomicalreconstructionwhichcanbringbetterstabilityandactivitylevels.MostofthetreatmentofMCLinjurycannotrecoverrotationalstability.Importantly,fromafunction

8、alperspective,theMCLandACLbothcontributetomaintainingrotationalstabilityandtherotatoryinstabilitywouldbeaggravatedifthese2structuresweresi