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\u56fe\u4e2d\u5de6\u4fa7\u5f2f\u94b3\u5939\u6301\u7684\u662f\u5411\u8fd1\u7aef\u7ffb\u8d77\u7684\u5916\u4fa7\u526f\u97e7\u5e26\u6b8b\u7aef\uff0c\u8be5\u97e7\u5e26\u81ea\u8153\u9aa8\u9644\u4e3d\u5904\u6495\u88c2\u3002\u56fe\u4e0b\u65b9\u5f2f\u94b3\u5939\u6301\u7684\u662f\u8158\u808c\u8171\u6b8b\u7aef\uff0c\u81ea\u80a1\u9aa8\u9644\u4e3d\u70b9\u9644\u8fd1\u6495\u88c2\u3002\u767d\u8272\u7c97\u7bad\u5934\u6240\u6307\u4e3a\u5916\u4fa7\u526f\u97e7\u5e26\u91cd\u5efa\u7684\u80a1\u9aa8\u96a7\u9053\uff0c\u9ed1\u8272\u7ec6\u7bad\u5934\u6240\u6307\u4e3a\u8158\u808c\u8171\u91cd\u5efa\u7684\u80a1\u9aa8\u96a7\u9053\uff0c\u767d\u8272\u7ec6\u7bad\u5934\u6240\u6307\u4e3a\u8158\u808c\u8171\u91cd\u5efa\u7684\u80eb\u9aa8\u96a7\u9053\u7275\u5f15\u7ebf<\/p>\n<\/p>\n

\u56fe6 \u884c\u8158\u808c\u8171\u91cd\u5efa<\/p>\n

\u56fe\u4e2d\u5f2f\u94b3\u5939\u6301\u7684\u662f\u8158\u808c\u8171\u7684\u6b8b\u7aef\uff0c\u663e\u793a\u5176\u8d70\u884c\u65b9\u5411\uff0c\u6307\u5411\u8158\u808c\u8171\u91cd\u5efa\u7684\u80a1\u9aa8\u96a7\u9053\u3002\u767d\u8272\u7ec6\u7bad\u5934\u6240\u6307\u4e3a\u8158\u808c\u8171\u91cd\u5efa\u7684\u80a1\u9aa8\u96a7\u9053\u7275\u5f15\u7ebf\uff0c\u9ed1\u8272\u7c97\u7bad\u5934\u6240\u6307\u4e3a\u8158\u808c\u8171\u91cd\u5efa\u7684\u80eb\u9aa8\u96a7\u9053\u7275\u5f15\u7ebf<\/p>\n<\/p>\n

\u56fe7 \u672f\u540e1\u5e74\uff0c\u819d\u5173\u8282\u540e\u5411\u548c\u5185\u7ffb\u5e94\u529b\u50cf\u8bc4\u4f30\u7a33\u5b9a\u6027<\/p>\n

A\uff1a\u60a3\u4fa7\u819d\u5173\u8282\u540e\u5411\u5e94\u529b\u50cf\u663e\u793a\u80eb\u9aa8\u540e\u79fb1.9mm\uff1bB\uff1a\u5065\u4fa7\u819d\u5173\u8282\u540e\u5411\u5e94\u529b\u50cf\u663e\u793a\u80eb\u9aa8\u540e\u79fb2.4mm\uff0c\u60a3\u4fa7\u4e0e\u5065\u4fa7\u7684\u4fa7-\u4fa7\u5dee\u503c\u4e3a1.5mm-2.4mm=-0.9mm\uff1bC\uff1a\u60a3\u4fa7\u5c48\u819d30\u00b0\u5185\u7ffb\u5e94\u529b\u50cf\u663e\u793a\u5916\u4fa7\u5173\u8282\u95f4\u9699\u5f20\u5f009.4mm\uff1bD\uff1a\u5065\u4fa7\u5c48\u819d30\u00b0\u5185\u7ffb\u5e94\u529b\u50cf\u663e\u793a\u5916\u4fa7\u5173\u8282\u95f4\u9699\u5f20\u5f007.2mm\uff0c\u60a3\u4fa7\u4e0e\u5065\u4fa7\u7684\u4fa7-\u4fa7\u5dee\u503c\u4e3a9.4mm-7.2mm=2.2mm<\/p>\n<\/p>\n

\u56fe8 \u672f\u540e1\u5e74\u68c0\u67e5<\/p>\n

\u80eb\u9aa8\u5916\u65cb\u8bd5\u9a8c\u663e\u793a\u4fa7-\u4fa7\u5dee\u503c\u4e3a33\u00b0-38\u00b0=-5\u00b0<\/p>\n<\/p>\n

\u56fe9 \u672f\u540e1\u5e74\u68c0\u67e5<\/p>\n

\u819d\u5173\u8282\u6d3b\u52a8\u4e0d\u53d7\u9650\uff0c\u4e0e\u5bf9\u4fa7\u76f8\u540c<\/p>\n<\/p>\n

\u56fe10 \u53f3\u819d\u672f\u540e1\u5e74\u8fdb\u884c\u5173\u8282\u955c\u68c0\u67e5<\/p>\n

\u5916\u4fa7\u6c9f\u53ef\u89c1\u91cd\u5efa\u7684\u8158\u808c\u8171\u97e7\u5e26\u79fb\u690d\u7269\uff08\u56fe\u4e2dpopT\u6240\u793a\uff09\uff08LE\uff1a\u80a1\u9aa8\u5916\u9ac1\uff09<\/p>\n<\/p>\n

\u56fe11 \u672f\u540e1\u5e74\u7684MRI<\/p>\n

A\uff1a\u53ef\u4ee5\u770b\u5230\u8fde\u7eed\u7684\u8158\u808c\u8171\u79fb\u690d\u7269\uff08\u767d\u8272\u7ec6\u7bad\u5934\uff09\uff1bB\uff1a\u8158\u808c\u8171\u91cd\u5efa\u7684\u80eb\u9aa8\u96a7\u9053\u4f4d\u7f6e\uff08\u767d\u8272\u7c97\u7bad\u5934\uff09\uff1bC\uff1a\u8158\u808c\u8171\u91cd\u5efa\u7684\u80a1\u9aa8\u96a7\u9053\u4f4d\u7f6e\uff08\u9ed1\u8272\u7ec6\u7bad\u5934\uff09\u548c\u80eb\u9aa8\u96a7\u9053\u4f4d\u7f6e\uff08\u9ed1\u8272\u7c97\u7bad\u5934\uff09<\/p>\n

\u75c5\u4f8b2\uff1a<\/p>\n

\u60a3\u8005\u7537\u6027\uff0c21\u5c81\u3002\u6469\u6258\u8f66\u4f24\u81f4\u53f3\u819d\u5173\u8282\u540e\u4ea4\u53c9\u97e7\u5e26\u635f\u4f24\uff0c\u540e\u5916\u590d\u5408\u4f53\u635f\u4f24\uff08C\u578b\uff09\u3002\u672f\u524d\u80eb\u9aa8\u5916\u65cb\u8bd5\u9a8c\u663e\u793a\u4fa7-\u4fa7\u5dee\u503c\u4e3a10\u00b0\uff0c\u672f\u4e2d\u8fdb\u884c\u5173\u8282\u955c\u68c0\u67e5\uff0c\u663e\u793a\u5916\u4fa7\u6c9f\u901a\u8fc7\u8bd5\u9a8c\uff08 \uff09\u3002\u6b64\u4f8b\u60a3\u8005\u8fdb\u884c\u4e86\u5173\u8282\u955c\u4e0b\u540e\u4ea4\u53c9\u97e7\u5e26\u91cd\u5efa\uff0c\u540e\u5916\u4fa7\u5207\u5f00\u7684\u5916\u4fa7\u526f\u97e7\u5e26\u91cd\u5efa\u548c\u8158\u808c\u8171\u91cd\u5efa\uff08\u56fe12-20\uff09\u3002<\/p>\n<\/p>\n

\u56fe12 \u80eb\u9aa8\u5916\u65cb\u8bd5\u9a8c<\/p>\n

\u60a3\u8005\u7537\u6027\uff0c21\u5c81\u3002\u6469\u6258\u8f66\u4f24\u81f4\u53f3\u819d\u5173\u8282\u540e\u4ea4\u53c9\u97e7\u5e26\u635f\u4f24\uff0c\u540e\u5916\u590d\u5408\u4f53\u635f\u4f24\uff08C\u578b\uff09\u3002\u80eb\u9aa8\u5916\u65cb\u8bd5\u9a8c\u663e\u793a\u4fa7-\u4fa7\u5dee\u503c\u4e3a57\u00b0-47\u00b0=10\u00b0<\/p>\n<\/p>\n

\u56fe13 \u5916\u4fa7\u6c9f\u901a\u8fc7\u8bd5\u9a8c<\/p>\n

\u53f3\u819d\u672f\u4e2d\u5173\u8282\u955c\u68c0\u67e5\u5916\u4fa7\u6c9f\u901a\u8fc7\u8bd5\u9a8c\uff0c\u5173\u8282\u955c\u80fd\u591f\u987a\u5229\u8fdb\u5165\u540e\u5916\u5ba4\uff0c\u4e3a\u5916\u4fa7\u6c9f\u901a\u8fc7\u8bd5\u9a8c\u9633\u6027\uff0c\u786e\u5b9a\u4e3a\u8158\u808c\u590d\u5408\u4f53\u635f\u4f24\u3002A\uff5eF\uff1a\u5173\u8282\u955c\u9010\u6e10\u901a\u8fc7\u8158\u808c\u8171\u4e0e\u80a1\u9aa8\u5916\u9ac1\u4e4b\u95f4\u7684\u95f4\u9699\uff0c\u8fdb\u5165\u540e\u5916\u5ba4\u7684\u52a8\u6001\u8fc7\u7a0b<\/p>\n<\/p>\n

\u56fe14 \u53f3\u819d\u5916\u4fa7\u5207\u5f00\u548c\u663e\u9732<\/p>\n

A\uff1a\u672f\u4e2d\u63a2\u67e5\u5916\u4fa7\u526f\u97e7\u5e26\u677e\u5f1b\uff0c\u9700\u8981\u91cd\u5efa\uff0c\u56fe\u4e2d\u767d\u8272\u7c97\u7bad\u5934\u663e\u793a\u6a61\u76ae\u5f15\u6d41\u6761\u6807\u8bb0\u5e76\u4fdd\u62a4\u7684\u8153\u603b\u795e\u7ecf\uff1bB\uff1a\u63a2\u67e5\u8158\u808c\u8171\u677e\u5f1b\uff08\u9ed1\u8272\u7ec6\u7bad\u5934\uff0c\u7275\u5f15\u7ebf\u6807\u8bb0\u63d0\u62c9\u7684\u5373\u4e3a\u8158\u808c\u8171\uff09\uff0c\u9ed1\u8272\u7c97\u7bad\u5934\u6240\u793a\u4e3a\u5207\u65ad\u540e\u7684\u5916\u4fa7\u526f\u97e7\u5e26\u6b8b\u7aef\uff08ITB\uff1a\u9ac2\u80eb\u675f\uff09<\/p>\n<\/p>\n

\u56fe15 \u53f3\u819d\u540e\u5916\u590d\u5408\u4f53\u91cd\u5efa\u7684\u96a7\u9053\u5b9a\u4f4d<\/p>\n

A\uff1a\u53f3\u819d\u5916\u4fa7\u5207\u53e3\uff0c\u56fe\u4e2d\u663e\u793a\u5916\u4fa7\u526f\u97e7\u5e26\u91cd\u5efa\u7684\u80a1\u9aa8\u96a7\u9053\u4f4d\u7f6e\uff08\u767d\u8272\u7c97\u7bad\u5934\uff09\u548c\u8158\u808c\u8171\u91cd\u5efa\u7684\u80a1\u9aa8\u96a7\u9053\u4f4d\u7f6e\uff08\u767d\u8272\u7ec6\u7bad\u5934\uff09\uff1bB\uff1a\u8158\u808c\u8171\u91cd\u5efa\u7684\u80eb\u9aa8\u96a7\u9053\u5236\u4f5c\u65b9\u6cd5\uff0c\u524d\u4ea4\u53c9\u97e7\u5e26\u80eb\u9aa8\u5bfc\u5411\u5668\u7ecf\u8fc7\u7b2c2\u4e2a\u7b4b\u819c\u5207\u53e3\uff0c\u5b9a\u4f4d\u4e8e\u8158\u808c\u8171\u7684\u8171\u8179\u4ea4\u754c\u5904\uff0c\u524d\u65b9\u96a7\u9053\u5165\u53e3\u4f4d\u4e8eGerdy\u7ed3\u8282\u65c1\uff0c\u94bb\u51652mm\u5bfc\u9488\uff0c\u5236\u4f5c\u80eb\u9aa8\u96a7\u9053\uff08ITB\uff1a\u9ac2\u80eb\u675f\uff09<\/p>\n<\/p>\n

\u56fe16 \u8158\u808c\u8171\u4e0e\u5916\u4fa7\u526f\u97e7\u5e26\u91cd\u5efa\u7684\u79fb\u690d\u7269<\/p>\n

\u53f3\u819d\u5916\u4fa7\u5207\u53e3\uff0c\u663e\u793a\u80a1\u9aa8\u96a7\u9053\u5185\u7684\u8158\u808c\u8171\u91cd\u5efa\u79fb\u690d\u7269\u80a1\u9aa8\u7aef\uff08\u767d\u8272\u7ec6\u7bad\u5934\uff09\u3001\u7531\u80eb\u9aa8\u96a7\u9053\u7a7f\u51fa\u7684\u79fb\u690d\u7269\u80eb\u9aa8\u7aef\uff08\u9ed1\u8272\u7ec6\u7bad\u5934\uff09\uff0c\u540c\u65f6\u5728\u80a1\u9aa8\u4fa7\u8fd8\u53ef\u4ee5\u770b\u5230\u5916\u4fa7\u526f\u97e7\u5e26\u91cd\u5efa\u7684\u9aa8-\u9acc\u8171-\u9aa8\u79fb\u690d\u7269\u56fa\u5b9a\u4e8e\u80a1\u9aa8\u96a7\u9053\uff08\u767d\u8272\u7c97\u7bad\u5934\uff09<\/p>\n<\/p>\n

\u56fe17 \u672f\u540e1\u5e74\uff0c\u5916\u65cb\u7a33\u5b9a\u6027\u6062\u590d\u6b63\u5e38<\/p>\n

\u540e\u4ea4\u53c9\u97e7\u5e26\u91cd\u5efa \u540e\u5916\u590d\u5408\u4f53\uff08\u5916\u4fa7\u526f\u97e7\u5e26 \u8158\u808c\u8171\uff09\u91cd\u5efa\u672f\u540e1\u5e74\uff0c\u884c\u5185\u56fa\u5b9a\u53d6\u51fa\u672f\uff0c\u9ebb\u9189\u4e0b\u68c0\u67e5\u80eb\u9aa8\u5916\u65cb\u8bd5\u9a8c\u663e\u793a\u4fa7-\u4fa7\u5dee\u503c\u4e3a43\u00b0-43\u00b0=0\u00b0<\/p>\n<\/p>\n

\u56fe18 \u672f\u540e1\u5e74\u68c0\u67e5\uff0c\u819d\u5173\u8282\u6d3b\u52a8\u5ea6\u6b63\u5e38<\/p>\n<\/p>\n

\u56fe19 \u672f\u540e1\u5e74\u68c0\u67e5\uff0c\u819d\u5173\u8282\u540e\u5411\u7a33\u5b9a\u6027<\/p>\n

A\uff1a\u819d\u5173\u8282\u540e\u5411\u5e94\u529b\u50cf\u663e\u793a\u624b\u672f\u4fa7\u7684\u80eb\u9aa8\u540e\u79fb7.8mm\uff1bB\uff1a\u5065\u4fa7\u80eb\u9aa8\u540e\u79fb3.9mm\uff0c\u4fa7-\u4fa7\u5dee\u503c\u4e3a7.8mm-3.9mm=3.9mm<\/p>\n<\/p>\n

\u56fe20 \u672f\u540e1\u5e74\uff0c\u819d\u5173\u8282\u5916\u4fa7\u7a33\u5b9a\u6027<\/p>\n

A\uff1a\u5c48\u819d30\u00b0\u819d\u5173\u8282\u5185\u7ffb\u5e94\u529b\u50cf\u663e\u793a\u624b\u672f\u4fa7\u819d\u5173\u8282\u5916\u4fa7\u95f4\u9699\u5f20\u5f008.5mm\uff1bB\uff1a\u5065\u4fa7\u7684\u5916\u4fa7\u95f4\u9699\u5f20\u5f008.9mm\uff0c\u4fa7-\u4fa7\u5dee\u503c\u4e3a8.5mm-8.9mm=-0.4mm<\/p>\n<\/p>\n

\u53c2\u8003\u6587\u732e<\/p>\n<\/p>\n

[1]Fanelli GC.Surgical treatmentof lateral posterolateral instability of the knee using biceps tendon procedures. Sports Med Arthrosc, 2006,14(1):37-43<\/p>\n

[2]Fanelli GC,Feldmann DD.Management of combined anteriorcruciate ligament\/posterior cruciate ligament\/posterolateral complex injuries of the knee.Oper Tech Sports Med,1999,7(3):143-149<\/p>\n

[3]Jung YB,Jung HJ,Kim SJ,et al.Posterolateral corner reconstruction for posterolateral rotatory instability combined with posterior cruciate ligament injuries:comparison between fibular tunnel and tibial tunnel techniques.Knee Surg Sports TraumatolArthrosc,2008,16(3):239-248<\/p>\n

[4]\u540e\u4ea4\u53c9\u97e7\u5e26\u4e0e\u540e\u5916\u590d\u5408\u4f53\u635f\u4f24,\u51af\u534e \u5f20\u8f89,\u51fa\u7248\u793e:\u4eba\u6c11\u536b\u751f\u51fa\u7248\u793e,2016<\/p>\n

\u2191\u5411\u4e0a\u6ed1\u52a8\u9605\u8bfb\u5168\u6587\u2191<\/p>\n","protected":false},"excerpt":{"rendered":"

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