CAJ | 학술논문

目的：探讨前交叉韧带（ ACL）断裂对半月板损伤的影响。方法回顾分析2010年12月至2013年12月，本组收治的373例ACL断裂合并半月板损伤患者行关节镜手术治疗的临床资料。将患者按损伤不同时段分为急性期组、亚慢性期组及慢性期组，分析半月板损伤的位置、类型分布情况及与损伤不同时段的关系。结果 ACL断裂并内侧半月板损伤200例，并外侧半月板损伤164例，并内、外侧半月板损伤73例。不同组的损伤类型以纵行撕裂最多，其次为水平撕裂。内侧半月板损伤的发生率随病程增加，急性期为30.7％，亚慢性期增为51.9％，慢性期则增为89.8％。外侧半月板损伤的发生率与病程无明显关系。半月板损伤的复杂程度随病程增加。结论 ACL断裂可并发半月板损害，所致的关节不稳可继发半月板损伤。胫骨过度内旋及向前半脱位是造成ACL断裂后内侧半月板损伤的主要原因。
목적：탐토전교차인대（ ACL）단렬대반월판손상적영향。방법회고분석2010년12월지2013년12월，본조수치적373례ACL단렬합병반월판손상환자행관절경수술치료적림상자료。장환자안손상불동시단분위급성기조、아만성기조급만성기조，분석반월판손상적위치、류형분포정황급여손상불동시단적관계。결과 ACL단렬병내측반월판손상200례，병외측반월판손상164례，병내、외측반월판손상73례。불동조적손상류형이종행시렬최다，기차위수평시렬。내측반월판손상적발생솔수병정증가，급성기위30.7％，아만성기증위51.9％，만성기칙증위89.8％。외측반월판손상적발생솔여병정무명현관계。반월판손상적복잡정도수병정증가。결론 ACL단렬가병발반월판손해，소치적관절불은가계발반월판손상。경골과도내선급향전반탈위시조성ACL단렬후내측반월판손상적주요원인。
Objective To investigate the influence of the anterior cruciate ligament ( ACL ) rupture on the meniscus .Methods A retrospective review of 373 consecutive patients undergoing primary arthroscopic ACL reconstruction for ACL rupture accompanied by meniscus tears from December 2010 to December 2013 was performed to assess the location , morphology of the meniscal tears and the association with the elapsed time .According to the time from injury to treatment , the patients were divided into three groups:the acute group , the sub-chronic group , and the chronic group .Results Two hundred patients had medial meniscal tears ( MMTs) , 164 patients had lateral meniscal tears ( LMTs) , and 73 patients had both medial and lateral meniscal tears .The longitudinal tear was the most common type , while the horizontal tear was the second one .The incidence of meniscal injury increased with the injury duration time:39 cases ( 30.7%, 39/127 ) in the acute group , 82 cases ( 51.9%, 82/158 ) in the sub-chronic group and 79 cases (89.8%,79/88) in the chronic group .The incidence of lateral meniscal injury showed no relevance with the elapsed time .The meniscal injuries became more complicate as the the elapsed time prolonged before the surgery .Conclusions The rupture of ACL can be accompanied by the meniscal injuries, the knee joint instability may lead to medial meniscal tears .Prorsad semiluxation and over internal rotation of tibia might be the primary cause of the medial meniscal tears after ACL rupture .