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目的 :探讨部队训练所致膝关节损伤的特点 ,提出治疗和预防的措施。方法 :分析 1985年以来我院收治的部队训练所致膝关节损伤的类型及治疗方法。结果 :1985年以来共收治 3 57例膝关节训练伤的患者。按各种损伤类型单独统计 ,半月板损伤 3 2 1例 ,内侧副韧带损伤 19例 ,外侧副韧带损伤 3例 ,前交叉韧带损伤 3 6例 ,后交叉韧带损伤 7例 ,胫骨棘骨折 11例。除内外侧副韧带损伤采用开放手术修复重建以外 ,均采用关节镜下的修复与重建 ,疗效满意 ,术后 1年时随访优良率达 92 .43 %。结论 :膝关节损伤是部队训练伤的常见类型之一 ,特点主要是半月板和膝关节韧带的损伤。绝大多数膝关节损伤可采用关节镜微创技术治疗 ,术后进行康复锻练理疗
Objective: To explore the characteristics of knee injury caused by military training and put forward the measures of treatment and prevention. Methods: To analyze the type and treatment of knee injury caused by military training admitted to our hospital since 1985. Results: A total of 3,557 patients with knee joint injuries were treated since 1985. According to the statistics of various injury types, there were 321 cases of meniscus injury, 19 cases of medial collateral ligament injury, 3 cases of lateral collateral ligament injury, 36 cases of anterior cruciate ligament injury, 7 cases of posterior cruciate ligament injury, 11 cases of tibial spine fracture . In addition to the injury of the medial and lateral collateral ligaments using open surgery to repair and reconstruct, arthroscopic repair and reconstruction were used, with satisfactory results. The excellent and good rate of follow-up after one year was 92.43%. Conclusion: Knee joint injury is one of the common types of training injuries in military units. The main features are the injury of the meniscus and knee ligaments. The vast majority of knee injury can be treated with minimally invasive arthroscopic surgery, postoperative rehabilitation exercise training