History1875——Poncet1970——AvulsionfractureoftheACLwasclassifiedby

MeyersMH1996——VeselkoMperformed

arthroscopicplacementandremovalofcannulatedscrewforfixation2008——JinzhongZhaoreported

arthroscopicFigure-of-8suturefixationtechnique目前一頁\總數(shù)六十頁\編于三點(diǎn)Morbidity——3/10000014％of

ACL

injuryDistribution

of

age

children——8～14

years

old

old

women——over

40

years

oldAccidE-mergNurs，2004，12(3)：173-175．InternationalJournalofPediatrics,2012,ArticleID932702,6pages

epidemiology目前二頁\總數(shù)六十頁\編于三點(diǎn)Fallinjuryandtrafficaccident——51％Sportsinjuries——Skiingandfootball--14%TheKnee，2008，15(3)：164-167．目前三頁\總數(shù)六十頁\編于三點(diǎn)Associatedwithcapsuletear

of

meniscus

or

articularcapsule,sometimes

including

medialandlateralcollateralligamentinjuryorinjuryofarticularcartilageArthroscopy:TheJournalofArthroscopicandRelatedSurgery,2005,21(1):86-92.目前四頁\總數(shù)六十頁\編于三點(diǎn)Relevant

anatomicalstructure目前五頁\總數(shù)六十頁\編于三點(diǎn)Residentridge目前六頁\總數(shù)六十頁\編于三點(diǎn)Residentridge目前七頁\總數(shù)六十頁\編于三點(diǎn)Branchingridge目前八頁\總數(shù)六十頁\編于三點(diǎn)Footprints目前九頁\總數(shù)六十頁\編于三點(diǎn)Footprints目前十頁\總數(shù)六十頁\編于三點(diǎn)目前十一頁\總數(shù)六十頁\編于三點(diǎn)Theanteriormedialbundleistightinflexion

theposteriorlateralbundleistightinthestraightposition目前十二頁\總數(shù)六十頁\編于三點(diǎn)12損傷機(jī)制Youngpeople-kneeflexion,tibialinternalrotationAdults-hyperextensionofthekneeACLlimitsanteriordisplacement,hyperextension,andinternalrotation目前十三頁\總數(shù)六十頁\編于三點(diǎn)DiagnosisInjury

history

of

hyperextensionofkneeBruise

and

hyphemaTheextensionwaslimitedAnterior

drawertestandLachmansignare

positiveX-ray

and

CT

are

conducivetounderstandingoffractureMRIishelpfultounderstandinjury

of

ACL,andothers

combinedinjury.目前十四頁\總數(shù)六十頁\編于三點(diǎn)Anterior

drawertestandLachmansign目前十五頁\總數(shù)六十頁\編于三點(diǎn)X-ray目前十六頁\總數(shù)六十頁\編于三點(diǎn)CT目前十七頁\總數(shù)六十頁\編于三點(diǎn)MRI目前十八頁\總數(shù)六十頁\編于三點(diǎn)Meyers-McKeeverclassificationArthroscopy2005;21[1]:86-92目前十九頁\總數(shù)六十頁\編于三點(diǎn)Howtoidentifyfreshoroldfracturesinimaging目前二十頁\總數(shù)六十頁\編于三點(diǎn)TreatmentItypeConservativetreatment

to

keep

the

knee

in

a

functionalposition

for

6weeksⅡ

and

Ⅲ

types

Manipulation，iffail，selectedsurgeryⅣ

type

Surgery目前二十一頁\總數(shù)六十頁\編于三點(diǎn)Reduction

Thedrawertestafterextension目前二十二頁\總數(shù)六十頁\編于三點(diǎn)P-R-I-C–E

programProtectionRestIceCompressionElevate

目前二十三頁\總數(shù)六十頁\編于三點(diǎn)It

usedtobethemostcommonlytreatmentprogramtoopenreductionandfixedwithwire目前二十四頁\總數(shù)六十頁\編于三點(diǎn)AfailedcaseCase1目前二十五頁\總數(shù)六十頁\編于三點(diǎn)Singletunnelfixationwithsteelwireandextrusionscrew目前二十六頁\總數(shù)六十頁\編于三點(diǎn)Noextrusionnailwasfoundbeforeoperationimpinge目前二十七頁\總數(shù)六十頁\編于三點(diǎn)Ifthefracturemassissmall,usingEthibondsuture目前二十八頁\總數(shù)六十頁\編于三點(diǎn)OldfractureofavulsionfractureofACLCase2目前二十九頁\總數(shù)六十頁\編于三點(diǎn)Woundfreshness目前三十頁\總數(shù)六十頁\編于三點(diǎn)Tocleanandremovealldead,damagedtissuearoundofthefracturemass目前三十一頁\總數(shù)六十頁\編于三點(diǎn)Tointroducethewirebyalumbarpunctureneedle目前三十二頁\總數(shù)六十頁\編于三點(diǎn)TothreadthroughNo.5Ethibond,andfixfracturewith"8"tensionband目前三十三頁\總數(shù)六十頁\編于三點(diǎn)Toinspectcarefully目前三十四頁\總數(shù)六十頁\編于三點(diǎn)Thepatientswerefollowedupfor1monthaftersurgery目前三十五頁\總數(shù)六十頁\編于三點(diǎn)Case3TousePDSiiasthethread目前三十六頁\總數(shù)六十頁\編于三點(diǎn)TousePDSiiasthethread目前三十七頁\總數(shù)六十頁\編于三點(diǎn)TousePDSiiasthethread目前三十八頁\總數(shù)六十頁\編于三點(diǎn)Case4OldavulsionfractureofACL目前三十九頁\總數(shù)六十頁\編于三點(diǎn)Withbonesclerosis,andACLstretchandtear目前四十頁\總數(shù)六十頁\編于三點(diǎn)Theboneblockcannotberemovedwiththenucleuspulposusclampmicro-grindingdrilltodrill目前四十一頁\總數(shù)六十頁\編于三點(diǎn)ToremovebonemasswithnucleuspulposusforcepsEnlargementofthecondylarfossa目前四十二頁\總數(shù)六十頁\編于三點(diǎn)Thepicturewastakenafterreconstructionofanteriorcruciateligament目前四十三頁\總數(shù)六十頁\編于三點(diǎn)PostoperativeX-ray目前四十四頁\總數(shù)六十頁\編于三點(diǎn)followedupfor1monthaftersurgery目前四十五頁\總數(shù)六十頁\編于三點(diǎn)Forabiggerfractureblock,hollowscrewisagoodchoice目前四十六頁\總數(shù)六十頁\編于三點(diǎn)Lateralmeniscus(LM)isbeingpulledanddisplaced目前四十七頁\總數(shù)六十頁\編于三點(diǎn)Ifthefractureofthetibialplateauiscombined,firstofall,thefractureshouldbefixed目前四十八頁\總數(shù)六十頁\編于三點(diǎn)X-rayshowedACLavulsionfracturecombinedwithtibialplateaufractureCase4目前四十九頁\總數(shù)六十頁\編于三點(diǎn)MRI目前五十頁\總數(shù)六十頁\編于三點(diǎn)Tocheckthestabilityofkneejointbeforeoperation目前五十一頁\總數(shù)六十頁\編于三點(diǎn)TocarefullyexaminethecollapseofthelateraltibialplateauToreduceandfixtibialplateaufractures目前五十二頁\總數(shù)六十頁\編于三點(diǎn)ToremovethesynovialtissueofthefemoralcondyleArthroscopicimageofthereducefracture目前五十三頁\總數(shù)六十頁\編于三點(diǎn)TocutthetransverseligamentofmeniscusThereductionofthefracturemassisblockedbythetransverseligamentofthemeniscus目前五十四頁\總數(shù)六十頁\編于三點(diǎn)ToreducefractureTofixedfracturewithk-wiretemporarily目前五十五頁\總數(shù)六十頁\編于三點(diǎn)To

drill

intosecondK-wireAguidepinisinserted目前五十六頁\總數(shù)六十頁\編于三點(diǎn)To

screwintothehollowscrewTo

inspect

after

fixation目前五十七頁\總數(shù)六十頁\編于三點(diǎn)PostoperativeX-ray目前五十八