Clinical study of injuries of medial collateral ligament of the knee joint / 대한정형외과학회잡지

ABSTRACT

The Knee joint is one of most susceptible joints to ligamentous injuries and its incidence has tendency to increase in frequency year by year. In 1938, Palmers monograph pointed out the essential pathological features of acute ligamentous injuries to the knee, and, since then, treatment of these conditions has undergone evolution from an almost completely conservative approach to one in which it is considered essential to undertake primary repair of major ruptures within 10 to 14 days at least. The aim of surgical apporoach is to restore the ligaments to their previous anatomic position and tension. Many authors have made significant contributions to anatomy, mechanism of injury, a method of diagnosis and surgical repair and rehabilitation. The authors have reported a clinical study in 33 patients with ligamentous injuries of medial collateral ligament of the knee, who were treated by surgical repair during the past 5 years from Jan. 1971 to Dec. 1975. and results are as follows. 1. Peak of age incidence was in 3rd decade, and male was more predominant. 2. Traffic accident was most common cause. 3. Among 33 cases of ligamentous injuries of medial side, rupture of medial collateral lig. alone was 12 cases, and combined injury with cruciate ligament or meniscus were 21 cases. 4. As to site of rupture of medial collateral lig. femoral attchment was most common as 14 cases. 5. The results of those cases of which surgical repair have been performed within 2 weeks after injury were better than those cases of delayed surgical repair.