@article{oai:niigata-u.repo.nii.ac.jp:00022790, author = {朴, 鍾大}, issue = {9}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Sep}, note = {The outcome of one hundred and eighty-one patients with torn anterior cruciate ligament was reviewed. The patients were divided into four groups: i. e. untreated patients: primarily repaired: primarily repaired and reconstructed: and secondarily reconstructed. Results 1. Although most of the patients with the torn anterior cruciate ligament left untreated had no significant disability in ADL, they became incapable for sport activities. Arthroscopic examination showed that fibers of torn anterior cruciate ligaments tended to disappear with time, whereas the incidence of associated meniscal injury increased with time. Half of patients with ruptured anterior cruciate ligaments left untreated for more than 5 years were associated in O A changes. 2. Primary repair was not effective in those who did the strenuous sports, because repaired anterior cruciate ligaments gradually loosened. 3. Result of combined primary repair and reconstruction was much better than primary repair. However, since re-rupture occurred even after combined procedure although in a small number of patients, post-operative care should be cautious. 4. Although vascularized patellar tendon used to reconstruct anterior cruciate ligament occacionaly caused flexion ccntracture of the knee joint, the over-all results were encouraging.}, pages = {748--759}, title = {膝関節前十字靱帯損傷の治療法別転帰の検討}, volume = {103}, year = {1989} }