单纯性内侧副韧带损伤
恢复至损伤前的运动水平的预后极佳。根据损伤分级确定恢复运动时长:
I 级:2-3 周
II 级:3-4 周
III 级:6-12 周
长期预后研究已表明单纯性内侧副韧带损伤后功能及运动水平预后良好。[39]Lundberg M, Messner K. Ten-year prognosis of isolated and combined medial collateral ligament ruptures: a matched comparison in 40 patients using clinical and radiographic evaluations. Am J Sports Med. 1997;25:2-6.http://www.ncbi.nlm.nih.gov/pubmed/9006684?tool=bestpractice.com此外,单纯部分内侧副韧带破裂 10 年内复发损伤的几率仅为 10%。[40]Lundberg M, Messner K. Long-term prognosis of isolated partial medial collateral ligament ruptures: a ten-year clinical and radiographic evaluation of a prospectively observed group of patients. Am J Sports Med. 1996;24:160-163.http://www.ncbi.nlm.nih.gov/pubmed/8775113?tool=bestpractice.com
内侧副韧带 / 前交叉韧带合并损伤
尽管内侧副韧带 / 前交叉韧带合并损伤的恢复过程更长,但预后良好,可以完全恢复。此患者组再次损伤、膝关节松弛增加及骨关节炎的发生率增加。[39]Lundberg M, Messner K. Ten-year prognosis of isolated and combined medial collateral ligament ruptures: a matched comparison in 40 patients using clinical and radiographic evaluations. Am J Sports Med. 1997;25:2-6.http://www.ncbi.nlm.nih.gov/pubmed/9006684?tool=bestpractice.com[40]Lundberg M, Messner K. Long-term prognosis of isolated partial medial collateral ligament ruptures: a ten-year clinical and radiographic evaluation of a prospectively observed group of patients. Am J Sports Med. 1996;24:160-163.http://www.ncbi.nlm.nih.gov/pubmed/8775113?tool=bestpractice.com
内侧副韧带 / 多韧带合并损伤
此类损伤预后良好,可完全恢复。此患者组再次损伤、膝关节松弛增加及骨关节炎的发生率增加。[39]Lundberg M, Messner K. Ten-year prognosis of isolated and combined medial collateral ligament ruptures: a matched comparison in 40 patients using clinical and radiographic evaluations. Am J Sports Med. 1997;25:2-6.http://www.ncbi.nlm.nih.gov/pubmed/9006684?tool=bestpractice.com[40]Lundberg M, Messner K. Long-term prognosis of isolated partial medial collateral ligament ruptures: a ten-year clinical and radiographic evaluation of a prospectively observed group of patients. Am J Sports Med. 1996;24:160-163.http://www.ncbi.nlm.nih.gov/pubmed/8775113?tool=bestpractice.com
慢性内侧副韧带损伤
术后预后取决于内侧副韧带修复类型以及患者慢性外翻松弛持续时间。多数患者,6-12 个月可完全恢复功能。[29]Azar FM. Evaluation and treatment of chronic medial collateral ligament injuries of the knee. Sports Med Arthrosc. 2006;14:84-90.http://www.ncbi.nlm.nih.gov/pubmed/17135952?tool=bestpractice.com