Objective To discuss the types, characteristics, and the evaluation of disability of knee injuries. Methods The data of 133 cases of knee injury from 2017 to 2019 were collected and statistically analyzed according to the region of injury, the degree of disability, etc. Results One hundred and twenty-five cases of injury were compound, and 8 cases were simple. The incidences of ligament injury, meniscus injury and fracture were 88.72%, 75.19% and 57.89%, respectively. Of the cruciate ligament injuries, 12 cases were posterior cruciate ligament injury while 51 cases were anterior cruciate ligament injury, and the differences between the two kinds of injury had statistical significance （P<0.05）; 32 cases were secondary traumatic arthritis. The rates of disability of knee injuries were 38.35% （Grade Ⅸ and Ⅹ）. Conclusion Compound knee injuries are common, and traumatic arthritis has a relatively high rate. Multiple injuries can affect the stability and weight-bearing of the knee joint. It is suggested that in addition to evaluating the range of motion of knee joint, multiple factors should be considered to assess disability.
题目: 133例膝关节损伤的法医学鉴定分析.
摘要: 目的 探讨膝关节损伤的类型、特点及残疾评定。 方法 收集2017—2019年133例膝关节损伤的案例资料，按损伤部位、致残程度等进行统计分析。 结果 复合型损伤125例，单纯型损伤8例；韧带损伤、半月板损伤及骨折发生率分别为88.72%、75.19%和57.89%；交叉韧带损伤中，后交叉韧带损伤12例，前交叉韧带损伤51例，两者之间差异有统计学意义（P<0.05）；并发创伤性关节炎32例。膝关节损伤致残率为38.35%（九、十级）。 结论 膝关节复合型损伤多见，创伤性关节炎比例较高。多种损伤可影响膝关节稳定、负重等功能，建议除评定关节活动度外，还需综合多种因素评残。.
关键词: 法医学；膝损伤；半月板，胫骨；韧带，关节；案例分析.
Keywords: forensic medicine; knee injuries; menisci, tibial; ligaments, articular; cases analysis.
Copyright© by the Editorial Department of Journal of Forensic Medicine.