关节镜下缝线与螺钉固定后十字韧带胫骨止点撕脱骨折的疗效比较

发布时间：2018-02-28 20:28

本文关键词： 关节镜缝线螺钉后十字韧带撕脱骨折　出处：《新疆医科大学学报》2017年01期 　论文类型：期刊论文

【摘要】：目的比较关节镜下缝线与螺钉固定后十字韧带(PCL)胫骨止点撕脱性骨折的疗效。方法选择2013年2月—2016年1月新疆医科大学第一附属医院收治的29例PCL胫骨止点撕脱骨折患者,其中术中采用缝线固定15例(缝线固定组)、螺钉固定14例(螺钉固定组),比较两组患者的手术时间、Lysholm评分、IKDC评分及膝关节活动度(ROM)情况。结果缝线固定组和螺钉固定组手术时间分别为(48.3±1.5)min和(36.4±1.5)min,差异有统计学意义(P0.05)。两组患者随访期间无一例出现切口感染、固定装置松动等并发症。术后1 a膝关节正、侧位X线片显示所有骨折均骨性愈合,缝线固定组和螺钉固定组各有1例出现关节粘连,行康复训练后膝关节功能恢复正常。末次随访缝线固定组与螺钉固定组的Lysholm评分分别为(89.9±1.3)、(88.9±1.5)分,IKDC评分分别为(89.2±1.6)、(89.8±1.5)分,ROM分别为(129.6°±2.8°)、(127.7°±3.2°),两组差异均无统计学意义(P0.05)。结论关节镜下缝线与螺钉固定PCL胫骨止点撕脱性骨折均能获得满意的临床疗效,但螺钉固定手术时间更具优势。
[Abstract]:Objective to compare the arthroscopic suture and screw fixation of posterior cruciate ligament (PCL) tibial insertion avulsion fracture curative effect. Methods from February 2013 to January 2016 in the First Affiliated Hospital of Xinjiang Medical University PCL in 29 cases of tibial avulsion fracture of the patients, the suture fixation in 15 cases (the suture group), 14 cases of screw fixation (screw the operation time, fixation group), compared two groups of patients with Lysholm score, IKDC score and knee joint activity (ROM). The results of suture fixation group and screw fixation group were operative time (48.3 + 1.5) min and (36.4 + 1.5) min, the difference was statistically significant (P0.05). No incision infection there were two groups of patients during follow-up, implant loosening and other complications. After 1 a of knee joint, lateral radiographs showed that all fractures healed, suture fixation group and screw fixation group had 1 cases of joint adhesion, rehabilitation After the training of knee joint function returned to normal. At the end of the follow-up suture fixation group and screw fixation group Lysholm scores were (89.9 + 1.3), (88.9 + 1.5) points, IKDC scores were (89.2 + 1.6), (89.8 + 1.5) ROM, respectively (129.6 degrees - 2.8 degrees). (127.7 degrees - 3.2 degrees), the two groups had no statistically significant difference (P0.05). Conclusion the curative effect of arthroscopic suture with PCL screw fixation of tibial avulsion fracture can get satisfactory, but screw fixation time has more advantages.

【作者单位】：新疆医科大学第一附属医院骨病·运动损伤科;
【基金】：新疆医科大学第一附属医院青年科学基金(2014ZRQN14)
【分类号】：R687.32

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