高强线领带结固定治疗儿童前交叉韧带胫骨止点撕脱骨折的疗效观察

发布时间：2019-04-08 08:52

【摘要】：目的 探讨关节镜下高强线领带结固定治疗儿童前交叉韧带胫骨止点撕脱骨折的疗效。方法对我院2014年4月~2016年3月收治的19例前交叉韧带胫骨止点撕脱骨折的儿童患者进行关节镜下高强线领带结捆绑固定。其中,男8例,女11例,年龄5~14岁,平均11.6岁,按Meyers-McKeever-Zaricznyj分型Ⅱ型者10例,Ⅲ型者6例,Ⅳ型者3例术后随访复查X线、CT了解骨折愈合情况,根据前抽屉试验、Lachman试验、膝关节活动度以及Lysholm评分、国际膝关节文献委员会(IKDC)评分评价膝关节功能恢复情况。结果本组19例均得到随访,随访时间6~24个月,平均12.8个月。术后3个月所有患者均达到骨性愈合。术后6个月所有患者膝关节屈伸活动度正常。Lysholm评分、IKDC评分分别由术前(49.16±7.31)分、(45.42±5.45)分提高为(92.21±3.58)分、(90.95±3.08)分,差异有统计学意义(P0.01);膝关节前抽屉试验、Lachman试验均为阴性。测量双小腿长度无差别,X线未见骺板发育异常出现。结论关节镜下高强线领带结固定治疗儿童前交叉韧带胫骨止点撕脱骨折创伤小,固定可靠,对骺板影响小,关节功能恢复好,临床疗效满意。
[Abstract]:Objective to evaluate the efficacy of arthroscopic fixation with high-intensity tie knot in the treatment of tibial avulsion fracture of anterior cruciate ligament (ACL) in children. Methods from April 2014 to March 2016, 19 children with tibial avulsion fracture of anterior cruciate ligament were treated with arthroscopic high-strength tie fixation. There were 8 males and 11 females, aged 5-14 years (mean 11.6 years). According to Meyers-McKeever-Zaricznyj classification, 10 cases were classified as type 鈪，

本文编号：2454450