镜下双内钮扣固定治疗后交叉韧带胫骨止点撕脱骨折

发布时间：2018-03-27 05:24

本文选题：后交叉韧带　切入点：撕脱性骨折　出处：《中国矫形外科杂志》2017年16期

【摘要】：[目的]探讨关节镜下单胫骨隧道,双内钮扣(Endobutton)钢板,结合双股高强度Ultrabraid Suture固定治疗单纯性的后交叉韧带胫骨止点撕脱性骨折的早期临床效果和可行性。[方法]回顾性分析2012年5月~2014年12月12例单纯性后交叉韧带胫骨止点撕脱性骨折患者,男8例,女4例,年龄18~56岁,平均34岁,左侧9例,右侧3例,对所有患者进行关节镜下骨折块新鲜化、复位,双Endobutton钢板固定,所有患者术后1周,1、3、6个月复查X线片。应用Lysholm评分评价膝关节恢复效果。[结果]术中出血量33~65 ml,平均(47.58±9.63)ml,手术时间38~55 min,平均(47.25±4.92)min,所有患者均获随访6~16个月,平均(12.08±2.71)个月,术后3个月X线片提示骨折完全愈合,没有出现骨折畸形愈合或不愈合。所有患者均未出现乆窝血管神经束损伤、感染等并发症。术后6个月Lysholm评分(92.92±2.35)分相比术前(43.67±5.61)分差异有统计学意义。[结论]此关节镜技术治疗单纯性后交叉韧带胫骨止点撕脱性骨折具有创伤小、操作简便、适应证广的优点,早期临床效果令人满意。
[Abstract]:[objective] to study the plate of tibial tunnel with double inner button and double internal button issued by arthroscope. The early clinical effect and feasibility of the treatment of simple posterior cruciate ligament tibial tibial avulsion fracture with double-stranded high-intensity Ultrabraid Suture fixation were retrospectively analyzed in 12 cases of simple posterior cruciate ligament from May 2012 to December 2014. Patients with avulsion fracture at bone insertion point, There were 8 males and 4 females, aged 1856 years (mean 34 years), 9 cases on the left side and 3 cases on the right side. All the patients were treated with arthroscopic fracture block freshness, reduction and double Endobutton plate fixation. The Lysholm score was used to evaluate the recovery effect of knee joint. [results] the intraoperative bleeding volume was 337.58 卤9.63 ml, the operative time was 3855 min (mean 47.25 卤4.92 min). All the patients were followed up for 6 ~ 16 months (mean 12.08 卤2.71) months. 3 months after operation, X-ray showed that the fracture was completely healed, and no malunion or nonunion occurred. No injuries of the vascular and nerve bundles were found in all the patients. Infection and other complications. The Lysholm score of 92.92 卤2.35 at 6 months after operation was significantly higher than that before operation (43.67 卤5.61). [conclusion] this arthroscopic technique for the treatment of simple posterior cruciate ligament tibial tibial avulsion fracture has less trauma and is easy to operate. The early clinical effect is satisfactory because of its wide indication.
【作者单位】：苏州大学附属第三医院骨关节科;
【基金】：江苏省常州市重大课题(编号:ZD 201604) 实用新型专利(编号:ZL 2015 2 0508727.0)
【分类号】：R687.3

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