Arthrex缝线联合免打结锚钉修复前交叉韧带胫骨止点撕脱骨折

发布时间：2018-04-05 15:32

本文选题：胫骨骨折　切入点：前交叉韧带　出处：《中国组织工程研究》2017年03期

【摘要】：背景:膝关节前交叉韧带胫骨止点撕脱骨折的治疗方法多样,各有优势。目的:探讨关节镜下应用两根Arthrex线双骨道联合pushlock免打结锚钉固定前交叉韧带胫骨止点撕脱骨折的手术方法及临床疗效。方法:纳入2014年12月至2015年11月在内蒙古医科大学第二附属医院住院治疗的23例前交叉韧带胫骨止点撕脱骨折患者,在关节镜下应用Arthrex线将骨折块十字交叉复位,在胫骨结节内侧拧入pushlock免打结锚钉以收紧Arthrex缝线,将骨折块牢固固定于胫骨髁间嵴附着点处。术后采用膝关节评分(Lysholm和Tegner评分)随访。应用前抽屉试验、Lachman试验评价膝关节稳定性,X射线片评价术后骨折端的复位及愈合。结果与结论:(1)23例患者随访时间为6个月-1年;(2)Lysholm关节评分术前为(47.31±6.16)分,术后为(94.69±1.28)分(P0.05),Tegner评分由术前的(3.14±1.58)分提高到术后的(7.74±1.69)分(P0.05);(3)查体:Lachman试验均为阴性,X射线片示骨折端愈合良好。未出现关节反复肿胀及交锁等机械症状,膝关节无屈伸活动受限,未出现感染、下肢深静脉血栓形成等其他并发症;(4)结果表明,关节镜下应用Arthrex线结合pushlock免打结锚钉固定前交叉韧带胫骨髁间嵴撕脱性骨折具有微创、操作简单、固定可靠、无金属内置物,效果满意等优点。
[Abstract]:Background: the treatment of tibial avulsion fracture of anterior cruciate ligament (ACL) of knee joint has many advantages.Objective: to investigate the operative method and clinical effect of arthroscopic fixation of tibial avulsion fracture of anterior cruciate ligament (ACL) with two Arthrex lines and two osseous pathways combined with pushlock.Methods: from December 2014 to November 2015, 23 patients with avulsion fracture of anterior cruciate ligament tibia were treated in the second affiliated Hospital of Inner Mongolia Medical University. The fracture was cross-reduced with Arthrex line under arthroscopy.The pushlock-free anchor nail was inserted into the medial tibial nodule to tighten the Arthrex suture and the fracture block was firmly fixed at the insertion point of the tibial intercondylar ridge.The knee joint score, Lysholm and Tegner score were followed up.The anterior drawer test and Lachman test were used to evaluate the stability of knee joint.There were no mechanical symptoms such as repeated swelling and locking of joints, no limited flexion and extension activity, no infection, and other complications such as deep vein thrombosis of lower extremities.Arthroscopic fixation of avulsion fracture of tibial intercondylar ridge of anterior cruciate ligament with Arthrex line and pushlock anchor nail has the advantages of minimally invasive, simple operation, reliable fixation, no metal interposition and satisfactory effect.
【作者单位】：内蒙古医科大学第二附属医院运动医学科;内蒙古自治区人民医院神经内科;
【基金】：内蒙古自治区自然科学基金资助项目(2015MS0895)~~
【分类号】：R687.3

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