带线锚钉与钢丝治疗膝关节后交叉韧带胫骨止点撕脱骨折的效果比较

发布时间：2018-04-09 11:21

本文选题：交叉韧带　切入点：止点撕脱骨折　出处：《广东医学》2017年16期

【摘要】：目的比较带线锚钉和钢丝治疗膝关节后交叉韧带(PCL)胫骨止点撕脱骨折的疗效。方法将收治的48例PCL胫骨止点撕脱骨折患者随机分为带线锚钉治疗组(锚钉组)和钢丝治疗组(钢丝组),分析两组患者临床资料,包括性别、年龄、患者受伤至手术的时间、术后随访时间、手术时间,术前、术后1、3、6、12个月采用膝关节Lysholm评分系统评估患者情况,比较两组临床疗效。结果所有患者全部获得完整随访,平均随访(20.81±2.73)个月。术后3、6、12个月膝关节Lysholm评分差异无统计学意义(P0.05)。手术时间及术后1个月膝关节Lysholm评分差异有统计学意义(P0.05)。结论带线锚钉和钢丝治疗PCL胫骨止点撕脱骨折均能获得良好的临床疗效。但带线锚钉治疗PCL胫骨止点撕脱骨折具有手术时间短、创伤小、恢复快的优点。
[Abstract]:Objective to compare the effect of wire anchor nail and wire in the treatment of posterior cruciate ligament (PCL) tibial avulsion fracture.Methods 48 patients with PCL tibial tibial tibial avulsion fracture were randomly divided into two groups: the treatment group with wire anchor nail and the steel wire treatment group. The clinical data of the two groups were analyzed, including sex, age, time from injury to operation.The postoperative follow-up time, operative time, preoperative and postoperative 1: 3, 6, 12 months using the knee joint Lysholm scoring system to evaluate the situation of patients, compared the two groups of clinical efficacy.Results all patients were followed up for an average of 20.81 卤2.73 months.There was no significant difference in Lysholm score between 6 and 12 months postoperatively (P 0.05).The time of operation and the Lysholm score of knee joint 1 month after operation were significantly different (P 0.05).Conclusion the treatment of PCL tibial tibia avulsion fracture with wire anchor nail and wire can obtain good clinical effect.But the treatment of PCL tibial tibial avulsion fracture with thread anchor nail has the advantages of short operation time, less trauma and quick recovery.
【作者单位】：清远市人民医院骨科一区;
【基金】：清远市科技计划项目(编号:2015B019)
【分类号】：R687.4

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