新型固定方式在胫骨平台后交叉韧带附着点撕脱骨折中的应用研究

发布时间：2018-09-01 11:04

【摘要】：[目的]探讨新型固定方式治疗膝关节后交叉韧带胫骨止点撕脱骨折的解剖学功能优势,为最大限度的恢复膝关节解剖学稳定提供一种途径。[方法]对20例膝关节后交叉韧带胫骨止点撕脱骨折患者经后侧入路暴露骨折断端及损伤的后交叉韧带,直视下行骨折复位,接骨板支撑固定骨折断端,重建后交叉韧带张力。术后对患者骨折愈合情况、功能恢复程度和治疗结果满意程度定期随访。[结果]20例膝关节后交叉韧带胫骨止点撕脱骨折患者均获得随访,随访时间12~24个月。术后通过HSS评分系统对治疗结果进行功能评分:优15例、良4例、中1例。通过Lysholm膝关节评分标准对双侧膝关节进行评估:优18例,良1例,中1例。[结论]新型固定方式治疗膝关节后交叉韧带胫骨止点撕脱骨折可获得良好的暴露,接骨板支撑固定及韧带修复牢固,患者早期即可行膝关节功能锻炼,恢复膝关节的解剖学功能,获得良好的临床疗效,值得临床推广。
[Abstract]:[objective] to explore the anatomical advantages of new fixation for tibial avulsion fracture of posterior cruciate ligament of knee joint, and to provide a way to restore anatomical stability of knee joint. [methods] 20 cases of posterior cruciate ligament tibial avulsion fracture of knee joint were exposed to the broken end of the fracture and the injured posterior cruciate ligament through the posterior approach. The fracture was reduced directly, the broken end of the fracture was fixed with the plate support, and the tension of the posterior cruciate ligament was reconstructed. Patients were followed up regularly for fracture healing, functional recovery and treatment satisfaction. [results] Twenty patients with posterior cruciate ligament tibial avulsion fracture were followed up for 12 ~ 24 months. The results were evaluated by HSS scoring system: excellent in 15 cases, good in 4 cases, and middle in 1 case. The bilateral knee joints were evaluated by Lysholm knee scoring criteria: excellent in 18 cases, good in 1 case and moderate in 1 case. [conclusion] A new method of fixation for tibial avulsion fracture of posterior cruciate ligament of knee joint can obtain good exposure, plate fixation and ligament repair are firm, and the patients can do knee joint function exercise at the early stage. Restoring the anatomical function of knee joint and obtaining good clinical curative effect are worth popularizing.
【作者单位】：河北沧州市中心医院骨科;沧州医学高等专科学校;泊头市医院;
【分类号】：R687.3

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