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find Keyword "胫骨止点骨折" 2 results
  • 改良关节镜下缝线内固定治疗前交叉韧带胫骨止点骨折

    目的 总结改良关节镜下缝线内固定治疗前交叉韧带(anterior cruciate ligament,ACL)胫骨止点骨折的疗效。 方法 2011 年 4 月—2015 年 4 月,收治 28 例 ACL 胫骨止点骨折患者。男 21 例,女 7 例;年龄 11~47 岁,平均 28.6 岁。致伤原因:运动伤 19 例,交通事故伤 9 例。受伤至手术时间 1~5 d,平均 2.1 d。膝关节Lysholm 评分为(42.7±7.6)分。按照 Meyers-Mckeever-Zaircznyj 分型标准:Ⅱ 型 3 例,Ⅲ 型 17 例,Ⅳ 型 8 例。合并半月板损伤 3 例。采用改良关节镜下缝线内固定治疗,术后正规康复锻炼。 结果 术后 X 线片示骨折均达解剖复位;切口均 Ⅰ 期愈合。患者均获随访,随访时间 12~18 个月,平均 14.2 个月。X 线片复查示,术后 6 个月骨折均达骨性愈合。术后 12 个月,膝关节 Lysholm 评分为(93.2 ±6.5)分,与术前比较差异有统计学意义(t=26.721,P=0.000)。Lachman 试验及前抽屉试验均为阴性。胫骨结节内侧内固定缝线经皮处无瘢痕或仅遗留点状瘢痕。 结论 改良关节镜下缝线内固定治疗ACL胫骨止点骨折,更微创,操作简便,疗效良好。

    Release date:2017-03-13 01:37 Export PDF Favorites Scan
  • Effectiveness of arthroscopic binding fixation using suture through single bone tunnel for posterior cruciate ligament tibial insertion fracture in adults

    Objective To explore the effectiveness of arthroscopic binding fixation using suture through single bone tunnel for posterior cruciate ligament (PCL) tibial insertion fractures in adults. Methods Between October 2019 and October 2021, 16 patients with PCL tibial insertion fractures were treated with arthroscopic binding fixation using suture through single bone tunnel. There were 11 males and 5 females with an average age of 41.1 years (range, 26-58 years). The fractures were caused by traffic accident in 12 cases and sports in 4 cases. The time from injury to operation ranged from 2 to 10 days with an average of 6.0 days. The fractures were classified as Meyers-McKeever type Ⅱ in 4 cases and type Ⅲ in 9 cases, and Zaricznyi type Ⅳ in 3 cases. There were 2 cases of grade Ⅰ, 7 cases of grade Ⅱ, and 7 cases of grade Ⅲ in the posterior drawer test. There were 3 cases combined with lateral collateral ligament injury and 2 cases with meniscus injury. The visual analogue scale (VAS) score, Lysholm score, International Knee Documentation Committee (IKDC) score, and knee range of motion were used to evaluate knee joint function. The posterior drawer test and knee stability tester (Kneelax 3) were used to evaluate knee joint stability. The X-ray films were used to evaluate fracture reduction and healing. Results All incisions healed by first intention after operation. There was no incision infection, popliteal neurovascular injury, or deep venous thrombosis of lower limbs. All patients were followed up 6-12 months, with an average of 10 months. X-ray films at 6 months after operation showed the fractures obtained bone union. There were 11 cases of grade 0, 4 cases of gradeⅠ, and 1 case of grade Ⅱin posterior drawer test, showing significant difference when compared with preoperative results (Z=23.167, P<0.001). The VAS score, Lysholm score, IKDC score, knee range of motion, and the results of Kneelax3 examination all significantly improved when compared with preoperative results (P<0.05). Conclusion For adult patients with PCL tibial insertion fractures, the arthroscopic binding fixation using suture through single bone tunnel has the advantages of minimal trauma, good fracture reduction, reliable fixation, and fewer complications. The patient’s knee joint function recovers well.

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