中国组织工程研究与临床康复2011，Vol.15Issue(30)：5697-5700,4.DOI:10.3969/j.issn.1673-8225.2011.30.045
Tibial-inlay技术重建合并胫骨干骨折膝关节后交叉韧带断裂8例
Tibial-inlay technique used in reconstruction of posterior cruciate ligament with concomitant ipsilateral tibial shaft fracture in 8 cases
摘要
Abstract
BACKGROUND: The reconstruction of posterior cruciate ligament (PCL) by tibial tunnel method is limited in treating PCL tear with concomitant ipsilateral tibial shaft fracture which is operated by internal fixation firstly, because there is the internal fixation in the proximal tibia, which can interfere with the making of tibial tunnel.OBJECTIVE: To evaluate the Tibial-inlay technique effects on reconstruction of PCL combined with concomitant ipsilateral tibial shaft fracture.METHODS: Eight knees with PCL tear and concomitant ipsilateral tibial shaft fracture in 8 patients were verified with physical examination, medical image and arthroscopy. All the damaged PCLs were reconstructed with allograft tendons by Tibial-inlay technique under a rth roscopy 1 -6 months after the first internal fixation. The instability degree of post draw test and the Lysholm score of the knees were recorded before operations and at follow-up.RESULTS AND CONCLUSION: All of them we re followed up for 12 to 24 months. The tibial retropositions of 5 cases were from 10 mm to 15 mm, and those of 3 cases were more than 15 mm before reconstructions. The tibial retropositions of 6 cases were no more than 5 mm, and those of 2 cases were from 5 mm to 10 mm at the final follow-up. The Lysholm score was remarkably improved from 63.50±5.83 preoperatively to 87.50± 2.33 at follow-up (P ＜ 0.05). The reconstruction of PCL by Tibial-inlay technique, with regard to PCL tear and concomitant ipsilateral tibial shaft fracture, has advantages of non-limitation by tunnel of proximal tibia, no interference to internal fixation of tibia and reliable satisfactory outcome.关键词
膝关节/后交叉韧带/Tibial-inlay技术/关节镜/骨折分类
基础医学引用本文复制引用
张义龙,李宁,李志怀,刘建丰,宋有鑫,孙志杰..Tibial-inlay技术重建合并胫骨干骨折膝关节后交叉韧带断裂8例[J].中国组织工程研究与临床康复,2011,15(30):5697-5700,4.基金项目
承德市科技局指导计划项目(200922077):自体骨髓移植在腱-骨愈合中的作用 （200922077）
承德市科技局指导计划项目(200721064):关节镜下Inlay法重建膝后交叉韧带的临床研究. （200721064）
