临床骨科杂志2012，Vol.15Issue(1)：48-50,3.
关节镜下治疗前交叉韧带胫骨髁间嵴撕脱骨折
Arthroscopic treatment of anterior cruciate ligament tibial intercondylar eminence avulsion fracture
刘雪峰 1王鲲鹏 1廉永云 1逯代锋 1周勇 1刘全 1赵承斌1
作者信息
- 1. 哈尔滨医科大学附属第四医院骨科,黑龙江,哈尔滨150001
- 折叠
摘要
Abstract
Objective To study the effect of arthroscopic treatment of anterior cruciate ligament tibial intercondylar eminence avulsion fracture with suture and cable reduction and internal fixation. Methods 56 cases of anterior cruciate ligament tibial intercondylar eminence avulsion fracture were recruited, including Meyers and McKeever type II 13 cases; type ⅢA 15 cases; type ⅢB 13 cases;and type Ⅳ 15. With Ethibond X519 suture plus cable, the tibial eminence fractures were arthroscopic treated by reduction and fixation by suture zones bound through the front double-tibial tunnel traction. Results X-ray film showed tibial avulsion fractures got complete reduction. 56 patients were followed up for 18 ~21 months. In the final follow-up, all got completely healed. Lachmen test was 56( - ), anterior drawer test was 55( - ), with 1 weakly positive. With IKDC evaluation, it was C in 30 cases and D in 26; After operation, it was A in 55 cases, and B in 1. Lysholm scores were 37 ~52( 42. 7 ±0. 34 ) before surgery, and 91 ~96 ( 95. 7 ±0. 56 ) after operation, with 53. 0 ±0. 43 improvement ( P <0. 01 ). Conclusions The anterior cruciate ligament tibial intercondylar eminence avulsion fracture can be treated by reduction and fixation by suture zones bound through the front double-tibial tunnel traction, which provides good reduction and fixation. The per unit area pressure can be maximized, with which the rigidity and stability is increased. Early exercises can be permitted.关键词
关节镜检查/前交叉韧带/胫骨髁间嵴/撕脱骨折/骨折固定术,内Key words
arthroscopy/anterior cruciate ligament/tibial intercondylar/avulsion fracture/fracture fixation,internal分类
医药卫生引用本文复制引用
刘雪峰,王鲲鹏,廉永云,逯代锋,周勇,刘全,赵承斌..关节镜下治疗前交叉韧带胫骨髁间嵴撕脱骨折[J].临床骨科杂志,2012,15(1):48-50,3.
