生物骨科材料与临床研究Issue(1)：46-48,51,4.
关节镜下空心螺钉与缝线固定治疗胫骨髁间棘骨折的疗效比较
The comparison between arthroscopic cannulated screw and suture fixation on tibial spine fractures curative effect
杨万波 1江红辉 1余鹏 1蒋从斌 1彭聚胜 1陈刚 1范华波1
作者信息
- 1. 武警湖北总队医院骨1科，湖北武汉 430061
- 折叠
摘要
Abstract
Objective To explore The comparison between arthroscopic cannulated screw and suture fixation on tibial spine fractures curative effect and functional effects. Methods Retrospective analysis of 28 patients' information accepted arthroscopic fixation of the fracture due to tibial spine fractures, depending on the surgical fixation methods, The patients were divided into two groups of A, B. Patients were received arthroscopic cannulated screw fixation in A group and ar-throscopic suture fixation in B group. Conduct the investigations of the perioperative indicators of the patients' surgical time, tourniquet application. At the last follow-up, assessed the knee function effects with the anterior drawer test, Lachman test, the Hospital for Special Surgery score (Hospital for Special Surgery, HSS) and the Lysholm score. Results 23 patients with clinical and radiologic follow-up for 24 months, 13 patients in group A and 10 cases in group B. Group A and group B Operation time were (180.3 ± 12.7) min and (176.2 ± 11.4) min, Tourniquet application times are (113.7 ± 10.4) min and (111.6 ± 10.0) min respectively. The difference between the groups was not statistically significant ( >0.05). All patients were bone union and not displaced fractures. At the last follow-up, the ipsilateral knee anterior drawer test and Lachman test were negative; average HSS score of A, B two groups were 95.0 ± 2.9 and 96.8 ± 2.4, mean Lysholm score were 94.2 ± 2.1 and 93.8 ± 1.9, average knee range of motion were 137.1°± 9.0° and 135.6°± 12.1°, the difference between the groups was not statistically significant ( >0.05). Conclusion Both tibial spine fracture with arthroscopic cannulated screw and suture fixation can determine a satisfactory clinical efficacy, and 2 years after surgery in patients with good functional outcomes.关键词
胫骨髁间棘骨折/关节镜/空心螺钉/缝线固定Key words
Tibial spine fractures/Arthroscopy/Hollow screws/Suture fixation分类
医药卫生引用本文复制引用
杨万波,江红辉,余鹏,蒋从斌,彭聚胜,陈刚,范华波..关节镜下空心螺钉与缝线固定治疗胫骨髁间棘骨折的疗效比较[J].生物骨科材料与临床研究,2013,(1):46-48,51,4.
