摘要
Abstract
Objective To investigate the operation methods and clinical ef ect of anatomic fixation under athroscopy for Posterior cruciate ligament ( PCL) tibial avulsion fractures using Kirschner wires.Methods From Jan 2012 to Jan 2013 20 patients with isolated PCL tibial avulsion fractures underwent anatomic fixation under athroscopy treated at our institutionwere selected,in which 14 men, 6women aged 19~35years old, an average of 27 ,8 cases of sports injury history , and 12 cases of traf ic accident injury history. Patients had varying degrees of the symptoms of knee pain,pain arc positive and restricted activitie . Preoperative X-ray and MRI images showed PCL tibial avulsion fractures .Al patients were treated with arthroscopic surgery. The clinical examination, preoperative anterior drawer test, gravity drawer teat was fol owed-up,the knee-joint function was evaluated with Lysholm score,KT-1000 and the ef ectswere analyzed. Results The fol ow-up of 12 months, Lysholm score,KT-1000 have significantly improved relative to preoperative.Conclusion Athroscopy assisted anatomic fixation for Posterior anterior cruciate ligament ( PCL) tibial avulsion fractures using Kirschner wires has the advantages of lit le trauma,firm fixation,early rehabilitation and lit le complications,and the ef ect is satisfactory,more close to the anatomical biomechanical tibial insertion of PCL.关键词
后交叉韧带/关节镜/胫骨止点撕脱骨折/钢丝Key words
Posterior cruciate ligament/Arthroscopy/Tibial avulsion fracture/Anatomic fixation/Kirschner wires
