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改良小切口治疗单纯膝后交叉韧带胫骨止点撕脱骨折

李海波 苟永胜 付柏林 王勇 车峥 李蓉

中国伤残医学2016,Vol.24Issue(14):8-10,3.
中国伤残医学2016,Vol.24Issue(14):8-10,3.DOI:10.13214/j.cnki.cjotadm.2016.14.005

改良小切口治疗单纯膝后交叉韧带胫骨止点撕脱骨折

Treatment of Avulsion Fracture of the Tibial insertion of Posterior Cruciate Ligament with Improved Small Incision

李海波 1苟永胜 1付柏林 1王勇 1车峥 1李蓉1

作者信息

  • 1. 成都市双流县第一人民医院骨科,四川双流 610200
  • 折叠

摘要

Abstract

Objective:To investigate the effect of treatment of avulsion fracture of the tibial insertion of posterior cruciate ligament( PCL) through improved small incision .Methods:Patients prone , intraoperative first palpable lateral fibular head , knee joint posterior median offset from the plane to the proximal fibular head vertex incision , about 2-3cm, along the margin between medial gastrocnemius muscle and semitendinosus finger blunt separation into the gastrocnemius soleus , medial head retracted medially , the lateral head of gas-trocnemius soleus , tibialis artery and vein , posterior tibial nerve retracted laterally , open the rear part of the joint capsule , expose the pos-terior cruciate ligament tibial attachment point , cruciate ligament tibial avulsion fracture with absorbable screw block or anchor fixation af -ter reduction.Results:All cases were followed up for 6-36 months, average 12.5 months follow-up.Postoperative fracture was satis-factory reduction, and healed in 3-6 months.Knee joint function recovered satisfactorily , without obvious complications .Conclusion:It has advantages of minimal invasion and enough exposure in the treatment of avulsion fracture of PCL through improved small incision .

关键词

后叉韧带/撕脱骨折/改良小切口

Key words

Posterior cruciate ligament/Avulsion fracture/Improved small incision

分类

医药卫生

引用本文复制引用

李海波,苟永胜,付柏林,王勇,车峥,李蓉..改良小切口治疗单纯膝后交叉韧带胫骨止点撕脱骨折[J].中国伤残医学,2016,24(14):8-10,3.

中国伤残医学

1673-6567

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