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.