中国内镜杂志2016，Vol.22Issue(7)：106-110,5.DOI:10.3969/j.issn.1007-1989.2016.07.025
关节镜下缝线桥技术治疗前交叉韧带胫骨止点撕脱骨折疗效分析
Effectiveness of arthroscopic treatment of anterior cruciate ligament tibial eminence avulsion fracture with suture bridge fixation technique
朱迎春 1贾学文 1王哲洋 1王毳 1金占萍1
作者信息
- 1. 浙江省宁波市第一医院 浙江大学宁波医院 骨科，浙江 宁波 315000
- 折叠
摘要
Abstract
Objective To evaluate the technique and clinical effect of arthroscopic treatment of anterior cruciate ligament tibial eminence avulsion fracture with suture bridge fixation technique. Methods From May 2013 to July 2015, 18 patients with anterior cruciate ligament tibial eminence avulsion fracture were treated with arthroscopic re﹣duction and fixation by suture bridge technique. There were 12 males and 6 females with an average age of 29.8 years old (range, 9~45 years). The right knees were involved in 10 cases and left knees in 8 cases. The injury caus﹣es included traffic accident injury in 10 cases, sports injury in 5 cases and other reasons in 3 cases. 2 patients had old fracture, the others had fresh fracture. The results of Lachman and anterior drawer test were both positive. The International Knee Documentation Committee (IKDC) subject score was (53.8 ± 4.2). Based on Meyers-Mckeaver classification, there were 5 cases in typeⅡ, 10 cases in type Ⅲ and 3 cases in type Ⅳ. Results The operation time was 50~80 minutes (mean, 60.5 minutes), X-ray showed satisfactory fracture reduction after surgery. Primary healing of incision were obtained with no infection, all 18 patients were followed up for 6 ~ 31 months (mean, 18.6 months). The results of Lachman and anterior drawer test were both negative in 17 cases, the result was negative for anterior drawer test and was weakly positive for Lachamn test in 1 case. The IKDC subject score were significantly improved to (95.2 ± 3.8) at last follow-up (P< 0.05). Conclusion It could achieve early restoration of knee joint function to treat the anterior cruciate ligament tibial eminence avulsion fracture with suture bridge fixation technique because of satisfactory reduction, reliable fixation, minor trauma, and quick recovery.关键词
前交叉韧带/撕脱性骨折/缝线桥技术/关节镜Key words
anterior cruciate ligament/avulsion fracture/suture bridge fixation/arthroscopy分类
医药卫生引用本文复制引用
朱迎春,贾学文,王哲洋,王毳,金占萍..关节镜下缝线桥技术治疗前交叉韧带胫骨止点撕脱骨折疗效分析[J].中国内镜杂志,2016,22(7):106-110,5.
