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关节镜下治疗急性后交叉韧带胫骨止点撕脱性骨折2例

徐峰 崔志刚 闵红巍 亓攀 田罡 冯建璞 刘克敏

中国康复理论与实践2017,Vol.23Issue(7):824-828,5.
中国康复理论与实践2017,Vol.23Issue(7):824-828,5.DOI:10.3969/j.issn.1006-9771.2017.07.019

关节镜下治疗急性后交叉韧带胫骨止点撕脱性骨折2例

Arthroscopic Treatment for Acute Avulsion Fracture of Posterior Cruciate Ligament:Two Cases Report

徐峰 1崔志刚 2闵红巍 3亓攀 2田罡 3冯建璞 2刘克敏3

作者信息

  • 1. 北京大学国际医院,北京市102206
  • 2. 首都医科大学康复医学院,北京市100068
  • 3. 中国康复研究中心北京博爱医院,北京市100068
  • 折叠

摘要

Abstract

Objective To explore the efficacy of arthroscopic treatment for acute avulsion fracture of posterior cruciate ligament (PCL) using double titanium plate TightRope. Methods From December 2014 to January 2015, two cases with acute avulsion fracture of PCL were treated with double titanium plate TightRope under arthroscopy, after assessment of three dimensional reconstructive CT and MRI. Rehabili-tation was carried out after operation. Results One case succeeded with double titanium plate TightRope, and rehabilitation could be per-formed early postoperatively. Another case failed in TightRope fixation, and accepted two internal hollow screws fixation instead. Rehabili-tation was delayed until two weeks postoperatively. The function of the knee was satisfactory in the former patient after three months, who could extend the knee in a normal range, without pain or locking. The same effect was gained in the latter patient after four months. Conclu-sion For acute tibial avulsion fracture of PCL with larger and intact fragment without osteoporosis, arthroscopic restoration and fixation with double titanium plate TightRope offers the opportunity to achieve anatomic reconstruction and rigid fixation for early rehabilitation in adult patients.

关键词

后交叉韧带/撕脱性骨折/关节镜/锁扣带袢双钛板

Key words

posterior cruciate ligament/avulsion fracture/arthroscopy/TightRope

分类

医药卫生

引用本文复制引用

徐峰,崔志刚,闵红巍,亓攀,田罡,冯建璞,刘克敏..关节镜下治疗急性后交叉韧带胫骨止点撕脱性骨折2例[J].中国康复理论与实践,2017,23(7):824-828,5.

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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