中国现代手术学杂志2019，Vol.23Issue(1)：58-62,5.DOI:10.16260/j.cnki.1009-2188.2019.01.013
联合空心钉、接骨板及不可吸收缝线治疗后十字韧带胫骨撕脱骨折的临床疗效
Clinical Effect of Combined Internal Fixation of Cannulated Screws, Locking Compression Plate and Non-absorbable Sutures for Posterior Cruciate Ligament Tibial Avulsion Fractures
欧阳建安 1惠明 1丁文彬 1黄娜 2林宇生 1黄永翔 1莫俊英 1林阳 1李康养1
作者信息
- 1. 深圳市南山区人民医院(广东医科大学附属深圳第六医院) 骨一科, 广东深圳 518052
- 2. 深圳市南山区人民医院(广东医科大学附属深圳第六医院) 疼痛科, 广东深圳 518052
- 折叠
摘要
Abstract
Objective To investigate the clinical effect of internal fixation of cannulated screw, locking compression plate (LCP) and nonabsorbable suture suspension for posterior cruciate ligament (PCL) tibial avulsion fractures. Methods The clinical data of 17 cases with PCL tibial avulsion fractures in our department from November 2012 to August 2017 performed the surgery of open reduction combined with three internal fixation methods of compression with cannulated screw, LCP fixation and non-absorbable sutures suspension via an inverted L-shape popliteal incision were analyzed retrospectively. The IKDC score and Lysholm score were evaluated. Results The operative duration was 90 to 120 min with (103.2±11.0) min averagely, and the blood loss volume was 20 to 50 ml. All fracture displacement achieved anatomical reduction. All cases were followed up for 6 to 24 months with an average of 14. 4 months. The knee flexion and extension returned to normal within 5 to 6 weeks, the gait returned to normal within 8 weeks, and all fractures healed successfully within 12 weeks after the operation. No complications as infection, vascular nerve injury, fracture displacement, internal fixator broken, bone nonunion and delayed union were found. At the last follow-up, the average knee motion was 130° (110° ～ 140°). Sixteen patients squatted normally, while one patient felt uncomfortable due to internal fixation during squatting and removed the LCP at one year after the operation. The IKDC score increased from 13.6±5.8 to 85.4±12.1, and the Lysholm score from 5.3±3.7 to 86.7±10.2; Both IKDC and Lysholm scores improved significantly at the last follow-up than those before the operation (P＜0.01). Conclusion The three combined internal fixation methods of compression with cannulated screw, LCP fixation and non-absorbable sutures suspension via an inverted L-shape popliteal incision is safe, available and reliable for the tibial avulsion fractures, and suitable for all hospital without necessary of special instruments.关键词
后十字韧带/胫骨撕脱骨折/骨折固定术,内/内固定器Key words
posterior cruciate ligament/tibial avulsion fracture/fracture fixation, internal/internal fixators分类
医药卫生引用本文复制引用
欧阳建安,惠明,丁文彬,黄娜,林宇生,黄永翔,莫俊英,林阳,李康养..联合空心钉、接骨板及不可吸收缝线治疗后十字韧带胫骨撕脱骨折的临床疗效[J].中国现代手术学杂志,2019,23(1):58-62,5.
