摘要
目的探讨胫骨平台骨折合并前交叉韧带断裂早期在关节镜下手术方法及近期疗效。方法笔者自2005年6月～2006年7月,收治此类病人14例,均早期行关节镜下微创骨折复位内固定,同时行前交叉韧带关节镜下重建术。结果术后随访8个月～3年,平均17个月,未发生感染和骨筋膜间隔综合征及关节僵硬等并发症,骨折均于术后12周骨性愈合。Lysholan膝关节评分:≥85分者11例,达78.6%;14例均≥75分。结论关节镜下微创一期修复前交叉韧带损伤和固定胫骨平台骨折,能够在最小的创伤下最大程度地恢复关节面的平整和稳定关节以及正常的下肢力线,避免了二次手术,膝关节功能恢复好。
Objective To investigate the effect of the treatment of tibial plateau fractures and ACL injury using minimally invasive tech- niques under arthroscopy. Methods Fourteen patients with ACL injuries and tibial plateau fracture were treated by reconstruction of ACL with hamstring at the same time minimally invasive internal fixation for the fracture from June 2005 to July 2006. Results Fourteen patients were followed up for 8 months to 3 years with the average of 17 months, 7 8.6% of them got HSS knee joint scores≥85 and 100% with Lysholan knee joint scores≥75 without complications such as infection. Conclusion One - stage treatment of tibial plateau fractures and ACL injury using minimally invasive techniques under arthroscopic can easily get reduction for plateau fractures and reconstruction of ACL.
出处
《中国骨与关节损伤杂志》
2007年第9期729-731,共3页
Chinese Journal of Bone and Joint Injury
