摘要
[目的]探讨关节镜下缝线空心钉固定治疗后交叉韧带胫骨止点撕脱性骨折的可行性及近期疗效。[方法]对10例后交叉韧带胫骨止点撕脱性骨折行关节镜下PCL胫骨止点缝合及空心钉固定术。术中使用2根5号Ethi-bond聚乙烯缝线,在韧带下方骨块上方从前往后拢住韧带,经韧带两侧胫骨骨隧道拉到胫骨内下方。在骨隧道下方2cm处打入带垫圈的直径4.5mm空心钉。[结果]手术时间60～90min,平均75min。10例均随访12～18个月,平均15个月。术后6周,所有骨折均获愈合,未出现骨折移位。无腘窝部神经、血管损伤并发症。术后半年Lysholm膝关节功能评分83～95分(89.6±4.03)分。[结论]关节镜下通过双后内侧入路缝线空心钉固定治疗后交叉韧带胫骨止点撕脱性骨折,术中关节镜监控可靠,操作简便,效果可靠,值得推广。
[ Objective ] To investigate the feasibility and short-term effects of arthroscopic suture fixation with cannulated screw and washer for bony avulsion of the posterior cruciate ligament. [ Method ] Arthroscopic suture fixation with cannulated screw and washer was carried out in 30 patients with bony avulsion of the posterior cruciate ligament. The posterior cruciate ligament and avulsion bone fragment were held together with two Ethibond 5 polyester threads, which were first wrapped around the posterior cruciate ligament from the anterior to the posterior, and then tied behind the posterior cruciate ligament and over the bone fragment. The threads were pulled out through tibia tunnels, tighted and fixed on cannulated screw and washer under the tibia tun- nels 2 cm. [ Result] The operation time were 60 -90 min. A follow-up was made in 10 patients for 6 - 12 monthsl All fractures were united without displacement at 6 weeks after operation. No postoperative complications occurred. The Lysholm scores were 83 - 95 （ 89.6 ± 4.03 ）. [ Conclusion] Arthroscopic suture fixation with cannulated screw and washer for bony avulsion of the posterior cruciate ligament technique is simple to perform and gives a satisfactory short-term results.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2009年第4期272-275,共4页
Orthopedic Journal of China
关键词
关节镜
后交叉韧带/外科手术
膝关节
撕脱骨折
arthroscopy
posterior cruciate ligament/surgery
knee joint
avulsion fracture
