摘要
目的探讨关节镜下单胫骨隧道免打结锚钉内固定治疗后交叉韧带(PCL)胫骨止点撕脱骨折的疗效。方法回顾性分析2015年12月至2018年1月河北医科大学第三医院关节外科关节镜下单胫骨隧道免打结锚钉内固定治疗15例PCL走形迂曲胫骨止点撕脱骨折的患者资料,均为新鲜骨折,男9例,女6例;年龄14~64岁,平均33.6岁。通过比较手术前、后膝关节屈曲活动度、国际膝关节文献委员会(IKDC)、Lysholm评分的差异评估疗效。结果本组患者手术时间40~70 min,平均53 min。15例患者术后均获随访,时间10~18个月(平均12.2个月)。术后3个月骨折均获得良好愈合,后抽屉试验阴性,骨折未移位,未出现腘窝、神经血管、伸膝障碍等并发症。术后6个月膝关节屈曲活动度(123.4°±6.5°)较术前(77.5°±13.1°)改善,术后6个月IKDC评分(95.5±1.6)分较术前(37.0±8.9)分改善,术后6个月Lysholm评分(91.8±3.5)分较术前(46.8±8.9)分改善,差异均有统计学意义(P<0.05)。结论PCL走形迂曲胫骨止点撕脱骨折的患者可以通过关节镜下单胫骨隧道免打结锚钉内固定治疗,早期临床疗效满意。
Objective To observe the short-term clinical outcomes of arthroscopic single-tibial tunnel Pushlock fixation in the treatment of tibial avulsion fracture of the posterior cruciate ligament (PCL). Methods From December 2015 to January 2018, 15 patients with tibial avulsion fracture of PCL were treated at Department of Articular Surgery, The Third Affiliated Hospital to Hebei Medical University. They were treated with arthroscopic single-tibial tunnel Pushlock fixation. All the fractures were fresh. They were 9 males and 6 females, aged from 14 to 64 years (average, 33.6 years). The short-term outcomes were evaluated by comparing their preoperative and postoperative flexion of the knee, International Knee Documentation Committee (IKDC) and Lysholm scores. Results The operation lasted from 40 to 70 minutes (average, 53 minutes). The 15 patients were successfully followed up for 10 to 18 months (average, 12.2 months). All the fractures united well within 3 months after operation. All the posterior drawer tests were negative, showing no displacements or no complications like lesions of popliteal fossa, nerves and vessels, or impaired knee extension. At 6 months after surgery, the knee flexion (123.4°±6.5°), the Lysholm scores (91.8±3.5) and the IKDC scores (95.5±1.6) were all significantly improved compared with the preoperative values (77.5°±13.1°, 46.8±8.9 and 37.0±8.9)(P<0.05). Conclusion The tibial avulsion fracture of PCL can be treated by arthroscopic single-tibial tunnel Pushlock fixation with satisfactory early outcomes.
作者
董军
樊绪国
王弘德
康凯
王娟
董江涛
顾聚源
李涛
郑义
高石军
Dong Jun;Fan Xuguo;Wang Hongde;Kang Kai;Wang Juan;Dong Jiangtao;Gu Juyuan;Li Tao;Zheng Yi;Gao Shijun(Department of Articular Surgery, The Third Affiliated Hospital to Hebei Medical University, Shijiazhuang 050051, China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2019年第7期569-574,共6页
Chinese Journal of Orthopaedic Trauma
关键词
后交叉韧带
胫骨骨折
关节镜
免打结锚钉
Posterior cruciate ligament
Tibial fracture
Arthroscopes
Pushlock Posterior cruciate ligament
Pushlock
