摘要
前交叉韧带(ACL)胫骨止点撕脱骨折是由于外力的作用使ACL脱离胫骨的附着点,导致ACL功能丧失,常伴有相关软组织的损伤,严重影响患者的生活质量。关于该类损伤的治疗主要为非手术治疗与手术治疗,但各分型手术治疗的适应证仍存在争议。目前,关节镜下复位固定已成为治疗ACL胫骨止点撕脱骨折的公认方法。固定方法多样,其中螺钉及缝线固定技术已取得较好的生物力学研究结果及临床随访结果。虽然术后并发症仍不可避免,但通过良好的复位固定和术后早期康复锻炼,可以最大限度地减少并发症。未来应深入研究ACL胫骨止点撕脱骨折损伤的术前评估及手术方案的选择。
The avulsion fracture of anterior cruciate ligament(ACL)at tibial insertion is caused by the external force making ACL detached from the attachment point of the tibia,resulting in the loss of the function of the ACL,often accompanied by related soft tissue injury,which seriously affects the quality of life of the patients.The treatment of this kind of injury mainly includes non-surgical treatment and surgical treatment,although the indications of different types of surgical treatment are still controversial.At present,arthroscopic reduction and fixation has become a recognized treatment.There are various fixation methods,among which screw and suture fixation techniques have obtained good biomechanical research results and clinical follow-up results.Although postoperative complications are still inevitable,they can be minimized through good reduction and fixation and early postoperative rehabilitation exercises.In the future,it is necessary to study the preoperative evaluation of ACL avulsion fracture at tibial insertion and the choice of operative plans.
作者
孙浩源
肖琼润
杨国夫
SUN Haoyuan;XIAO Qiongrun;YANG Guofu(Department of Orthopedics,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《医学综述》
2020年第20期4098-4102,共5页
Medical Recapitulate
关键词
前交叉韧带胫骨止点撕脱骨折
分型
磁共振成像
并发症
Avulsion fracture of anterior cruciate ligament at tibial insertion
Typing
Magnetic resonance imaging
Complications
