摘要
目的 通过两种手术入路数据对比,探究全关节镜下单纯前入路和后内侧辅助入路弹性固定在治疗后交叉韧带胫骨侧止点撕脱骨折上是否存在差异。方法 通过回顾性分析2019年6月至2022年3月河北省保定市第一医院治疗的56例Meyers-MckeeverⅡ型后交叉胫骨侧止点撕脱骨折病例,分别采取全关节镜下单纯前入路(28例,单纯前入路组)和后内侧辅助入路(28例,后内侧辅助入路组),通过带袢钢板弹性固定治疗。对两组的手术时间,骨折愈合时间,术后2周、1个月、3个月、6个月膝关节Lysholm评分、数字分级量表(NRS)疼痛评分及日常生活能力(ADL)评分指标进行统计,比较两种手术入路的优良性。结果 两组均随访6个月,单纯前入路组的手术时间,术后2周、1个月、3个月的Lysholm评分、NRS疼痛评分及ADL评分优于后内侧辅助入路组,差异有统计学意义(P<0.05)。两组的骨折愈合时间和术后6个月的Lysholm评分、NRS疼痛评分、ADL评分比较,差异无统计学意义(P>0.05)。结论 全关节镜下单纯前入路弹性固定治疗Meyers-McKeeverⅡ型后交叉韧带胫骨侧止点撕脱骨折,具有手术操作简单、手术时间短、术后痛苦小的优点。
Objective To compare the data of two surgical approaches and explore whether there is a difference in the treatment of posterior cruciate ligament tibial lateral insertion avulsion fractures between all-arthroscopic simple anterior approach with elastic fixation and posteromedial auxiliary approach.Methods By reviewing the 56 cases of Meyers-McKeever typeⅡposterior cruciate ligament tibial avulsion fractures treated in the First Hospital of Baoding City from June 2019 to March 2022,arthroscopic anterior approach(28 cases)and posteromedial auxiliary approach(28 cases)were adopted respectively,and treated by elastic fixation of steel plate with loops.The operation time,fracture healing time,2 weeks,1 month,3 months,6 months after surgery,Lysholm score,Statistics on the Numerical Grading Scale(NRS)pain score and ability to live(ADL)score confirmed the excellence of the surgical method.Results The results showed that both groups of data were followed up for 6 months,with 28 cases each.The operation time of the anterior approach fixation group,Lysholm score,NRS pain score and ADL score at 2 weeks,1 month,and 3 months after surgery were better than those in the posterior internal adjuvant approach fixation group,and the difference was statistically significant(P<0.05).There was no significant difference in fracture healing time,Lysholm score,NRS pain score and ADL score at 6 months after surgery between the two groups(P>0.05).Conclusion The all-arthroscopic simple anterior approach elastic fixation for the treatment of Meyers-McKeever typeⅡposterior cruciate ligament tibal avulsion fracture has the advantages of simple operation,short operation time,low postoperative pain.
作者
李鹏
郝建学
李正
刘根玮
杨斐
李辉
Li Peng;Hao Jianxue;Li Zheng;Liu Genwei;Yang Fei;Li Hui(Department of Orthopedics,The First Hospital of Baoding City,Baoding Hebei,071000,China)
出处
《生物骨科材料与临床研究》
CAS
2024年第2期48-52,共5页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
全镜下
前入路
弹性固定
后交叉韧带胫骨侧止点撕脱骨折
All-arthroscopic
Anterior approach
Elastic fixation
Posterior cruciate ligament tibial avulsion fracture
