摘要
目的探讨经膝关节后腓肠肌内外侧头间隙入路应用可吸收螺钉联合带线锚钉治疗后交叉韧带(PCL)撕脱骨折的临床疗效。方法分析2020年8月至2023年12月河南大学附属郑州市骨科医院采用改良膝关节后经腓肠肌内外侧头间隙入路应用可吸收螺钉系统联合带线锚钉治疗10例PCL撕脱骨折患者的临床资料,通过术后1月、3月和6月复查的X线片评估骨折愈合情况;收集并比较术前、术后的膝关节功能Lysholm评分和Tegner评分。组间比较采用t检验。结果所有患者术后切口均一期愈合,均未出现血管神经损伤症状,随访时间3~12月,全部一期愈合,术前、术后Lysholm评分分别为(25.08±7.60)、(95.32±1.08)分;Tegner评分分别为(3.42±0.78)、(8.60±0.32)分;术后分值均显著优于术前,两者比较,差异均有统计学意义(t=2.165、2.304,P<0.05)。结论经膝关节后侧腓肠肌间隙入路应用可吸收螺钉联合带线锚钉治疗PCL撕脱骨折简单便捷,安全有效,暴露充分,无神经血管损伤风险,缩短手术时间。
Objective To analyze the clinical effect of posterior cruciate ligament(PCL)with absorbable screws combined with wire anchors through the medial and lateral head space of the posterior gastrocnemius.Methods Analyze the clinical data of 10 patients with posterior cruciate ligament avulsion fractures treated with an absorbable screw system combined with a threaded anchor screw through a modified knee joint posterior approach through the internal and external head space of the gastrocnemius muscle from August 2020 to December 2023.Evaluate the bone fracture healing status through postoperative X-ray examinations at 1 month,3 months,and 6 months;Collect and compare preoperative and postoperative Lysholm and Tegner scores for knee joint function.The t-test was used to compare the measurement data.Results The incisions of all patients healed in the first stage,and no symptoms of vascular and nerve injury occurred.The follow-up time was 3-12 months,and all patients healed in the first stage.The Lysholm scores before and after surgery were(25.08±7.60)points and(95.32±1.08)points,respectively.Tegner scores were(3.42±0.78)and(8.60±0.32),respectively.Postoperative scores were significantly better than preoperative scores,and the differences were statistically significant(t=2.165,2.304,P<0.05).Conclusion The application of absorbable screw combined with wire anchor through the posterior gastrocnemius space approach to the treatment of posterior cruciate ligament avulsion fracture is simple,convenient,safe and effective,with full exposure,no risk of neurovascular injury,and short operation time.
作者
宋朋飞
刘春光
李兴华
Song Pengfei;Liu Chunguang;Li Xinghua(DepartmentⅠof Lower Limbs,Zhengzhou Orthopedic Hospital,Henan University,Zhengzhou 450052,China)
出处
《中华实验外科杂志》
CAS
2024年第4期852-854,共3页
Chinese Journal of Experimental Surgery
关键词
腓肠肌内外侧头间隙入路
可吸收螺钉系统联合带线锚钉
后交叉韧带撕脱骨折
Gastrocnemius intralateral head space approach
Absorbable screw system combined with wire anchor
Posterior cruciate ligament avulsion fracture
