[1]林忠勤 骆国钢 卓超然 谢海风 陈伟凯 张鸿振 姚剑川△.膝关节镜下双锚钉四向缝合治疗胫骨髁间嵴撕脱骨折24例[J].中国中医骨伤科杂志,2021,29(05):73-76.
　LIN Zhongqin LUO Guogang ZHUO Chaoran XIE HaifengCHEN Weikai ZHANG Hongzhen YAO Jianchuan.24 Cases of Clinical Study on 4-Direction Suture with Double Anchorunder Knee Arthroscope in the Treatment of Patients withAvulsion Fracture of Tibial Intercondylar Eminence[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(05):73-76.
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膝关节镜下双锚钉四向缝合治疗胫骨髁间嵴撕脱骨折24例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年05期
页码:
73-76
栏目:
临床报道
出版日期:
2021-05-15

文章信息/Info

Title:
24 Cases of Clinical Study on 4-Direction Suture with Double Anchorunder Knee Arthroscope in the Treatment of Patients withAvulsion Fracture of Tibial Intercondylar Eminence
文章编号:
1005-0205(2021)05-0073-04
作者:
林忠勤1 骆国钢1 卓超然1 谢海风1 陈伟凯1 张鸿振1 姚剑川1△
1浙江省温州市温州中西医结合医院关节外科(浙江 温州,325000)
Author(s):
LIN Zhongqin1 LUO Guogang1 ZHUO Chaoran1 XIE Haifeng1CHEN Weikai1 ZHANG Hongzhen1 YAO Jianchuan1△
1Department of Orthopedic Surgery,Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine,Wenzhou 325000,Zhejiang China.
关键词:
胫骨髁间嵴撕脱骨折;  关节镜;  锚钉
Keywords:
tibial eminence fracture;  arthroscopy;  suture anchor
分类号:
R683.42
文献标志码:
B
摘要:
目的:探讨膝关节镜下双锚钉4向缝合技术治疗胫骨髁间嵴撕脱骨折的临床疗效。方法:2017年1月至2020年1月共收治胫骨髁间嵴撕脱骨折患者24例,其中运动伤12例,交通事故伤7例,摔伤5例; 男16例,女8例; 年龄19～51岁,平均 32.2岁; 右侧 14例,左侧 10例。胫骨髁间嵴撕脱骨折的Meyers-McKeever 分型:Ⅰ型1例,Ⅱ型 11 例,Ⅲ型 8 例,Ⅳ型 4例。前抽屉试验及Lachma试验均呈阳性,Lysholm 评分为(51.6±4.6)分,国际膝关节文献委员会(IKDC)2000主观膝关节评分为(57.1±3.3)分。受伤至手术时间为 3～18 d,平均 8.5 d。结果:术后切口均Ⅰ期愈合,无血管神经损伤。患者均获随访,随访时间6～28个月,平均 16 个月。术后即刻X线片检查示胫骨髁间嵴撕脱骨折复位良好,3个月及12个月后CT及MRI检查示髁间嵴骨折均愈合,前抽屉试验及 Lachman 试验阴性,患肢膝关节活动范围达 0°～135°; Lysholm 评分为(92.6±3.2)分,IKDC2000主观膝关节评分为(92.3±4.8)分,Lachman和Lysholm评分与术前比较差异均有统计学意义(t1=21.200,t2=20.500,P<0.001)。结论:膝关节镜下双锚钉四向缝合治疗胫骨髁间嵴撕脱骨折复位精准、创伤小、操作简便,无需二次取内固定装置,是值得推荐的一种手术技术。
Abstract:
To investigate the clinical efficacy of 4-way suture with double anchors under knee arthroscopy in the treatment of tibial intercondylar ridge avulsion fracture.Methods:There were 24 cases of tibial intercondylar ridge avulsion fracture from January 2017 to January 2020.12 cases were sports injury.7 cases were traffic accident injury and 5 cases were fall injury.There were 16 males and 8 females.The average age was 32.2 years old(19 to 51 years old).The affected side of 14 cases was on the right side and 10 cases was on the left side.According to the Meyers-McKeever classification of tibial intercondylar ridge avulsion fracture,there were 1 case of type Ⅰ,11 cases of Ⅱ type,8 cases of type Ⅲ and 4 cases of type Ⅳ.The Lysholm score of anterior drawer test and Lachma test were positive,and the(IKDC)2000 subjective knee score of the International Knee Joint Literature Committee was 57.1±3.3.The time from injury to operation was 3 to 18 d,with an average of 8.5 d.Results:All the incisions healed in the first stage after operation,and there was no vascular and nerve injury.All patients were followed up for 16 months(6 to 28 months).X-ray examination immediately after operation showed that the avulsion fracture of tibial intercondylar ridge had a good reduction.Three months and one year later,CT and MRI examination all showed that the intercondylar ridge fracture healed,the anterior drawer test and Lachman test were negative,the range of motion of the affected knee joint was 0 °～135 °.the Lysholm score was 92.6±3.2,and the IKDC2000 subjective knee score was 92.3±4.8.There were significant differences in Lachman and Lysholm scores compared with those before operation(t1=21.200,t2=20.500,P<0.001).Conclusion:4-way suture with double anchors under knee arthroscopy in the treatment of tibial intercondylar ridge avulsion fracture has the advantages of accurate reduction,less trauma,simple operation and no need for secondary internal fixation.It is a recommended surgical technique.

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备注/Memo

备注/Memo:
△通信作者 E-mail:1297910@126.com
更新日期/Last Update: 2021-05-15