[1]吴美平,肖渊怀△,李光富,等.缝线桥技术治疗前交叉韧带胫骨端止点撕脱骨折30例[J].中国中医骨伤科杂志,2023,31(04):73-75+79.[doi:10.20085/j.cnki.issn1005-0205.230415 ]
　WU Meiping,XIAO Yuanhuai,LI Guangfu,et al.30 Cases Clinical Study on Efficacy of Arthroscopic Suture Bridge in Avulsion Fracture at the Insertion of the Anterior Cruciate Ligament[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(04):73-75+79.[doi:10.20085/j.cnki.issn1005-0205.230415 ]
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缝线桥技术治疗前交叉韧带胫骨端止点撕脱骨折30例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年04期
页码:
73-75+79
栏目:
临床报道
出版日期:
2023-04-15

文章信息/Info

Title:
30 Cases Clinical Study on Efficacy of Arthroscopic Suture Bridge in Avulsion Fracture at the Insertion of the Anterior Cruciate Ligament
文章编号:
1005-0205(2023)04-0073-03
作者:
吴美平1; 肖渊怀1△; 李光富1; 杨威1; 华贤章1
1恩施土家族苗族自治州中心医院骨伤科(湖北 恩施,445000)
Author(s):
WU Meiping1; XIAO Yuanhuai1△; LI Guangfu1; YANG Wei1; HUA Xianzhang1
1Department of Orthopedic Surgery,Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,Enshi 445000,Hubei China.
关键词:
关节镜;  缝线桥技术;  前交叉韧带止点;  骨折
Keywords:
arthroscope;  suture bridge;  anterior cruciate ligament insertion;  fracture
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.230415
文献标志码:
B
摘要:
目的:探讨缝线桥技术治疗前交叉韧带(ACL)胫骨端止点撕脱骨折的临床疗效。方法:选取前交叉韧带胫骨端止点撕脱骨折病例,记录手术时间、Lachman试验阳性例数及KT-1000膝关节稳定度测试仪的差值,手术前后患膝活动度、Lysholm评分和Tergner评分; 测量股骨与胫骨机械轴夹角(MFTA)和胫骨近端内侧角(MPTA)评判是否存在畸形。结果:术后患膝Lysholm评分、国际膝关节文献委员会(IKDC)评分及活动度较术前改善,Lachman试验弱阳性3例。KT-1000膝关节稳定度测试仪差值平均为(1.65±0.52)mm,股骨与胫骨机械轴夹角为-3°～3°,胫骨近端内侧角88.2°±0.8°。结论:缝线桥技术是治疗前交叉韧带胫骨端止点撕脱骨折的一种安全有效的方法。
Abstract:
Objective:To investigate the clinical efficacy of suture bridge in avulsion fracture at the insertion of the anterior cruciate ligament.Methods:30 patients treated by our department for avulsion fracture at the anterior cruciate ligament insertion were included to record the duration of operation,Lachman test-positive cases,mean side-to-side KT-1000 difference,pre- and post-operative range of motion of the affected knee,and the Lysholm and the Tegner activity scores of the affected knee.Additionally,the mechanical femorotibial angle(MFTA)and the medial proximal tibial angle(MPTA)were measured to detect deformity.Results:Compared with the preoperative range of motion,Lysholm score,and International Knee Documentation Committee(IKDC)Subjective Knee Form score,significant improvements were observed after operation.Weakly positive Lachman test results were reported in 3 cases.The mean side-to-side KT-1000 difference was(1.65±0.52)mm,MFTA was -3° to 3°,while MPTA was 88.2°±0.8°.Conclusion:Suture bridge is a safe and effective way for patients with avulsion fracture at the anterior cruciate ligament insertion.

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备注/Memo

备注/Memo:
△通信作者 E-mail:897310151@qq.com
更新日期/Last Update: 2023-04-10