| 关节镜下带线锚钉治疗胫骨髁间嵴骨折 |
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投稿时间：2007-08-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 马海涛 |
MA Hai-tao |
杭州市萧山第一人民医院骨科，浙江 杭州 311200 |
Department of Orthopaedics,the First People Hospital of Xiaoshan,Hangzhou 311200,Zhejiang,China |
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| 毕大卫 |
BI Da-wei |
杭州市萧山第一人民医院骨科，浙江 杭州 311200 |
Department of Orthopaedics,the First People Hospital of Xiaoshan,Hangzhou 311200,Zhejiang,China |
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| 陈亿民 |
CHEN Yi-min |
杭州市萧山第一人民医院骨科，浙江 杭州 311200 |
Department of Orthopaedics,the First People Hospital of Xiaoshan,Hangzhou 311200,Zhejiang,China |
cthoscym@163.com |
| 姚小聪 |
YAO Xiao-cong |
杭州市萧山第一人民医院骨科，浙江 杭州 311200 |
Department of Orthopaedics,the First People Hospital of Xiaoshan,Hangzhou 311200,Zhejiang,China |
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| 翟利锋 |
ZHAI Li-feng |
杭州市萧山第一人民医院骨科，浙江 杭州 311200 |
Department of Orthopaedics,the First People Hospital of Xiaoshan,Hangzhou 311200,Zhejiang,China |
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| 刘道君 |
LIU Dao-jun |
杭州市萧山第一人民医院骨科，浙江 杭州 311200 |
Department of Orthopaedics,the First People Hospital of Xiaoshan,Hangzhou 311200,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年，第21卷，第3期，第176-178页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：探讨胫骨髁间嵴骨折在关节镜下复位、内固定的方法。
方法：本组9例新鲜胫骨髁间嵴骨折，其中男6例，女3例；年龄22～55岁，平均36.4岁。Meyers-MckeeverⅡ型4例，Ⅲ型5例。在关节镜下复位，使用Depuy Mitek带线锚钉固定。术后积极康复锻炼，随访6～22个月，了解骨折复位、愈合，膝关节松弛度、活动度及患肢整体功能康复情况。
结果：9例胫骨髁间嵴骨折均愈合，无移位，无膝关节松弛或不稳定，无伸膝受限。术后6个月Lysholm膝关节功能评分平均为(93.8±2.3)分。
结论：关节镜下带线锚钉治疗胫骨髁间嵴骨折复位、固定可靠，方法简便、易行，膝关节镜手术有助于关节内其他合并伤的诊断和处理，创伤小，早期可行膝关节功能锻炼，有利于关节功能恢复。 |
| 【关键词】胫骨骨折 关节镜手术操作 骨折固定术，内 膝关节 |
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| Treatment of fractures of tibia intercondylar eminence under arthroscopy using suture anchors |
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ABSTRACT
Objective: To explore a new technique of reduction and internal fixation for tibia intercondylar eminence fractures under arthroscopy.
Methods: From June 2004 to February 2006,9 patients with fresh tibia intercondylar eminence fracture(typeⅡ in 4 cases and typeⅢ in 5 cases)were treated with reduction and internal fixation using suture anchors(Depuy Mitek)under arthroscopy. All the patients,subject to regular post-operation functional exercise,were followed up for 6 to 22 months. The results were evaluated in the aspects of fracture reduction healing,knee joint relaxation and ROM,and functional restoration of overall limbs.
Results: In the nine patients,the tibia intercondylar eminence fractures healed without displacement and nonunion. No knee joint relaxation or extension-restriction was found. Lysholm score indicated 93.8±2.3 at the 6th postoperative months.
Conclusion: The reduction and internal fixation of tibia intercondylar eminence fractures under arthroscopy using suture anchors demonstrate a reliable and easy-to-use technique. Operation under arthroscopy helps diagnose and treat other complications inside knee joint,merely resulting in slight injury. In addition,early functional exercise contributes to rapid recovery of knee joint's functions. |
| KEY WORDS Tibial fractures Arthroscopic surgical procedures Fracture fixation, internal Knee joint |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 马海涛,毕大卫,陈亿民,姚小聪,翟利锋,刘道君.关节镜下带线锚钉治疗胫骨髁间嵴骨折[J].中国骨伤,2008,21(3):176~178 |
| 英文格式: | MA Hai-tao,BI Da-wei,CHEN Yi-min,YAO Xiao-cong,ZHAI Li-feng,LIU Dao-jun.Treatment of fractures of tibia intercondylar eminence under arthroscopy using suture anchors[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(3):176~178 |
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