| 钢丝内固定治疗后交叉韧带胫骨止点撕脱骨折 |
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投稿时间：2010-06-18
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| 作者 | Author | 单位 | Address | E-Mail |
| 卢华定 |
LU Hua-ding |
中山大学附属第三医院骨科，广东 广州 510630 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Sun Yat-san University,Guangzhou 510630,Guangdong,China |
skyforest@medmail.com.cn |
| 曾春 |
ZENG Chun |
中山大学附属第三医院骨科，广东 广州 510630 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Sun Yat-san University,Guangzhou 510630,Guangdong,China |
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| 董云旭 |
DONG Yun-xu |
中山大学附属第三医院骨科，广东 广州 510630 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Sun Yat-san University,Guangzhou 510630,Guangdong,China |
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| 蔡道章 |
CAI Dao-zhang |
中山大学附属第三医院骨科，广东 广州 510630 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Sun Yat-san University,Guangzhou 510630,Guangdong,China |
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| 温小粤 |
WEN Xiao-yue |
中山大学附属第三医院骨科，广东 广州 510630 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Sun Yat-san University,Guangzhou 510630,Guangdong,China |
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| 期刊信息：《中国骨伤》2011年，第24卷，第3期，第195-198页 |
| DOI：10.3969/j.issn.1003-0034.2011.03.005 |
| 基金项目: |
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中文摘要:
目的：应用钢丝通过钻孔牵拉内固定治疗后交叉韧带胫骨止点撕脱骨折，评价疗效。
方法：2003年1月至2009年6月，28例膝关节后交叉韧带胫骨止点撕脱骨折患者，男19例，女9例；年龄16～55岁，平均35.3岁。X线检查示骨折移位：Ⅱ度10例，Ⅲ度18例。采用膝关节后内侧倒“ L”形入路切开复位，以钢丝内固定治疗，术后可调节支具固定，术后2周在CPM辅助下膝关节被动伸屈训练，4周在支具保护下下地部分负重，术后6周拆除支具。
结果：25例患者获随访，时间6～24个月，平均15个月。X线片示骨折复位满意，所有患者获得骨性愈合，膝关节稳定，Lachman试验阴性，未发生骨折不愈合和关节僵硬等并发症。伸膝活动度正常，屈膝活动度(136±12)°。采用Lysholm膝关节评分法评估，术前(41.80±6.16)分，术后6个月(94.10±8.26)分，术前术后比较，差异有统计学意义(t=26.667,P<0.01).术后评定优22例，良2例，可1例。
结论：应用膝后内侧倒“L”形入路以钢丝内固定治疗后交叉韧带胫骨止点撕脱骨折具有安全有效、内固定可靠、费用少等优点，可有效重建膝关节的稳定，恢复膝关节功能，是治疗后交叉韧带胫骨止点撕脱骨折较理想的选择。 |
| 【关键词】膝关节 后交叉韧带 骨折 骨折固定术，内 |
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| Treatment of tibial avulsion fracture of the posterior cruciate ligament with open reduction and steel-wire internal fixation |
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ABSTRACT
Objective: To study the curative effects of the treatment of tibial avulsion fracture of the posterior cruciate ligament with open reduction and steel-wire internal fixation.
Methods: From January 2003 to June 2009,28 patients of tibial avulsion fracture of the posterior cruciate ligament were treated with open reduction and steel-wire internal fixation through posteromedial inverted “L” approach. There were 19 males and 9 females with an average age of 35.3 years old ranging from 16 to 55 years. The X-ray examination showed that there wereⅡdegree displaced in 10 cases and Ⅲdegree in 18 patients. The affected lower extremity was put in a controlled hinge knee brace after operation. The patients were asked to do passive extension and flexion of the knee joint with the assistance of a CPM 2 weeks after operation,and allowed to be partial weight-bearing as tolerated with the hinged brace locked in extension if concomitant injuries allowed 4 weeks postoperatively. The brace were removed 6 weeks later.
Results: Among them,25 patients were followed up for 6 to 24 months with an average of 15 months. The X-ray examination showed satisfactory reduction,and bony union was obtained in all the patients. The Lachman test was negative in all patients. No complications such as malunion or joint stiffness were found. The extension of affected knee was normal and its flexion were (136±12)°。 According to Lysholm knee score system,it was preoperatively(41.80±6.16) and(94.10±8.26) six months after surgery respectively. Twenty-two cases were excellent,2 cases good and 1 fair.
Conclusion: Treatment of tibial avulsion fracture of the posterior cruciate ligament with open reduction and internal fixation with wires through posteromedial inverted “L” approach is a safe,effective method,due to its stable fixation and relatively low expense. It is believed as an ideal choice for tibial avulsion fracture of the posterior cruciate ligament. |
| KEY WORDS Knee joint Posterior cruciate ligament Fractures Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 卢华定,曾春,董云旭,蔡道章,温小粤.钢丝内固定治疗后交叉韧带胫骨止点撕脱骨折[J].中国骨伤,2011,24(3):195~198 |
| 英文格式: | LU Hua-ding,ZENG Chun,DONG Yun-xu,CAI Dao-zhang,WEN Xiao-yue.Treatment of tibial avulsion fracture of the posterior cruciate ligament with open reduction and steel-wire internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(3):195~198 |
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