| 关节镜下可吸收钉治疗陈旧性股骨髁大面积骨软骨骨折 |
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投稿时间：2013-10-15
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| 期刊信息：《中国骨伤》2014年，第27卷，第11期，第948-951页 |
| DOI：10.3969/j.issn.1003-0034.2014.11.015 |
| 基金项目: |
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中文摘要:
目的: 研究关节镜下可吸收钉固定陈旧性股骨髁负重区大面积骨软骨骨折的临床效果.
方法: 自2007年3月至2011年12月采用关节镜下可吸收钉固定治疗股骨髁负重区大面积骨软骨骨折6例,其中男4例,女2例,年龄14～48岁,病程4～26周.患者膝关节疼痛肿胀,损伤部位为股骨髁负重区,损伤深度为ICRS Ⅳ级,损伤面积≥4 cm2.采用X线评价骨折愈合情况,采用Lysholm评分、IKDC评分和Tegner运动评级评价关节功能.
结果: 所有患者骨软骨骨折获愈合,二次探查发现软骨轻度退变.术后膝关节Lysholm评分、IKDC评分及Tegner运动评级均较术前提高.
结论: 关节镜下应用可吸收钉固定治疗陈旧性股骨髁负重区大面积骨软骨骨折有利于恢复关节软骨面的平整结构和骨软骨块的愈合. |
| 【关键词】股骨 骨折 关节镜 |
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| Treatment of chronic large osteochondral fracture of femoral condyle with absorbable pins under arthroscopy |
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ABSTRACT
Objective: To evaluate clinical effects of fixation of chronic large osteochondral fragment in the weight-bearing area of femoral condyle using absorbable pins under arthroscopy.
Methods: From March 2007 to December 2011,6 patients with chronic large osteochondral fractures of femoral condyle were treated with absorbable pins under arthroscopy. Among the patients,there were 4 males and 2 females,ranging in age from 14 to 48 years old,and the courses of disease ranged from 4 to 26 weeks. After injury,patients suffered from pain and swelling on the knee. The locations of injury were at the weight-bearing areas of femoral condyle. The depth of injury was degree Ⅳ according to ICRS classification. The area of injury was more than 4 cm2. The healing of osteochondral fracture was assessed by X-ray. Lysholm score,IKDC score and Tegner activity score were used to assess outcomes.
Results: The osteochondral fractures healed in all patients,and the cartilage became degenerative to some extent when performing a secondary exploration. The postoperative Lysholm score,IKDC score and Tegner activity score increased compared with those before operation.
Conclusion: Using absorbable pins under arthroscopy for the treatment of chronic large osteochondral fracture of femoral condyle is effective to regain the flat structure of articular cartilage and promote the healing of osteochondral fracture. |
| KEY WORDS Femur Fractures Arthroscopes |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 魏民,刘玉杰.关节镜下可吸收钉治疗陈旧性股骨髁大面积骨软骨骨折[J].中国骨伤,2014,27(11):948~951 |
| 英文格式: | WEI Min,LIU Yu-jie.Treatment of chronic large osteochondral fracture of femoral condyle with absorbable pins under arthroscopy[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(11):948~951 |
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