| 关节镜下高强线联合外排锚钉治疗前交叉韧带胫骨止点撕脱骨折 |
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投稿时间：2018-10-11
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| 作者 | Author | 单位 | Address | E-Mail |
| 沈福祥 |
SHEN Fu-xiang |
浙江中医药大学附属江南医院 萧山中医院骨科, 浙江 杭州 311201 |
Department of Orthopaedics, Jiangnan Hospital Affiliated to Zhejiang University of Chinese Medicine Hangzhou Xiaoshan TCM Hospital, Hangzhou 311201, Zhejiang, China |
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| 杜伟斌 |
DU Wei-bin |
浙江中医药大学附属江南医院 萧山中医院骨科, 浙江 杭州 311201 |
Department of Orthopaedics, Jiangnan Hospital Affiliated to Zhejiang University of Chinese Medicine Hangzhou Xiaoshan TCM Hospital, Hangzhou 311201, Zhejiang, China |
dwbbdm@163.com |
| 陈荣良 |
CHEN Rong-liang |
浙江中医药大学附属江南医院 萧山中医院骨科, 浙江 杭州 311201 |
Department of Orthopaedics, Jiangnan Hospital Affiliated to Zhejiang University of Chinese Medicine Hangzhou Xiaoshan TCM Hospital, Hangzhou 311201, Zhejiang, China |
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| 曹国平 |
CAO Guo-ping |
浙江中医药大学附属江南医院 萧山中医院骨科, 浙江 杭州 311201 |
Department of Orthopaedics, Jiangnan Hospital Affiliated to Zhejiang University of Chinese Medicine Hangzhou Xiaoshan TCM Hospital, Hangzhou 311201, Zhejiang, China |
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| 期刊信息：《中国骨伤》2019年，第32卷，第11期，第1034-1037页 |
| DOI：10.3969/j.issn.1003-0034.2019.11.011 |
| 基金项目: |
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中文摘要:
目的：探讨关节镜下高强线联合外排锚钉治疗Meyers-McKeeverⅡ、Ⅲ型前交叉韧带胫骨止点撕脱骨折的临床疗效。
方法：自2014年3月至2016年6月，采用关节镜下高强线联合外排锚钉治疗Meyers-McKeeverⅡ、Ⅲ型前交叉韧带胫骨止点撕脱骨折患者21例，其中男13例，女8例；年龄18~48（26.40±5.42）岁。受伤部位：左膝9例，右膝12例。致伤原因：运动伤12例，坠落伤6，车祸伤3例。Meyers-McKeever分型：Ⅱ型16例，Ⅲ型5例。所有患者为新鲜闭合性单纯损伤，受伤至手术时间2~15（6.20±2.63）d。观察并比较术前及术后6个月的Lysholm评分、IKDC评分及膝关节活动度变化以评价膝关节功能。
结果：术后21例患者获得随访，时间12~24（14.30±3.01）个月。手术时间40~65（45.10±4.82）min，出血量5~15（10.05±2.75）ml。Lysholm评分由术前的（50.29±6.67）分提高至术后6个月的（92.48±2.18）分；IKDC评分由术前的（47.19±4.57）分提高至术后6个月的（90.71±2.22）分；膝关节活动度由术前的（83.05±5.33）°提高至术后6个月的（132.05±7.15）°。
结论：关节镜下高强线联合外排锚钉治疗Meyers-McKeeverⅡ、Ⅲ型ACL胫骨止点撕脱骨折创伤小，固定牢靠，临床效果满意。 |
| 【关键词】关节镜 前交叉韧带 胫骨骨折 |
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| High strength wire under arthroscopy combined with outside anchor nail in treating Meyers McKeeverⅡ,Ⅲ avulsion fracture of anterior cruciate ligament tibial check point |
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ABSTRACT
Objective: To explore clinical effect of high strength wire under arthroscopy combined with outside anchor nail in treating Meyers McKeever Ⅱ,Ⅲ anterior cruciate ligament tibial check point.
Methods: From March 2014 to June 2016,21 patients with Meyers McKeeverⅡ,Ⅲ avulsion fracture of anterior cruciate ligament tibial check point were treated by high strength wire under arthroscopy combined outside anchor nail. There were 13 males and 8 females aged from 18 to 48 years old with an average of (26.40±5.42) years old. There were 9 cases injured on the left side,and 12 cases on the right side. The courses of disease included sports injuries of 12 cases,falling down injuries of 6 cases,and accident injuries of 3 cases. According to Meyers-McKeever classification,16 patients were typeⅡand 5 patients were type Ⅲ. All fractures were fresh,closed and simple injury. The time from injury to operation ranged from 2 to 15 days with an average of (6.20±2.63) d. Lysholm score,IKDC score and the changes of knee mobility were observed and compared before operation and 6 months after operation.
Results: Twenty-one patients were followed up for 12 to 24 months with an average of (14.30±3.01) months. Operation time ranged from 40 to 65 min with an average of (45.10±4.82) min,Blood loss ranged from 5 to 15 ml with an average of (10.05±2.75) ml. Lysholm score was improved from 50.29±6.67 before operation to 92.48±2.18 at 6 months after operation. IKDC scores was increased from 47.19±4.57 before operation to 90.71±2.22 at 6 months after operation. Knee joint activity was respectively (83.05±5.33)° and (132.05±7.15)° before operation and 6 months after operation.
Conclusion: High strength wire under arthroscopy combined outside anchor nail in treating Meyers McKeever Ⅱ,Ⅲ ACL tibial check point has the advantages of less trauma,firm fixation,and satisfactory clinical effect. |
| KEY WORDS Arthroscopes Anterior cruciate ligament Tibial fractures |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 沈福祥,杜伟斌,陈荣良,曹国平.关节镜下高强线联合外排锚钉治疗前交叉韧带胫骨止点撕脱骨折[J].中国骨伤,2019,32(11):1034~1037 |
| 英文格式: | SHEN Fu-xiang,DU Wei-bin,CHEN Rong-liang,CAO Guo-ping.High strength wire under arthroscopy combined with outside anchor nail in treating Meyers McKeeverⅡ,Ⅲ avulsion fracture of anterior cruciate ligament tibial check point[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(11):1034~1037 |
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