| 关节镜下免打结锚钉联合Endobutton钛板治疗后交叉韧带胫骨止点撕脱骨折 |
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投稿时间：2021-04-19
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| 作者 | Author | 单位 | Address | E-Mail |
| 赵智 |
ZHAO Zhi |
重庆市中医骨科医院, 重庆 400010 |
Chongqing Orthopaedics Hospital of Traditional Chinese Medicine, Chongqing 400010, China |
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| 邓煜 |
DENG Yu |
重庆市中医骨科医院, 重庆 400010 |
Chongqing Orthopaedics Hospital of Traditional Chinese Medicine, Chongqing 400010, China |
23218982@qq.com |
| 陈宇 |
CHEN Yu |
重庆市中医骨科医院, 重庆 400010 |
Chongqing Orthopaedics Hospital of Traditional Chinese Medicine, Chongqing 400010, China |
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| 白新文 |
BAI Xin-wen |
重庆市中医骨科医院, 重庆 400010 |
Chongqing Orthopaedics Hospital of Traditional Chinese Medicine, Chongqing 400010, China |
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| 期刊信息：《中国骨伤》2021年，第34卷，第12期，第1136-1140页 |
| DOI：10.12200/j.issn.1003-0034.2021.12.009 |
| 基金项目: |
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中文摘要:
目的：探讨关节镜下采用免打结锚钉与Endobutton钛板联合固定后交叉韧带胫骨止点撕脱骨折的临床疗效。
方法：自2019年10月至2020年10月，采用关节镜下免打结锚钉联合Endobutton钛板治疗12例后交叉韧带胫骨止点撕脱骨折患者，其中男9例，女3例；年龄23~58岁；受伤至手术时间2~9 d。其中MeyersⅡ型2例，MeyersⅢ型10例；合并半月板损伤2例，内侧副韧带部分损伤1例。术后评估骨折愈合情况和膝关节活动度，并采用Lysholm功能评分进行临床疗效评价。
结果：所有患者获得12个月随访。所有患者在6个月内骨性愈合，且无切口感染、下肢深静脉血栓形成、内固定脱落等并发症发生。膝关节屈曲活动度从术前50°~90°恢复至术后6个月的115°~130°，无患者出现伸直障碍。Lysholm功能评分由术前29~54分恢复至术后12个月的86~100分。
结论：关节镜下采用免打结锚钉联合Endobutton钛板复位固定后交叉韧带胫骨止点撕脱骨折并发症少、骨折愈合率高、膝关节伸屈角度及功能恢复良好。 |
| 【关键词】后交叉韧带 胫骨止点撕脱骨折 关节镜 免打结锚钉 |
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| Arthroscopic treatment of tibial avulsion fracture of posterior cruciate ligament with a knot-free anchor and Endobuton titanium plate |
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ABSTRACT
Objective: To investigate the clinical effect of arthroscopic fixation of tibial avulsion fracture of posterior cruciate ligament with a knot-free anchor and Endobuton titanium plate.
Methods: From October 2019 to October 2020,12 patients with tibial avulsion fracture of posterior cruciate ligament were treated with the arthroscopic knot-free anchor and Endobuton titanium plate,including 9 males and 3 females. The age ranged from 23 to 58 years old. The time from injury to operation ranged from 2 to 9 days. There were 2 cases of Meyers typeⅡand 10 cases of Meyers type Ⅲ. There were 2 cases of meniscus injury and 1 case of partial injury of medial collateral ligament. The fracture healing and knee range of motion were evaluated after operation,and the clinical efficacy was evaluated by Lysholm function score.
Results: All patients were followed up for 12 months. All patients healed within 6 months,and there were no complications such as incision infection,lower extremity deep venous thrombosis and internal fixation falling off. The knee flexion range of motion recovered from 50°-90° before operation to 115°-130° 6 months after operation,and no patient had straightening disorder. Lysholm functional score recovered from preoperative 29-54 scores to 86-100 scores 12 months after operation.
Conclusion: Arthroscopic reduction and fixation of tibial avulsion fracture of posterior cruciate ligament with the knot-free anchor and Endobuton titanium plate has less complications,high fracture healing rate,good extension and flexion angle and early function recovery of knee joint. |
| KEY WORDS Posterior cruciate ligament Tibial avulsion fracture Arthroscopes Knotless anchor |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵智,邓煜,陈宇,白新文.关节镜下免打结锚钉联合Endobutton钛板治疗后交叉韧带胫骨止点撕脱骨折[J].中国骨伤,2021,34(12):1136~1140 |
| 英文格式: | ZHAO Zhi,DENG Yu,CHEN Yu,BAI Xin-wen.Arthroscopic treatment of tibial avulsion fracture of posterior cruciate ligament with a knot-free anchor and Endobuton titanium plate[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(12):1136~1140 |
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