| 膝剥脱性骨软骨病变关节镜下复位固定的疗效 |
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Received:March 06, 2015
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| 期刊信息：《中国骨伤》2015年28卷，第10期，第963-966页 |
| DOI：10.3969/j.issn.1003-0034.2015.10.019 |
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目的:探讨膝剥脱性骨软骨病变关节镜下复位固定的疗效。
方法:对2012年12月至2013年12月收治的4例膝关节股骨髁剥脱性骨软骨病变并伴有游离骨块的患者,采用关节镜探查找到剥脱软骨块,行小切口复位、软骨钉固定治疗。男3例,女1例;年龄15、15、20、27岁;病程1 d、5 d、1个月和1年。4例均出现膝关节肿胀积液,浮髌试验阳性,CT检查均可见骨质缺损及游离体。术前应用Lysholm、VAS及Tegner评分评定膝关节功能。
结果:所有患者手术顺利,术后CT检查示软骨位置良好,无复位骨软骨脱落,4例平均随访时间12个月(10～13个月).1例术后二次关节镜探查,软骨骨折块与周围软骨连接,内固定物未能吸收。Lysholm、VAS及Tegner评分评定膝关节功能均优于术前。
结论:关节镜辅助下软骨块复位联合可吸收螺钉固定治疗膝关节剥脱性骨软骨病变,能重建关节面的完整性和恢复关节稳定性,是一种有效的治疗方式。 |
| [关键词]:膝关节 内固定器 关节镜 |
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| Treatment of osteochondritis lesion in the knee with reduction and fixation under arthroscopy |
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Abstract:
Objective:To study clinical results of reduction and fixation under arthroscopy for the treatment of osteochondrotical lesion in the knee.
Methods:From December 2012 to December 2013,4 patients with the knee joint osteochondritis lesion and free bone fragments were treated with arthroscopy to detect the stripped cartilage,and then the cartilages were reduced with small incision and fixed by cartilage nail. There were 3 males and 1 female,with age of 15,15,20 and 27 years old. The durations of the disease were 1 d,5 d,1 month and 1 year. All the patients had swelling and effusion in the knee joint,and the floating patellar test was positive. CT examination showed bone defects and loose bodies. The Lysholm,VAS,and Tegner scale were used to evaluate the knee joint functions before and after operation.
Results:All the patients underwent successful surgery. Postoperative CT showed good location of the cartilage without loss of reduced bone and cartilage. All the patients were followed up,and the duration ranged from 10 to 13 months,with a mean of 12 months. In one patient,arthroscopy examination was conducted for a second time to examine the connection of the fracture part to the surrounding cartilage,and it showed that the internal fixator was not absorbed. The Lysholm,VAS and Tegner scale of all patients were better than those before operation.
Conclusion:Treatment of osteochondritis lesion with the fixation of absorbable cartilage nails may reconstruct the integrity of articular surface and recover the stability of joints,and it is an effective treatment method. |
| KEYWORDS:Knee joint Internal fixators 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: | 胡晓峰,魏珊珊,王少山.膝剥脱性骨软骨病变关节镜下复位固定的疗效[J].中国骨伤,2015,28(10):963~966 |
| 英文格式: | HU Xiao-feng,WEI Shan-shan,WANG Shao-shan.Treatment of osteochondritis lesion in the knee with reduction and fixation under arthroscopy[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(10):963~966 |
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