| 关节镜下Suture-Bridge线桥技术止点足印重建前交叉韧带撕脱骨折 |
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Received:December 11, 2015
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| 作者 | Author | 单位 | Unit | E-Mail |
| 孙晋 |
SUN Jin |
中国中医科学院望京医院关节四科, 北京 100102 |
The Forth Department of Joint, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China |
sunasiasun@163.com |
| 张磊 |
ZHANG Lei |
中国中医科学院望京医院关节四科, 北京 100102 |
The Forth Department of Joint, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 刘劲松 |
LIU Jin-song |
中国中医科学院望京医院关节四科, 北京 100102 |
The Forth Department of Joint, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 张晟 |
ZHANG Sheng |
中国中医科学院望京医院关节四科, 北京 100102 |
The Forth Department of Joint, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 李智尧 |
LI Zhi-yao |
中国中医科学院望京医院关节四科, 北京 100102 |
The Forth Department of Joint, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 马佳 |
MA Jia |
中国中医科学院望京医院关节四科, 北京 100102 |
The Forth Department of Joint, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 刘晓华 |
LIU Xiao-hua |
中国中医科学院望京医院关节四科, 北京 100102 |
The Forth Department of Joint, Wangjing Hospital of China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 期刊信息：《中国骨伤》2016年29卷，第9期，第804-808页 |
| DOI：10.3969/j.issn.1003-0034.2016.09.007 |
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目的：探讨关节镜下复位、Suture-Bridge线桥技术止点足印重建前交叉韧带撕脱骨折的手术方法及临床疗效。
方法：2010年3月至2012年9月，对6例膝关节前交叉韧带（ACL）胫骨端止点撕脱骨折患者，在关节镜下行撕脱骨块解剖复位、Suture-Bridge线桥技术ACL止点胫骨端足印重建术。ACL止点撕脱骨折Meyers-McKeever-Zaricznyj分型：Ⅲ型2例，Ⅳ型4例；其中男2例，女4例；年龄14～52岁，青少年2例，分别为男14岁和女15岁）。术前患膝前抽屉试验及Lachman试验均呈阳性。
结果：所有患者获随访，时间均超过2年。术后患膝前抽屉试验及Pivot-shift均阴性，无伸膝受限。术后影像学复查示ACL止点撕脱骨折均愈合，骨折复位良好，ACL走行正常。术后3个月及1、2年的Lysholm及IKDC评分均较术前改善。
结论：关节镜下复位、Suture-Bridge线桥技术止点足印重建前交叉韧带撕脱骨折的手术方式安全有效，实现ACL胫骨止点解剖重建，尤其适用于撕脱骨块碎裂严重或胫骨骨骺未闭合的青少年患者。 |
| [关键词]:前交叉韧带 骨折 Suture-Bridge线桥技术 关节镜 |
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| Arthroscopic reduction and utilization of Suture-Bridge tech reconstructing footprint area structure for the treatment of anterior cruciate ligament avulsion fracture |
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Abstract:
Objective: To evaluate the preliminary curative effect of arthroscopic reduction and utilization of Suture-Bridge tech reconstructing footprint area structure for anterior cruciate ligament avulsion fracture.
Methods: From March 2010 to September 2012,6 patients suffered anterior cruciate ligament avulsion fracture were treated with arthroscopic Suture-bridge fixation for anterior cruciate ligament tibial side footprint reconstruction. There were 2 males and 4 females,ranging in age from 14 to 52 years old. There were 2 cases of type Ⅲ and 4 cases of type Ⅳ displaced fractures classified by Meyers-McKeever-Zaricznyj. Preoperative ADT and Lachman tests were positive.
Results: All the patients was follow-up more than 2 years. Postoperative ADT and Lachman tests were negative without limitation of knee extension. Postoperative X-ray and MRI showed that displaced fracture with a good reduction and union,recovered normal shapeness of ACL. The postoperative Lysholm and IKDC scores at different time points(3 months,1 year,2 years after operation) improved significantly comparing with preoperative,and the differences were statistically significant (P<0.01).
Conclusion: Suture-Bridge tech reconstructing footprint area structure for ACL avulsion fracture is an effective and safe method,especially for adolescent patients with unclosed epiphysis and comminuted avulsion fracture. |
| KEYWORDS:Anterior cruciate ligament Fractures Suture-Bridge tech 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: | 孙晋,张磊,刘劲松,张晟,李智尧,马佳,刘晓华.关节镜下Suture-Bridge线桥技术止点足印重建前交叉韧带撕脱骨折[J].中国骨伤,2016,29(9):804~808 |
| 英文格式: | SUN Jin,ZHANG Lei,LIU Jin-song,ZHANG Sheng,LI Zhi-yao,MA Jia,LIU Xiao-hua.Arthroscopic reduction and utilization of Suture-Bridge tech reconstructing footprint area structure for the treatment of anterior cruciate ligament avulsion fracture[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(9):804~808 |
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