关节镜下带线锚钉治疗胫骨髁间嵴骨折  

Treatment of fractures of tibia intercondylar eminence under arthroscopy using suture anchors

作　　者：马海涛[1] 毕大卫[1] 陈亿民[1] 姚小聪[1] 翟利锋[1] 刘道君[1] 

机构地区：[1]杭州市萧山第一人民医院骨科,浙江杭州311200

出　　处：《中国骨伤》2008年第3期176-178,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨胫骨髁间嵴骨折在关节镜下复位、内固定的方法。方法:本组9例新鲜胫骨髁间嵴骨折,其中男6例,女3例;年龄22～55岁,平均36.4岁。Meyers-MckeeverⅡ型4例,Ⅲ型5例。在关节镜下复位,使用DepuyMitek带线锚钉固定。术后积极康复锻炼,随访6～22个月,了解骨折复位、愈合,膝关节松弛度、活动度及患肢整体功能康复情况。结果:9例胫骨髁间嵴骨折均愈合,无移位,无膝关节松弛或不稳定,无伸膝受限。术后6个月Lysholm膝关节功能评分平均为(93.8±2.3)分。结论:关节镜下带线锚钉治疗胫骨髁间嵴骨折复位、固定可靠,方法简便、易行,膝关节镜手术有助于关节内其他合并伤的诊断和处理,创伤小,早期可行膝关节功能锻炼,有利于关节功能恢复。Objective ：To explore a new technique of reduction and internal fixation for tibia intercondylar eminence fractures under arthroscopy. Methods： From June 2004 to February 2006,9 patients with fresh tibia intercondylar eminence fracture（type Ⅱ in 4 cases and type Ⅲ in 5 cases）were treated with reduction and internal fixation using suture anchors （Depuy Mitek）under arthroscopy. All the patients,subject to regular post-operation functional exercise,were followed up for 6 to 22 months. The results were evaluated in the aspects of fracture reduction healing, knee joint relaxation and ROM, and functional restoration of overall limbs. Results：In the nine patients, the tibia intercondylar eminence fractures healed without displacement and nonunion. No knee joint relaxation or extension-restriction was found. Lysholm score indicated 93.8±2.3 at the 6th postoperative months. Conclusion：The reduction and internal fixation of tibia intercondylar eminence fractures under arthroscopy using suture anchors demonstrate a reliable and easy-to-use technique. Operation under arthroscopy helps diagnose and treat other complications inside knee joint, merely resulting in slight injury. In addition, early functional exercise contributes to rapid recovery of knee joint＇s functions.

关 键 词：胫骨骨折 关节镜手术操作 骨折固定术 内 膝关节 

分 类 号：R683.42[医药卫生—骨科学] R687.4[医药卫生—外科学]