小切口治疗前交叉韧带胫骨附丽点撕脱骨折  

Minimal incision in treatment of anterior cruciate ligament origin avulsion fracture

作　　者：杨华清[1] 何宏生[1] 菅志飞[1] 冯正中[1] 喻伟[1] 

机构地区：[1]湖北医药学院附属东风医院创伤外科,湖北十堰442008

出　　处：《临床骨科杂志》2010年第6期675-677,共3页Journal of Clinical Orthopaedics

摘　　要：目的介绍一种小切口复位固定治疗前交叉韧带胫骨附丽点撕脱骨折的方法。方法对22例前交叉韧带胫骨附丽点撕脱骨折患者采用小切口下复位固定手术。其中15例骨折复位后钢丝固定,4例用双股2号聚乙烯缝线固定,3例可吸收螺钉固定。对骨缺失影响交叉韧带长度者予以植骨。结果 19例获随访,时间6~24个月。X线及CT检查提示骨折愈合良好。采用Lysholm临床评分系统对膝关节功能进行评估：术前为20~30分,术后为92~100分。关节活动度与对侧相比基本恢复正常。19例均恢复伤前的运动水平（非专业运动）。结论小切口行前交叉韧带胫骨附丽点撕脱骨折复位固定,对膝关节软组织损伤小,有利于术后功能恢复,是一种比较理想的方法。Objective To study minimal incision in treatment of anterior cruciate ligament origin avulsion fracture.Methods 22 patients were operated on through a small incision way to reduce and fix the anterior cruciate ligament avulsion fractures at tibial origin.15 were fixed with steel-wires,4 with 2 banded No.2 polyethylene sutures,3 with absorbable screws.Bone grafts were performed on patients who had a lack of length of anterior cruciate for absences of tibia.Results 19 cases were followed up for 6~24 months.The fractures were healed well in X-ray and CT.Lysholm clinical scoring system was used to compare the functions of knee joints.The knee joint score was 20～30 before operation and 92～100 after operation after some follow-up examinations were made.The range of motion was restored to normal.All 19 patients were recovered to preoperative activity.Conclusions Using a small incision in treatment of anterior cruciate ligament origin avulsion fracture is less invasive to soft tissue,which provides better postoperative function recovery.

关 键 词：小切口 胫骨骨折 前交叉韧带 骨折固定术 膝损伤 

分 类 号：R61[医药卫生—外科学] R683.42[医药卫生—临床医学]