C型臂透视下定位腘窝纵行小切口治疗后交叉韧带止点胫骨嵴撕脱骨折  

Treatment of Tibial Plateau Avulsion Fracture Implicating Accreting of Posterior Cruciate Ligament(PCL) through Popliteal with Longitudinal Small Incision under the Orientation of C-Arm X-Ray

作　　者：韩立民[1] 宓士军[1] 张远成[1] 

机构地区：[1]河北省唐山市丰润区人民医院骨一科,064000

出　　处：《中国全科医学》2011年第8期920-921,共2页Chinese General Practice

摘　　要：目的探讨C型臂透视下定位腘窝纵行小切口治疗后交叉韧带止点胫骨嵴撕脱骨折的手术方法及疗效。方法 2007年3月—2009年9月对35例患者在C型臂透视下定位后交叉韧带止点胫骨嵴撕脱骨折块,在定位处行腘窝纵行小切口将撕脱骨折块复位固定。结果本组患者术中出血较少,平均20～40 ml,手术时间短,平均25min,无神经血管损伤。术后全部病例经随访观察,撕脱骨折均获骨性愈合;术后6个月行lysholm评分,平均功能评分96.7分。结论采用此手术方法可以减小手术切口,缩短手术时间,符合微创外科操作。Objective To explore the methods and efficacy of treatment of tibial plateau avulsion fracture implicating accreting of posterior cruciate ligament（PCL） through popliteal with longitudinal small incision under the orientation of C-Arm X-ray to provide effective method for treatment of avulsion fracture of tibial spine. Methods Retrospectively analyze 35 cases admitted from March 2007 to September 2009.Orientation tibial plateau avulsion fracture piece was fixed under C-Arm X-ray,and the fixed piece was reset with longitudinal small incision at popliteal fossa orientation. Results All the patients have little intraoperative bleeding,short operative time,and have no neurological vascular injury.Postoperative follow-up shows that all avulsion fractures show osseous healing,and the average function is 96 7 % by lysholm grade. Conclusion This surgical technique can reduce the surgical incision as well as the operation time,and it is in line with minimally invasive surgical operation.

关 键 词：后交叉韧带 小切口 入路 外科手术 微创性 撕脱骨折 

分 类 号：R687.3[医药卫生—骨科学]