交通伤后胫骨髁间棘撕脱性骨折关节镜下治疗  

Efficacy and operation techniques of surgical treatment under arthroscopy for tibial intercondylar eminence fracture after car accident

作　　者：李纲[1] 尼加提.阿不力米提 孙学斌[1] 帕尔哈提[1] 张克远[1] 

机构地区：[1]新疆医科大学第一附属医院骨科中心,新疆乌鲁木齐830054

出　　处：《创伤外科杂志》2011年第3期208-211,共4页Journal of Traumatic Surgery

摘　　要：目的探讨交通伤后胫骨髁间棘撕脱骨折在关节镜下复位、PDSⅡ-线固定的治疗方法。方法在2005年2月~2009年12月间,我科共治疗36例交通伤后急性胫骨髁间棘撕脱骨折。男性25例,女性7例;平均年龄27.5岁（11~55岁）。其中Ⅱ型9例（25%）,Ⅲ型20例（56%）,Ⅳ型7例（19%）。手术采用关节镜下骨折复位,PDSⅡ-线十字固定骨折块。结果除1例失访外,其余35例均成功随访,平均随访时间20.1个月（6~37个月）。拍X线片示骨折愈合;Lachm an试验均为阴性;Lysholm评分98.2分（87~100分）。膝关节活动度正常者32例,屈曲轻度受限者3例,发生严重膝关节纤维化者1例,经再次关节镜手术松解后功能恢复。结论关节镜下PDS-Ⅱ固定胫骨髁间棘骨折是一种有效、安全、简单的方法。Objective To investigate the arthroscopic treatment of avulsion fracture of tibial intercondylar eminence using PDSⅡ-suture fixation.Methods Totally 36 patients with acute avulsion fracture of tibial intercondylar eminence（Meyers and Mckeever typeⅡ in 9 cases,typeⅢ in 20 cases and type Ⅳ in 7cases）were arthroscopically treated with PDS-Ⅱ suture fixation from Feb.2005 to Oct.2009.The average age of patients was 27.5 years（11-55）.Results All the patients were followed up for 6-37 months with an average of 20.1 months except for one case.The clinical results were proved to be satisfied radiographically.They had 98.2（87-100） Lysholm＇s scores and Lachman test showed negative results.Thirty-two knees had normal functions and 3 patients had limited range of motion.One case had severe knee fibrosis after the primary surgery and was released under arthroscopy again.Conclusion Arthroscopic reduction and PDS-Ⅱsuture fixation is an effective,safe and simple method for treating avulsion fracture of tibial intercondylar eminence.

关 键 词：关节镜 胫骨髁间棘 骨折 内固定 

分 类 号：R683.42[医药卫生—骨科学]