关节镜下内固定治疗青少年胫骨髁间前嵴撕脱骨折临床分析  

Treatment of tibial intercondylar eminence fracture by internal fixation within osteoepiphysis under arthroscopy

作　　者：陈昊[1] 郭林[1] 陈光兴[1] 何锐[1] 黄洪波[1] 朱佩海 杨柳[1] 

机构地区：[1]第三军医大学西南医院关节外科中心,重庆400038 [2]重庆市开县中医院骨科,重庆405400

出　　处：《第三军医大学学报》2011年第23期2523-2526,共4页Journal of Third Military Medical University

摘　　要：目的探讨关节镜下复位、骨骺内固定技术治疗青少年胫骨髁间前嵴撕脱骨折的近期疗效与再次关节镜探查骨折愈合情况。方法回顾分析我中心自2007-2010年采用该技术治疗的11例青少年胫骨髁间前嵴撕脱骨折病例,其中男性8例,女性3例,年龄(12.9±2.1)岁。门诊及电话随访时间6个月至2年,9例患儿行关节镜下内固定取出时再探查。结合X线片并按Lysholm膝关节评分评价患膝功能。结果 11例患儿骨折愈合良好,膝关节功能早期康复快,未发生内固定断裂、关节失稳、关节功能障碍等并发症,术前Lysholm膝关节评分平均66.1分,术后平均96.0分。结论关节镜下内固定治疗青少年胫骨髁间前嵴撕脱骨折能及时诊断和处理患膝合并伤,有利于患膝功能恢复,可望在远期有效避免损伤青少年胫骨干骺端。Objective To investigate the effect of surgical treatment of tibial intercondylar eminence fracture by reduction and internal fixation within osteoepiphysis under arthroscopy.Methods Retrospective analysis was performed in eleven teenagers（eight males and three females,with a mean age of 12.9±2.1 years old） with tibial intercondylar eminence fracture who were treated by internal fixation under arthroscopy in the center from 2007 to 2010.Clinical data were collected from outpatient and telephone follow-up from 6 months to 2 years after the surgery.Nine patients received internal fixation removal and re-exploration under arthroscopy.The therapeutic effect was evaluated based on X-ray examination and Lysholm knee score.Results After the surgery,all the patients healed well with quick recovery of knee function and no complications such as fixation fracture,knee instability and knee dysfunction.The average Lysholm knee scores before and after operation were 66.1 and 96.0,respectively.Conclusion Treatment of tibial intercondylar eminence fracture by internal fixation under arthroscopy is effective for diagnosis and recovery of the fracture,and can also avoid injury of tibial growth plate in a long term.

关 键 词：胫骨髁间嵴骨折 关节镜 内固定 青少年 骨骺 

分 类 号：R683.42[医药卫生—骨科学] R687.32[医药卫生—外科学]