关节镜下Orthocord缝线固定治疗前交叉韧带胫骨止点撕脱骨折  

Arthroscopic Treatment for Tibial Avulsion Fractures of Anterior Crucial Ligament with Orthocord Suture Fixation

作　　者：王洪[1] 孙川[1] 孟春庆[1] 杨述华[1] 杜靖远[1] 邵增务[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院骨科,湖北省武汉市430022

出　　处：《中国骨与关节损伤杂志》2011年第12期1067-1069,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨前交叉韧带(ACL)胫骨止点撕脱骨折关节镜下治疗的方法及疗效。方法对27例ACL胫骨止点撕脱骨折进行手术,关节镜下将骨折复位后,从胫骨结节内侧向骨折块的两侧钻取两个骨隧道,使用2号Orthocord缝线固定骨折。结果本组均得到随访,平均12.3个月(7～24个月),X线片示骨折愈合良好。术后末次随访Lysholm评分平均93.1分(84～100分),Lachman试验及前抽屉试验均为阴性,22例关节活动度达到正常,5例存在关节活动受限。结论关节镜下使用Orthocord缝线固定治疗ACL胫骨止点撕脱骨折具有固定可靠、操作简单、手术创伤小、术后恢复快、并发症少等优点。Objective To investigate the methods and effects of the arthroscopic treatment for tibial avulsion fractures of anterior crucial ligament.Methods Twenty seven patients with tibial avulsion fractures were treated with operation.The avulsion fragment was reduced under arthroscopy.Two bone tunnels were drilled from internal tibial tuberosity to the both sides of the avulsed fragment.2# Orthocord suture was used for arthroscopic fixation of the fractures.Results All patients were followed up for 12.3 months on average（7～24 months）.X-ray confirmed satisfactory healing.At the latest follow-up,the average Lysholm knee score was 93.1 points（84～100 points）,the Lachman test and anterior drawer test were both negative and the range of motion was normal in 22 cases while limited in 5 cases.Conclusion Arthroscopic treatment for tibial avulsion fractures of anterior crucial ligament with Orthocord suture fixation is easy and minimally invasive.It can lead to reliable fixation and less complications,and facilitate early rehabilitation.

关 键 词：关节镜 胫骨髁间棘 前交叉韧带 骨折 内固定 

分 类 号：R683.42[医药卫生—骨科学]