手术治疗后交叉韧带胫骨止点撕脱性骨折  

Surgical treatment of tibial avulsion fracture at the posterior ligament-to-bone insertion site

作　　者：陈红峰[1] 王东明[1] 徐明勇[1] 

机构地区：[1]江苏省南京市高淳县人民医院骨科,江苏南京211300

出　　处：《实用临床医药杂志》2012年第1期112-113,共2页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(41220001)

摘　　要：目的探讨膝关节后内侧入路手术内固定治疗手术后交叉韧带胫骨止点撕脱性骨折的临床效果。方法对15例交叉韧带胫骨止点撕脱性骨折患者行膝后倒＂L＂形小切口显露,解剖复位骨折,予以中空螺钉及带线锚钉内固定。术后随访6个月,收集骨折复位、愈合及关节稳定性、活动度以及Lysholm膝关节功能评分标准评估膝关节功能恢复情况。结果术后8~13周均骨性愈合,未见位移。术后6个月,有2例后抽屉试验弱阳性,1例轻度屈膝受限,无伸膝受限,Lysholm膝关节功能评分（92.0±2.4）分。结论膝后内侧入路中空螺钉及带线锚钉内固定治疗后交叉韧带胫骨止点撕脱性骨折操作简单、安全、效果可靠。Objective To study the clinical effect of the medial knee after surgical fixation of posterior cruciate ligament surgery tibial avulsion fracture.Methods Fifteen cases of cruciate ligament tibial avulsion fractures were performed with knee down ＂L-shaped＂ incision and anatomic fracture reduction was fixed with hollow screws and anchors.Patients were followed up for 6 months.Data regarding fractures,healing and joint stability,and range were collected.The recovery of knee function was assessed by Lysholm scale for knee function.Results All patients were cured after 8 to 13 weeks with no displacement.After 6 months,2 cases of posteriordrawer test was weakly positive.There was 1 case with mild knee flexion limitation,but no knee extension limitation was observed.Lysholmknee score was（92±2.4） points.Conclusion Knee medial approach with a line of hollow screw and anchor screw fixation of posterior cruciate ligament tibial avulsion fracture is simple,safe,effective and reliable.

关 键 词：后交叉韧带 止点骨折 内固定 空心钉 锚钉 

分 类 号：R687.4[医药卫生—骨科学]