关节镜下缝线套扎治疗前交叉韧带胫骨止点撕脱性骨折26例分析  

Clinical observation of arthroscopic treatment of 26 anterior cruciate ligament tibial eminence avulsion fractures by using loop ligature fixation

作　　者：刘柱同[1] 孙小平[1] 王延斌[1] 

机构地区：[1]武警广东省总队医院骨科一病区,广州510000

出　　处：《重庆医学》2013年第24期2844-2846,共3页Chongqing medicine

摘　　要：目的探讨分析关节镜下缝线套扎治疗前交叉韧带胫骨止点撕脱性骨折的临床疗效。方法回顾性分析经关节镜下缝线套扎治疗且随访时间满1年的26例前交叉韧带胫骨止点撕脱性骨折患者,比较患者术前、术后膝关节体格检查的差异,通过X线检查观察患者骨折愈合情况,并比较患者术前、术后Lysholm评分以及IKDC2000主观膝关节评分。结果随访末期所有患者的膝关节主动屈伸均可达到0°～130°。术后6个月骨折线块全部消失,所有骨折均骨性愈合。术后6个月,Lysholm评分为86～98分,平均(92.7±4.3)分,与患者术前比较差异有统计学意义(t=36.7,P<0.05);术后6个月,IKDC2000主观膝关节评分为83～96分,平均(90.7±4.2)分,与患者术前比较差异有统计学意义(t=22.5,P<0.05)。结论关节镜下缝线套扎治疗前交叉韧带胫骨止点撕脱骨折方法简便,创伤小,效果肯定。Objective To investigate the outcomes of arthroscopic treatment of anterior cruciate ligament tibial eminence avulsion fractures by using loop ligature fixation.Methods 26 patients with anterior cruciate ligament tibial eminence avulsion fractures.All the patients were fellowed up at least one year.Results The X-ray indicated that all the avulsion fractures of tibial anterior eminence were healed after 6 months of the operation.The mean Lysholm score improved from（50.8±6.5） preoperatively to（92.7±4.3）postoperatively（t=36.7,P0.05）.The mean IKDC 2000 subject score improved from（55.6±7.4）preoperatively to（90.7±4.2） postoperatively（t=22.5,P0.05）.Conclusion Arthroscopic treatment of anterior cruciate ligament tibial eminence avulsion fractures by using loop ligature fixation could provide satisfying reduction,stable fixation and well healing of the avulsed fragment.This arthroscopic suture fixation method is a minimally invasive,simple and effective treatment for patients with tibial eminence fracture.

关 键 词：关节镜 前交叉韧带 胫骨 撕脱骨折 缝线 

分 类 号：R687.3[医药卫生—骨科学]