胫骨髁间前棘骨折的关节镜治疗  

Arthroscopic suture fixation of displaced tibial eminence fracture

作　　者：冯华[1] 高波[1] 王满宜[1] 

机构地区：[1]北京积水潭医院创伤骨科,100035

出　　处：《中华骨科杂志》2001年第5期294-296,共3页Chinese Journal of Orthopaedics

摘　　要：目的 介绍一种治疗胫骨髁间前棘骨折的微创手术方法。方法 1999年 7月～ 2000年 12月，共完成 26例手术。关节镜监视下行骨折复位，利用前十字韧带胫骨导向器在骨床或骨块上准确确定钻孔位置，可吸收缝线横穿前十字韧带基底并经骨床或骨块上的钻孔及骨隧道引出关节外打结、固定。结果 共 22例获得随访，随访时间 2～ 17个月，平均 10.5个月；膝关节活动度正常者 17例，受限者 5例，但均超过 90°； X线片示骨折全部愈合，除 1例外均为解剖复位。结论 关节镜手术治疗胫骨髁间前棘骨折可最大程度地减少手术创伤，手术方法简便易行，可作为治疗此类骨折的常规方法。Objective To describe a minimal invasional surgical procedure for the treatment of avulsion fracture of tibial intercondylar eminence. Methods From July 1999 to December 2000, 26 cases of avulsion fracture of tibial intercondylar eminence were treated. With the arthroscope, reduction and absorbable suture fixation of anterior cruciate ligament or the avulsion fracture were performed. Taking the advantage of ACL－ aimer, bone tunnels, through which the suture can be pulled out and tied outside the joint, could be accurately produced. Results Twenty-two patients were available for 2－ 17 months(mean 10.5 months) follow-up. Seventeen patients gained normal range of motion, 5 have limited flexion but exceeded 90 degrees. X－ ray demonstrated bone union in all the cases and anatomical reduction obtained in 21 cases. Conclusion Arthroscopically guided operation, gives less trauma, and is a simple and effective method for the avulsion fracture of the tibial intercondylar eminence.

关 键 词：关节镜检查 胫骨骨折 骨折固定术 微创手术方法 

分 类 号：R683.42[医药卫生—骨科学]