胫骨髁间棘陈旧性骨折的手术治疗  

作　　者：鲁驷原 冯宏伟 张建洛 杨宏涛 周百刚 

机构地区：[1]陕西省核工业215医院骨关节病科,陕西咸阳712000

出　　处：《河南中医》2014年第B11期166-167,共2页Henan Traditional Chinese Medicine

摘　　要：目的探讨胫骨髁间棘陈旧性骨折手术治疗方法.方法：21 例胫骨髁间棘骨折均为陈旧性损伤,其中14 例使用钢丝、PDSⅡ^#线、空心螺钉固定,剩余7例几乎都有前交叉韧带损伤的痕迹,使用四股腘绳肌重建前交叉韧带.结果：固定组患者术后3 个月膝关节功能评分平均为90.7 分,术后6 个月评分平均为94.7 分;重建组患者术后3 个月膝关节功能评分平均为91.8 分,术后6 个月评分平均为93.5 分.根据计算,P〈0.01,两者无统计学差异.结论：两种手术方法各有优缺点,选用何种方法应根据患者的具体情况.The surgical treatment of Old tibial spine fracturesObjective To study the surgical treatment method of Old tibial condyle fractures Methods 21 cases of tibialcondyle between spine fractures are chronic injuries, including 14 cases of using steel wire, PDS Ⅱ^#line, hollow screws, 7 cases with traces of anterior cruciate ligament injury, usingfour strands of hamstring anterior cruciate ligament reconstruction.Results Fixed set of 3 months postoperatively in patients with knee joint function score averaged 90.7 points, sixmonths after scoring average of 94.7 points; Reconstruction group 3 months postoperatively in patients with knee joint function score averaged 91.8 points, six months after scoringaverage of 93.5 points. According to the calculation, P 〈 0.01, no statistical difference between two groups.Conclusion Two methods of surgical treatment for each have advantagesand disadvantages, choose what method should be according to the actual circumstances of the patients.

关 键 词：胫骨髁间嵴 陈旧性骨折 关节镜 

分 类 号：R274.1[医药卫生—中医骨伤科学]