关节镜下张力带钢丝修复胫骨髁间隆突骨折  

Arthroscopic treatment with tension band wire for avulsion fracture of tibial intercondylar eminence

作　　者：彭立波[1] 赵洪[1] 谢子康[1] 王斌[1] 瞿玉兴[1] 

机构地区：[1]常州市中医医院骨科,江苏省常州市213003

出　　处：《中国组织工程研究》2014年第53期8629-8633,共5页Chinese Journal of Tissue Engineering Research

基　　金：江苏省中医药管理局科技项目(LZ11137)~~

摘　　要：背景:胫骨髁间隆突作为前交叉韧带胫骨止点,其骨折主要由于强大的旋转应力合并成角运动所致,关节镜手术逐渐成为其治疗的首选。当前关节镜下有效的固定方式选择主要体现在螺钉固定和张力带固定,但是对于如何选择尚存在着一定的争论。目的:探索关节镜下张力带钢丝修复胫骨髁间隆突骨折的临床疗效。方法:回顾性分析2010年1月至2014年8月常州市中医医院骨科收治,采用关节镜下张力带钢丝修复胫骨髁间隆突骨折患者19例,患者于固定后第1,3,6,12个月进行门诊随访,比较患者固定后末次随访时Lanchman试验结果、骨性愈合时间、关节活动度及膝关节功能Lysholm评分。结果与结论:所有患者均获得临床随访,末次随访时患者的Lanchman试验结果均为阴性,骨性愈合时间为7-11个月,平均(8.4±1.9)个月,Lysholm评分为(94.1±4.6)分,关节活动度为(121.7±9.6)°。关节镜下张力带钢丝修复胫骨髁间隆突骨折可以很好的达到骨折复位愈合的目的,在微创、固定可靠的基础上很好的重建了前交叉韧带的稳定性。BACKGROUND： Avuision fracture of tibial intercondylar eminence, as a fracture of insertion of anterior cruciate ligament, was caused by huge shear stress and angulated movement. The arthroscopic treatment was preferred. There is controversy about the style of fixation： pining or tension band wire under arthrescopy. OBJECTIVE： To detect the clinical efficacy of arthroscopic treatment with tension band wire for avulsion fracture of tibial intercondylar eminence. METHODS： From January 2010 to August 2014, 19 patients were treated by arthroscopic treatment with tension band wire in Changzhou TCM Hospital. All patients were followed up at 1, 3, 6, 12 months post-operation. The results of Lanchman test, bone healing time, range of motion, and Lysholm score of knee joint function were recorded at the final follow-up. RESULTS AND CONCLUSION： All patients got followed. At the final follow-up, the Lanchman tests were all negative, the bone healing time was 7-11 months （average 8.4±1.9 months）, Lysholm score was 94.1±4.6 points, and the range of motion was 121.7_±9.6°. Good results were got by arthroscopic treatment with tension band wire for avulsion fracture of tibial intercondylar eminence. Advantages of this method are minimal invasive, good fixation of the anterior cruciate ligament.

关 键 词：关节镜 骨固定钢丝 骨折 骨钉 植入物 骨科植入物 张力带钢丝 螺钉 胫骨髁间隆突骨折 固定 Lysholm评分 关节活动度 

分 类 号：R318[医药卫生—生物医学工程]