带线锚钉治疗后交叉韧带胫骨止点撕脱骨折21例报告  

Surgical treatment with anchor screws for tibial avulsion fracture of the posterior cruciate ligament

作　　者：张中兴[1] 许峰[1] 金伟[1] 

机构地区：[1]南方医科大学附属柳州医院暨广西省柳州市柳铁中心医院骨科,广西545007

出　　处：《中国骨与关节杂志》2016年第2期120-122,共3页Chinese Journal of Bone and Joint

摘　　要：目的探讨带线锚钉治疗后交叉韧带（posterior cruciate ligament,PCL）胫骨止点撕脱骨折的临床疗效。方法对21例膝关节PCL胫骨止点撕脱骨折患者采用带线锚钉治疗,术后给予膝关节屈曲30°石膏固定4周,拆除石膏外固定后进行膝关节功能锻炼。结果所有患者均获7-11个月随访,平均9.2个月。Lysholm评分术前与术后6个月分别为：（59.4±8.1）分,（86.4±9.1）分,差异有统计学意义（P〈0.05）;关节活动度术前与术后6个月分别为：（86.8±13.5）°（139.1±8.9）°,差异有统计学意义（P〈0.05）;IKDC评分术前与术后6个月分别为：（50.6±6.1）分,（92.8±5.5）分,差异有统计学意义（P〈0.05）。结论带线锚钉治疗PCL胫骨止点撕脱骨折内固定可靠,安全有效,可早期有效重建膝关节稳定性,恢复膝关节功能。Objective To investigate clinical effects on the treatment of tibial avulsion fracture of the posterior cruciate ligament with anchor screws. Methods Twenty-one patients of tibial avulsion fracture of the posterior cruciate ligament were treated with anchor screws. All patients had been applied postoperative plaster immobilization of the knee at 30° flexion for 4 weeks. Functional exercises of the knee were conducted after the removal of the plaster. Results All patients were followed up for 7- 11 months with the average of 9.2 months. The Lysholm score preoperatively and 6 months postoperatively were（ 59.4 ± 8.1） point,（ 86.4 ± 9.1） point, respectively. Differences were statistically significant（ P〈0.05）. The range of motion of the knee preoperatively and 6 months postoperatively were（ 86.8 ± 13.5） °,（ 139.1 ± 8.9） °, respectively. Differences were statistically significant（ P〈0.05）. IKDC score preoperatively and 6 months postoperatively were（ 50.6 ± 6.1） point,（ 92.8 ± 5.5） point, respectively. Differences were statistically significant（ P〈0.05）. Conclusions Internal fixation with anchor screws is safe and effective in the treatment of tibial avulsion fracture of the posterior cruciate ligament. Reliable internal fixation is effective in the early reconstruction of the knee stability and recovery of knee functions.

关 键 词：后交叉韧带 胫骨骨折 骨折固定术 内 膝关节 

分 类 号：R687.3[医药卫生—骨科学]