关节镜下治疗急性后交叉韧带胫骨止点撕脱性骨折2例  

Arthroscopic Treatment for Acute Avulsion Fracture of Posterior Cruciate Ligament:Two Cases Report

作　　者：徐峰[1,2,3] 崔志刚[2,3] 闵红巍[2,3] 亓攀 田罡[2,3] 冯建璞[2,3] 刘克敏[2,3] XU Feng CUI Zhi-gang MIN Hong-wei QI Pan TIAN Gang FENG Jian-pu LIU Ke-min(Peking University International Hospital, Beijing 102206, China Capital Medical University School of Reha- bilitation Medicine, Beijing 100068, China Beijing Bo＇ai Hospital, China Rehabilitation Research Center, Beijing 100068, China)

机构地区：[1]北京大学国际医院,北京市102206 [2]首都医科大学康复医学院,北京市100068 [3]中国康复研究中心北京博爱医院,北京市100068

出　　处：《中国康复理论与实践》2017年第7期824-828,共5页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨关节镜下锁扣带袢双钛板固定术治疗急性后交叉韧带胫骨止点撕脱性骨折的适应症及效果。方法 2014年12月至2015年1月,2例急性后交叉韧带胫骨止点撕脱骨折患者,术前完善影像学检查及评估,在关节镜下行复位及锁扣带袢双钛板固定,术后积极康复训练。结果成功1例,术后早期开始康复训练;术后3个月,患者膝关节功能恢复满意。失败1例,改用空心螺钉内固定,术后推迟2周开始康复训练,术后4个月基本恢复正常膝关节功能。结论对于后交叉韧带胫骨止点撕脱骨折块体积较大、较为完整的非骨质疏松患者,采取关节镜下锁扣带袢双钛板固定术可达到骨折的解剖复位和坚强固定,有利于早期进行康复训练。Objective To explore the efficacy of arthroscopic treatment for acute avulsion fracture of posterior cruciate ligament （PCL） using double titanium plate TightRope. Methods From December 2014 to January 2015, two cases with acute avulsion fracture of PCL were treated with double titanium plate TightRope under arthroscopy, after assessment of three dimensional reconstructive CT and MRI. Rehabili-tation was carried out after operation. Results One case succeeded with double titanium plate TightRope, and rehabilitation could be per-formed early postoperatively. Another case failed in TightRope fixation, and accepted two internal hollow screws fixation instead. Rehabili-tation was delayed until two weeks postoperatively. The function of the knee was satisfactory in the former patient after three months, who could extend the knee in a normal range, without pain or locking. The same effect was gained in the latter patient after four months. Conclu-sion For acute tibial avulsion fracture of PCL with larger and intact fragment without osteoporosis, arthroscopic restoration and fixation with double titanium plate TightRope offers the opportunity to achieve anatomic reconstruction and rigid fixation for early rehabilitation in adult patients.

关 键 词：后交叉韧带 撕脱性骨折 关节镜 锁扣带袢双钛板 

分 类 号：R686.5[医药卫生—骨科学]