关节镜联合Orthcord线固定治疗青少年胫骨髁间隆起撕脱骨折的疗效观察  

Efficacy of Arthroscopy Combined with Orthcord Line Fixation for Avulsion Fracture of Tibial Intercondylar Eminence in Adolescents

作　　者：王宾 沈世彬 黄浩然 高海燕 周政纲 戴世友[3] WANG Bin;SHEN Shi-bin;HUANG Hao-ran;GAO Hai-yan;ZHOU Zheng-gang;DAI Shi-your(Department of Spine Surgery,Qingdao Hospital Afiliated to Shandong First Medical University,Qingdao 266019,China;Department of Ilmaging,Qingdao Hospital Afiliated 1o Shandong First Medical Universiy,Qingdao 266019,China;Department of Bone,Joint and Sports Medicine,East District of Qingdao Municipal Hospital,Qingdao 266000,China)

机构地区：[1]山东第一医科大学附属青岛医院脊柱外科,山东青岛266019 [2]山东第一医科大学附属青岛医院影像科,山东青岛266019 [3]青岛市市立医院东院区骨关节与运动医学科,山东青岛266000

出　　处：《骨科》2022年第2期146-150,共5页ORTHOPAEDICS

摘　　要：目的探讨关节镜联合Orthcord线固定治疗青少年胫骨髁间隆起撕脱骨折的临床疗效。方法回顾性分析2018年4月至2019年4月在我院初次行关节镜联合Orthcord线固定治疗青少年胫骨髁间隆起撕脱骨折的病人22例,观察其术后各时段的康复情况,应用疼痛视觉模拟量表(visual analogue scale,VAS)、国际膝关节文献委员会膝关节评估表(International Knee Documentation Committee Knee Evaluation Form,IKDC)2000评分、膝关节Lysholm评分评估术后膝关节功能恢复情况。结果所有病人均获得随访,随访时间为6~12个月。20例切口甲级愈合,2例术后出现脂肪液化,对症处理后切口正常愈合。术后各时段的VAS评分均较术前显著降低,而Lysholm评分和IKDC 2000评分均显著高于术前,差异有统计学意义(P<0.05);且术后3、6个月的评分与术后1个月时的相比,差异均有统计学意义(P<0.05)。结论关节镜联合Orthcord线固定治疗青少年胫骨髁间隆起撕脱骨折临床疗效满意,可有效复位骨折,并且固定效果确切持久,避免了二次手术的损伤,有利于膝关节功能的早期康复。Objective To investigate the clinical effect of arthroscopy combined with Orthcord wire fixation in the treatment of avulsion fracture of tibial intercondylar eminence in adolescents.Methods A total of 22 cases of juvenile avulsion fracture of tibial intercondylar eminence treated by arthroscopy combined with Orthcord wire fixation for the first time in our hospital from April 2018 to April 2019 were analyzed retrospectively.The rehabilitation of each period after operation was observed,and the visual analog scale(VAS),International Knee Documentation Committee Knee Evaluation Form(IKDC)and Lysholm score were applied to evaluate the recovery of knee function.Results All patients are followed up for 6-12 months.The incision healed in Grade A in 20 cases and fat liquefaction occurred in 2 cases.The incision healed normally after symptomatic treatment.The VAS score of each period after operation was significantly lower than that before operation,while Lysholm score and IKDC 2000 score were significantly higher than those before operation(P<0.05).The scores at 3 and 6 months after operation were significantly different from those at 1month after operation(P<0.05).Conclusion The clinical effect of arthroscopy combined with Orthcord line fixation in the treatment of juvenile tibial intercondylar eminence avulsion fracture is satisfactory.It can effectively reduce the fracture,and the fixation effect is accurate and lasting.It avoids the injury of secondary operation and is conducive to the early rehabilitation of knee function.

关 键 词：关节镜 胫骨髁间骨折 内固定 微创 钢丝 前交叉韧带 

分 类 号：R687.3[医药卫生—骨科学]