镜下Endo-Button固定后交叉韧带胫骨撕脱骨折  

Arthroscopic Endo-button fixation of posterior cruciate ligament tibial avulsion fracture

作　　者：王于治[1] 孙羽[1] 赵庆华[1] 张珂[1] 孙宝安 汪牛 张锐 WANG Yu-zhi;SUN Yu;ZHAO Qing-hua;ZHANG Ke;SUN Bao-an;WANG Niu;ZHNAG Rui(Department of Orthopedics,Huaibei People's Hospital,Huaibei 235000,China;Jinan Central Hospital,Shandong First Medical University,Jinan 250000,China)

机构地区：[1]淮北市人民医院骨一科,安徽淮北235000 [2]山东第一医科大学附属中心医院,山东济南250000

出　　处：《中国矫形外科杂志》2022年第8期753-756,共4页Orthopedic Journal of China

摘　　要：[目的]探讨镜下Endo-Button固定后交叉韧带胫骨撕脱骨折的临床效果.[方法]2016年2月-2020年2月共收治后交叉韧带胫骨撕脱骨折患者17例,行关节镜下辅助后内侧小切口,采用Endo-Button带袢钢板治疗.总结临床与影像结果.[结果]所有患者均顺利完成手术,术中无神经、血管损伤等严重并发症,手术时间平均(87.09±19.41)min,术中出血量平均(57.09±10.76)ml,术后切口均一期愈合,愈合时间平均(12.09±2.73)d.所有患者随访(29.73±7.29)个月,部分负重行走时间平均(42.12±5.98)d,去掉膝关节保护支具时间平均(56.32±9.98)d,完全负重行走时间平均(12.07±1.23)周.末次随访时IKDC评分、Lysholm评分、Tegner评分及术后膝关节运动范围均较术前显著增加(P<0.05),KT-1000膝关节位移较术前显著减少(P<0.05),所有抽屉试验均阴性.影像方面,术后骨折复位良好,骨折在12周左右愈合.[结论]关节镜下En-do-Button带袢钢板治疗后交叉韧带胫骨止点撕脱骨折,创伤小,膝关节稳定性恢复良好.[Objective]To investigate the clinical outcomes of arthroscopic Endo-button fixation of posterior cruciate ligament tibial avulsion fracture.[Methods]From February 2016 to February 2020,a total of 17 patients underwent arthroscopic reduction and Endo-but-ton fixation of posterior cruciate ligament tibial avulsion fractures with a assisted posterior medial small incision.The clinical and imaging results were summarized.[Results]All patients had operations completed successfully,with no serious complications such as nerve and blood vessel injury,whereas with operation time of(87.09±19.41)min,intraoperative blood loss of(57.09±10.76)ml,and excellent incision healing in(12.09±2.73)days.All patients were followed up for 29.73±7.29 months,and resumed partial weight-bearing walking in(42.12±5.98)days,protective brace removed in(56.32±9.98)days,and full weight-bearing walking in(12.07±1.23)weeks.The IKDC,Lysholm and Tegner scores,as well as knee range of motion at the latest follow-up significantly increased compared with those preoperatively(P<0.05),whereas the tibial displacement measured by KT-1000 significantly reduced compared with preoperatively(P<0.05),with negative posterior drawer tests in all of them.Radiographically,the fracture was reduced well postoperatively and healed about 12 weeks.[Conclusion]This arthroscopic Endo-button fixation of posterior cruciate ligament tibial avulsion fracture has minimizing trauma and get good sta・bility recovery of the knee.

关 键 词：后交叉韧带 撕脱骨折 关节镜修复 带袢钢板 

分 类 号：R683.42[医药卫生—骨科学]