关节镜下单通道双线技术治疗胫骨髁间棘骨折  

Clinical outcomes of arthroscopic single-tunnel double-line technique in treating tibial intercondylar eminence fractures

作　　者：罗杨[1] 魏民[2] LUO Yang;WEI Min(不详;Senior Department of Orthopaedics,the Forth Medical Center of People's Liberation Army General Hospital,Beijing100037,China)

机构地区：[1]解放军总医院第一医学中心骨科,北京100853 [2]解放军总医院第四医学中心骨科医学部,北京100037

出　　处：《中国骨伤》2022年第6期555-559,共5页China Journal of Orthopaedics and Traumatology

基　　金：国家自然科学基金(编号:82074244)。

摘　　要：目的:探讨关节镜下单通道双线技术治疗胫骨髁间棘骨折的临床疗效。方法:2016年1月至2020年4月,收治22例胫骨髁间棘骨折患者,男14例,女8例;年龄26~45(34.8±5.9)岁;手术时间为受伤后5~15(11.2±4.1)d。所有患者给予关节镜下骨块复位和单通道双线技术固定。术后根据X线片评估骨折愈合情况,术前及末次随访采用Lysholm评分、IKDC 2000评分和抽屉试验进行临床疗效评价。结果:22例患者全部获得随访,时间12~75(34.6±13.0)个月。Lysholm评分术前(30.80±9.55)分,末次随访(89.60±2.89)分,差异有统计学意义(t=9.67,P<0.01);IKDC 2000术前(24.60±7.21)分,末次随访(80.00±6.17)分,差异有统计学意义(t=11.41,P<0.01)。1例患者抽屉试验为弱阳性。结论:单通道双线技术可实现对髁间棘撕脱骨块的有效固定,操作简便、创伤小,适用于各种类型的髁间棘撕脱骨折。Objective:To evaluate clinical efficacy of single-tunnel double-line technique with tendoscopy in treating tibial intercondylar eminence fractures.Methods:From January 2016 to April 2020,22 patients with tibial intercondylar eminence fractures were admitted,including 14 males and 8 females with a mean age of(34.8±5.9)years old ranging from 26 to 45 years old.The mean duration from injury to surgery was(11.2±4.1)days(ranged,5 to15 d).All patients were treated with arthroscopic single-tunnel double-line technique.The fracture healing was evaluated according to X-ray.The Lysholm score,IKDC 2000 score and the anterior drawer test were used to evaluate efficacy before operation and at the latest follow-up.Results:All patients were followed up,and the duration ranged from 12 to 75 months,with an average of(34.6±13.0)months.Lysholm score was(89.60±2.89)points at the latest follow-up,showing significant difference when compared with preoperative score which was(30.80±9.55)points(t=9.67,P<0.01).IKDC 2000 score was(80.00±6.17)points at the latest follow-up,showing significant difference when compared with preoperative score which was(24.60±7.21)points(t=11.41,P<0.01).One patient showed weakly positive of drauer test.Conclusion:Single-channel double-line technique could effectively fix bone block of intercondylar eminence with advantage of easy operation and minimally invasive,which could be applied to various types of tibial intercondylar eminence fractures.

关 键 词：关节镜 胫骨骨折 骨折固定术 

分 类 号：R683[医药卫生—骨科学]