关节镜下双隧道纽扣固定技术治疗儿童胫骨髁间嵴骨折的疗效分析  

Arthroscopic reduction and double-tunnel button fixation of fractures of the tibial intercondylar eminence in children

作　　者：游超[1] 邓超 周益彪 朱田丰 夏永杰[1] You Chao;Deng Chao;Zhou Yibiao;Zhu Tianfeng;Xia Yongjie(Orthopedics Department,Shenzhen Children's Hospital,Shenzhen 518000,China)

机构地区：[1]深圳市儿童医院骨科,深圳518000

出　　处：《中华创伤骨科杂志》2023年第8期728-731,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨关节镜下双隧道纽扣固定技术治疗儿童胫骨髁间嵴骨折的疗效。方法回顾性分析2019年1月至2022年6月于深圳市儿童医院骨科通过关节镜下双隧道纽扣固定技术治疗的8例胫骨髁间嵴骨折患儿资料,男6例,女2例;年龄(8.4±1.9)岁;受伤部位:左膝4例,右膝4例。记录手术时间、术中出血量、膝关节屈伸活动度及并发症发生情况。比较术前与末次随访时的Lysholm评分。结果手术时间为(161.9±57.9)min。所有患者术后获(12.1±5.7)个月随访。术中出血量为3.5(1.0,4.3)mL。术后膝关节屈曲活动度为145.0°±5.0°,伸直活动度为0.9°±1.2°。所有切口均一期愈合,术后未见感染等并发症发生。Lysholm评分从术前的(20.3±15.8)分(2~54分)显著提高至(99.3±1.0)分(98~100分),差异有统计学意义(P<0.05)。结论关节镜辅助复位双隧道纽扣固定技术治疗胫骨髁间嵴骨折效果显著,并发症少,出血量少,感染率低。Objective To investigate the efficacy of arthroscopic reduction and double-tunnel button fixation in the treatment of fractures of the tibial intercondylar eminence in children.Methods From January 2019 to June 2022,8 children with fracture of the tibial intercondylar eminence were treated at Orthopedics Department,Shenzhen Children's Hospital with arthroscopic reduction and double-tunnel button fixation.They were 6 boys and 2 girls,with an age of(8.4±1.9)years.Injured sites:4 left knees and 4 right knees.Their operation time,intraoperative blood loss,knee flexion and extension,and complications were recorded.Their Lysholm scores were compared between preoperation and the last follow-up.Results The operation time was(161.9±57.9)min.All patients were followed up for(12.1±5.7)months.The intraoperative blood loss was 3.5(1.0,4.3)mL.Their knee flexion was 145.0°±5.0°and extension 0.9°±1.2°after operation.All their incisions healed at one stage,with no postoperative infection or other complications.Their preoperative Lysholm score[(20.3±15.8)points(from 2 to 54 points)]increased significantly to(99.3±1.0)points(from 98 to 100 points)after operation(P<0.05).Conclusions Arthroscopic reduction and double-tunnel button fixation is effective for fractures of the tibial intercondylar eminence in children,leading to limited complications,limited bleeding and a low infection rate.

关 键 词：关节镜检查 儿童 膝关节 胫骨髁间嵴 双隧道纽扣技术 

分 类 号：R726.8[医药卫生—儿科]