关节镜下双后内侧入路双骨道单纯“8”字缝线治疗后交叉韧带胫骨止点撕脱骨折的疗效分析  

Clinical effect analysis of posterior cruciate ligament avulsion fracture of tibial insertion treated by double posterioral-medial approach with simple 8 suture

作　　者：姚思成 关雪峰 孙宇[2] 杨永菊[3] 张锡玮[4] 张健哲 陈玉楼[5] 陈崇民[2] Yao Sicheng;Guan Xuefeng;Sun Yu;Yang Yongju;Zhang Xiwei;Zhang Jianzhe;Chen Yulou;Chen Chongmin(Graduate School,Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110033,China;Department of Sports Medicine,Shenyang Orthopedic Hospital,Shenyang,Liaoning 110044,China;Department of Orthopaedics K2,the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110000,China;Department of Orthopaedics K3,the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110000,China;Department of Orthopaedics 1,the Second Affiliated Hospital of Shenyang Medical College,Shenyang,Liaoning 110035,China)

机构地区：[1]辽宁中医药大学研究生学院,辽宁沈阳110033 [2]沈阳市骨科医院运动医学科,辽宁沈阳110044 [3]辽宁中医药大学附属医院骨K2科,辽宁沈阳110000 [4]辽宁中医药大学附属医院骨K3科,辽宁沈阳110000 [5]沈阳医学院附属第二医院骨一科,辽宁沈阳110035

出　　处：《中国内镜杂志》2023年第9期1-5,共5页China Journal of Endoscopy

基　　金：辽宁省科学技术计划项目(No:2019JH8/10300091)。

摘　　要：目的研究关节镜下双后内侧入路双骨道单纯“8”字缝线治疗后交叉韧带(PCL)胫骨止点撕脱骨折的临床效果。方法选取该院2016年2月-2020年4月PCL胫骨止点撕脱骨折的患者12例,给予关节镜下双后内侧入路双骨道单纯“8”字缝线治疗,对术前和术后末次随访时,膝关节活动范围、国际膝关节文献委员会(IKDC)评分、视觉模拟评分(VAS)、Lysholm膝关节功能评分、反Lachman试验和后抽屉试验进行评价。结果12例患者术中均无副损伤,随访时间为12~24个月,平均(18.92±4.17)个月,术后末次随访时,反Lachman试验阴性,后抽屉试验阴性,膝关节活动度为(128.75±2.26)°,IKDC评分为(82.92±3.34)分,VAS为(1.17±0.39)分,Lysholm膝关节功能评分为(85.00±3.02)分,较术前明显改善,差异均有统计学意义(P<0.05)。结论关节镜下双后内侧入路双骨道单纯“8”字缝线治疗PCL胫骨止点撕脱骨折,临床疗效确切,值得推广。Objective To investigate the clinical effect of double posterioral-medial approach double bone channel simple 8 suture in treatment of posterior cruciate ligament(PCL)tibial insertion avulsion fracture under arthroscopy.Methods 12 patients with tibial insertion avulsion fracture of PCL from February 2016 to April 2020 were selected and treated with simple 8 suture using double posterioral-medial approach and double bone channel under arthroscopy.Knee range of motion,International Knee Documentation Committee(IKDC)score,visual analogue scale(VAS),Lysholm knee function score,reverse Lachman test,and posterior drawer test were evaluated at preoperative and postoperative follow-up.Results None of the 12 patients had collateral damage during the operation.The follow-up time of the patients was 12~24 months,average of(18.92±4.17)months.The reverse Lachman test and the posterior drawer test were negative at the last postoperative follow-up.Knee range of motion(128.75±2.26)°,IKDC score(82.92±3.34),VAS(1.17±0.39)and Lysholm knee function score(85.00±3.02)significantly improved compared with those before surgery,and the differences were statistically significant(P<0.05).Conclusion The clinical effect of double posterioral-medial approach and double bone channel simple 8 suture in treatment of PCL tibial insertion avulsion fracture is accurate and worthy of promotion.

关 键 词：关节镜 后交叉韧带胫骨止点撕脱骨折 单纯“8”字缝线固定 膝关节功能 临床疗效 

分 类 号：R683.42[医药卫生—骨科学]