镜下改良双“8”字缝线固定II型胫骨棘撕脱骨折  

Modified 8-figure double suture loop for fixation of type II tibial interspinal avulsion fracture under arthroscope

作　　者：董伟 谷源林 颜军尧 丛晓明 王晓明 DONG Wei;GU Yuan-lin;YAN Jun-yao;CONG Xiao-rming;WANG Xiao-ming(Weihaiuvei People's Hospital,Weihai 264200,China)

机构地区：[1]威海卫人民医院,山东威海264200

出　　处：《中国矫形外科杂志》2024年第8期764-768,共5页Orthopedic Journal of China

摘　　要：[目的]探讨关节镜下改良双“8”字双隧道治疗Meyers-MckeeverⅡ型胫骨髁间嵴骨折的临床疗效。[方法]回顾性分析2015年10月—2020年5月应用关节镜下改良双“8”字双隧道线袢固定Meyers-MckeeverⅡ型胫骨髁间嵴骨折的17例患者的临床资料,评价临床及影像结果。[结果]所有患者均顺利完成手术,无严重并发症。随访时间平均(18.5±6.9)个月,随着术前、术后3个月和末次随访的时间推移,VAS评分显著降低[(6.8±0.8),(2.3±0.5),(0.9±07), P<0.001],Lyshol评分[(51.9±4.2),(81.3±1.4),(91.2±2.0), P<0.001]、IKDC评分[(53.4±2.9),(79.7±2.8),(89.5±2.4), P<0.001]、ROM [(67.6±1.1)°,(102.2±3.8)°,(124.1±1.0)°, P<0.001]均显著增加,前抽屉试验和Lachman试验均显著改善(P<0.05)。影像方面,骨折复位全部为优,平均骨折愈合时间(11.2±0.8)周。[结论]关节镜下改良双“8”字双隧道治疗Meyers-MckeeverⅡ型胫骨髁间嵴骨折可以达到解剖复位和牢固固定,手术疗效满意。[Objective] To investigate the clinical outcomes of modified 8-figure double suture loop for fixation of type II tibial interspinal avulsion fracture under arthroscope. [Methods] A retrospective study was conducted on 17 patients who underwent abovesaid procedures for Meyers-Mckeever type II tibial interspinal fracture under arthroscope from October 2015 to May 2020. The clinical and imaging documents were evaluated. [Results] All patients were successfully operated without serious complications, and followed up for(18.5±6.9)months in a mean. With time preoperatively, 3 months postoperatively and the last follow-up, the VAS score decreased significantly [(6.8±0.8),(2.3±0.5),(0.9±07), P<0.001], while the Lysholm score [(51.9±4.2),(81.3±1.4),(91.2±2.0), P<0.001], IKDC scores [(53.4±2.9),(79.7±2.8),(89.5±2.4), P<0.001], and ROM [(67.6±1.1)°,(102.2±3.8)°,(124.1±1.0)°, P<0.001] increased significantly. In addition, the knee laxity in terms of anterior drawer test and Lachman test were also significantly improved(P<0.05). Regarding imaging, all patients got fracture reduction excellent, with the mean fracture healing time of(11.2±0.8) weeks. [Conclusion] The modified 8-figure double suture loop fixation under arthroscope does achieve anatomical reduction and firm fixation of Meyes-McKeever type II tibial interspinal fractures with satisfactory clinical consequences.

关 键 词：关节镜 骨折固定术 胫骨髁间嵴骨折 临床疗效 

分 类 号：R683.42[医药卫生—骨科学]