关节镜下8字法缝线固定治疗成人胫骨髁间隆突骨折  

ARTHROSCOPIC TREATMENT OF TIBIAL EMINENCE FRACTURE WITH FIGURE-OF-EIGHT SUTURE FIXATION TECHNIQUE

作　　者：赵金忠[1] 蒋垚[1] 沈灏[1] 邵俊杰[1] 何耀华[1] 

机构地区：[1]上海交通大学附属第六人民医院骨科,上海200233

出　　处：《中国修复重建外科杂志》2003年第3期205-208,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的　介绍关节镜下“8”字法缝线固定治疗胫骨髁间隆突骨折的技术及临床应用效果。　方法　 1998年 1月～ 2 0 0 1年 6月 ,对 2 1例新鲜胫骨髁间隆突骨折 ,在关节镜下进行复位 ,使用 6号不吸收缝线进行“8”字法固定。术后行积极的康复训练 ,并随访 6～ 2 4个月 ,以了解骨折复位、愈合、膝关节松弛度、活动度及患肢整体功能康复情况。　结果　术后 6周 ,2 1例胫骨髁间隆突骨折均愈合 ,无骨折移位。术后 3个月 ,无膝关节松弛或不稳定 ,均恢复了与健侧相同的活动度。术后 6个月 ,L ysholm膝关节功能评分为 93.4± 2 .7。　结论　关节镜下“8”字法缝线固定治疗胫骨髁间隆突骨折 ,复位和固定可靠 ,有助于早期进行膝关节康复训练。关节镜手术有助于诊治合并损伤 ,创伤小 ,结合“8”字法缝线固定能够最大程度恢复膝关节功能。Objective To introduce the arthroscopic technique of figure-of-eight suture fixation for tibial eminence fracture, and to report its clinical results. Methods From January 1998 to June 2001, 21 cases of tibial eminence fracture were treated arthroscopically with figure-of-eight suture fixation technique. Active rehabilitation began one week after operation. The patients were followed up 6-24 months. The reduction and union of fracture, knee laxity, range of motion, and total knee function were evaluated. Results All fracture healed without displacement six weeks after operation. Three months postoperatively, no knee laxity or instability was detected in all patients; full range of motion of the affected knee returned in all patients when compared with the normal side. Six months postoperatively, the Lysholm knee score was 93.4±2.7. Conclusion Arthroscopic treatment of tibial eminence fracture with figure-of-eight suture fixation technique is reliable for fracture reduction , fixation and early mobilization. Arthroscopy is conducive to diagnoses and treatment of associated knee arthropathy, reduces the morbidity associated with arthrotomy, and restores knee function to the greatest extent when combined with figure-of-eight suture fixation techniques.

关 键 词：关节镜下 8字法缝线固定 治疗 成人 胫骨髁间隆突骨折 临床应用 

分 类 号：R683.42[医药卫生—骨科学]