摘要
目的 探讨关节镜下双套环技术治疗后十字韧带（posterior erueiate ligament，PCL）胫骨止点撕脱性骨折的方法和临床疗效。方法2007年1月至2009年7月，自行设计关节镜下双套环技术治疗23例后十字韧带胫骨止点撕脱性骨折，男15例，女8例。年龄28-52岁，平均39-3岁。Meyers—MeKeever分型：Ⅱ型4例，Ⅲ型14例，Ⅳ型5例。结合手术前后膝关节Xx线片和MRI，以及手术前后Lysholm评分和Tegner膝关节功能评分，对关节镜下双套环技术治疗后十字韧带胫骨止点撕脱性骨折的疗效进行分析。结果所有患者手术均在1小时内完成，所有病例均无止血带损伤、血管神经损伤和感染等并发症，术后两周拆线，创口均Ⅰ／甲愈合。所有患者均获得随访，随访时间12-23个月，平均16．5个月。Lysholm膝关节评分从术前（50．3-＋6．1）分提高到术后半年随访的（89．7±8．3）分（t=18．34，P=0．0007）。Tegner膝关节评分从术前（1．7±0．5）分提高到术后半年随访的（5．7±1．3）分（t=13．77，P=0．0008）。两组膝关节功能评分有统计意义。结论关节镜下双套环技术治疗后十字韧带胫骨止点撕脱性骨折具有创伤小、疗效良好且固定可靠等优点，其为后十字韧带胫骨止点撕脱性骨折的治疗提供一种可靠的选择。
Objective To investigate the feasibility and clinical effects of the pair ringer technology for bony avulsion of the posterior cruciate ligament under arthroscopy. Methods From January 2005 to July 2009, 23 patients were treated with the pair ringer technology for bony avulsion of the posterior crueiate ligament by arthroscopy. There were 15 male and 8 female, with an average of 39.3 years （ranging from 28 to 52 years）. There were 4 cases of type Ⅱ, 14 type , and 5 type Ⅳ according to Meyer-Mckeever classification. The outcome measures were X-ray and MRI testing, Lysholm and Tegner knee function score. Resuits All the operations were finished in an hour. There were no complications as nerve injury or infection occurred in the study. The patients were followed-up for an average of 16.5 months （12-23 months）. The Lysholm score rose from 50.3±6.1 preoperatively to 89.7±8.3 at the six months postoperatively （t=18.34, P=0.0007）. The Tegner score rose from 1.7±0.5 preoperatively to 5.7±1.3 at the six months postoperatively （t=13.77,P=0.0008）. All of the patients recover a functionally stable knee and have considerably improved knee function compared with their preoperative status. Conclusion The pair ringer technology under arthroscopy is a liable method for bony avulsion of the posterior cruciate ligament. This minimally invasive technology leads to rigid fixation, early rehabilitation.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2010年第12期1187-1191,共5页
Chinese Journal of Orthopaedics
关键词
关节镜检查
后交叉韧带
胫骨骨折
Arthroscopy
Posterior cruciate ligament
Tibial fractures
