摘要
目的初步探讨经髌旁上入路关节镜下空心拉力螺钉治疗胫骨髁间棘骨折的手术方法。方法对2007年10月至2010年7月本科治疗的38例胫骨髁间棘骨折患者的病例资料进行回顾性分析，全部患者采用关节镜下经髌旁上入路导入空心拉力螺钉进行骨折内固定，通过膝关节功能评分及影像学检查评估术后疗效。结果术后膝关节侧位片螺钉与胫骨平台夹角平均达（69．4±7．9）。随访8～32个月，平均18个月，骨折愈合平均时间为（6．3±0．8）周，术后8周Lysholm膝关节功能评分达到（91．5±1．6）分。结论采用关节镜下经髌旁上入路导入空心拉力螺钉治疗胫骨髁间棘骨折，固定角度远大于传统的髌下入路，提高了固定的可靠性，取得了良好的临床效果。
Objeetive To investigate latero-suprapatellar operative approach of arthroscopic treatment of tibial eminence fracture by cannulated lag screw. Methods From October 2007 to July 2010,38 cases of tibial eminence fracture were treated in our department. Their Clincal data was analyzed retrospectively. All cases fractures were fixated by cannulated lag screw via latero-suprapatellar arthroscopic operative approach. The therapeutic effects were evaluated according to Lysholm knee score system and radiography. Results The average angle between screw and tibial plateau on lateral radiograph was 69.4± 7.9°. The time of following up was 8-32 months （average 18 months）. The average bone heeling time was 6.3±0.8 weeks. The average Lysholm score was 91.5±1.6 eight weeks after operation. Conclusion Bigger angle between screw and tibial plateau can be acquired via latero-suprapatellararthroscopic operative approach than conventional approach. Thus, the new operative approach can lead to more reliable fixation and better clinical therapeutic effect.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第10期980-981,共2页
Chongqing medicine
关键词
膝
关节镜
胫骨髁间棘骨折
knee
arthroscopy
tibial eminence fracture
