摘要
目的 探讨后交叉韧带胫骨止点撕脱骨折的早期诊断与手术治疗。方法 回顾性分析 1 995年 1月～ 2 0 0 1年 1 0月共收治 1 8例后交叉韧带胫骨止点撕脱骨折的诊断与治疗情况。训练伤 1例 ,车祸伤 1 6例 ,机器卷伤 1例。新鲜骨折 1 6例 ,陈旧性骨折 2例。 1 0例行三维CT重建检查。 1 8例手术均用腓肠肌内侧斜切口显露。采用可吸收钉内固定 1 0例 ,钢丝 2例 ,螺钉6例。结果 1 8例均得到随访 ,时间 6个月～ 2年 ,平均 1 8年。优 1 0例 ,良 6例 ,中 2例 ,差 0例。结论 三维CT重建有利于后交叉韧带胫骨止点撕脱骨折早期诊断 ;
Objective To explore the early diagnosis and surgical treatment for tibial avulsion fracture with the posterior cruciate ligament.Methods Eighteen cases of tibial avulsion fracture with the posterior cuciate ligament were reviewed during the time from Jaunary,1995 to October,2001.Sixteen patients had fresh injuries.The causes of the injuries were motorcycle crashes for 16 cases.Ten cases of tibial avulsion fracture with the posterior cruciate ligament were examined properatively under CT scan and three-dimensional computed tomograph reconstruction (3-DCT).Eighteen cases operation used medial-oblique incision with gastrocnemius muscle.Results Follow-up time ranged from 6 months to 2 years(average,1.8 years).The knee function excellent were 10 cases,better 6 cases,fair 2 cases.Conclusion 3-DCT plays an important role in early diagnosis of tibial avulsion fracture with the posterior cruciate ligament and the incision of medial-oblique incision with gastrocnemius muscle may be the best choice of surgical approaches.
出处
《骨与关节损伤杂志》
2002年第5期348-350,共3页
The Journal of Bone and Joint Injury
