摘要
目的评估应用带肌腱编制孔内固定系统治疗膝关节后交叉韧带胫骨止点撕脱骨折的疗效。方法对2016年6月至2018年6月期间沧州市中心医院收治的90例膝关节后交叉韧带胫骨止点撕脱骨折患者作为研究对象进行回顾性分析。其中男52例,女38例;年龄36~58岁,平均年龄(40±12)岁;所有患者均为单侧损伤,其中左侧49例,右侧41例,均利用带肌腱编制孔内固定系统治疗。术后定期随访,采用Lysholm评分和Tegner膝关节运动水平评分系统评价膝关节功能康复情况。结果90例患者中62例获得随访,平均随访(32±2)个月(24~36个月)。术前患侧膝关节Lysholm评分为(27.6±2.0)分,健侧膝关节Lysholm评分为(96.5±1.7)分,两侧间差异具有统计学意义(P<0.05)。末次随访时,患侧膝关节Lysholm评分为(96.2±1.8)分,健侧膝关节Lysholm评分为(96.8±1.6)分,两侧间比较差异无统计学意义(P>0.05)。术前Tegner活动评分为(1.6±1.1)分,术后末次随访为(7.0±1.3)分,差异具有统计学意义(P<0.05);Lysholm评分优46例,良14例,可1例,差1例,优良率96.8%。结论带肌腱编制孔内固定系统治疗膝关节后交叉韧带胫骨止点撕脱骨折操作简便,疗效明确,膝关节功能恢复好。
Objective To evaluate the effect of internal fixation system with tendon hole device in the treatment of PCL tibial insertion avulsion fracture.Methods A total of 90 patients with PCL tibial insertion avulsion fracture treated in Cangzhou Central Hospital from June 2016 to June 2018 were analyzed retrospectively,including 52 males and 38 females,aged from 36-58 years,with an average age of(40±12)years.All patients had unilateral injury,including 49 cases on the left and 41 cases on the right.All patients were treated with tendon internal fixation system.After regular follow-up,Lysholm score and Tegner knee motion level score system were used to evaluate the rehabilitation of knee function.Results Among all of the 90 cases,62 cases were followed up for an average of(32±2)months(24-36 months).Before operation,the Lysholm score of the affected knee was(27.6±2.0)points and that of the healthy knee was(96.5±1.7)points,and the difference between the two sides was statistically significant(P<0.05).At the final follow-up,the Lysholm score of the affected knee was(96.2±1.8)points and that of the healthy knee was(96.8±1.6)points,and there was no significant difference between the two sides(P>0.05).The mean preoperative Tegner score was(1.6±1.1)points and the last follow-up Tegner score was(7.0±1.3)points,and the difference was statistically significant(P<0.05).Lysholm score was excellent in 46 cases,good in 14 cases,fair in 1 case and poor in 1 case,the excellent and good rate was 96.8%.Conclusion The treatment of PCL tibial insertion avulsion fracture with tendon preparation hole internal fixation system has good results of simple operation,definite curative effect and good recovery of knee joint function.
作者
陈广栋
刘帆
胡庆常
李晨晨
许新秀
曹同军
Chen Guangdong;Liu Fan;Hu Qingchang;Li Chenchen;Xu Xinxiu;Cao Tongjun(Cangzhou Central Hospital,Cangzhou Hebei,061000;Tianjin University,Tianjin,300072,China)
出处
《生物骨科材料与临床研究》
CAS
2022年第3期58-61,共4页
Orthopaedic Biomechanics Materials and Clinical Study
关键词
带肌腱编制孔内固定系统
膝关节后交叉韧带胫骨止点撕脱骨折
膝关节功能康复
Tendon preparation hole fixation system
Posterior cruciate ligament tibial insertion avulsion fracture
Knee function rehabilitation
