[1]郭剑,李方祥①,韩明远,等.关节镜下ExtremiFix空心双头加压螺钉治疗成人胫骨髁间隆突骨折[J].中国微创外科杂志,2013,13(5):444-446.
　Guo Jian*,Li Fangxiang,Han Mingyuan*,et al.Arthroscopic Internal Fixation by ExtremiFix Cannulated Screw for Tibial Eminence Fractures[J].Chinese Journal of Minimally Invasive Surgery,2013,13(5):444-446.
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关节镜下ExtremiFix空心双头加压螺钉治疗成人胫骨髁间隆突骨折()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
13
期数:
2013年5期
页码:
444-446
栏目:
短篇论著
出版日期:
2013-05-20

文章信息/Info

Title:
Arthroscopic Internal Fixation by ExtremiFix Cannulated Screw for Tibial Eminence Fractures
作者:
郭剑; 李方祥①; 韩明远; 李永甫; 徐洪伟
浙江省宁波市北仑区人民医院骨科，宁波315800
Author(s):
Guo Jian*;  Li Fangxiang;  Han Mingyuan*;  et al.
*Department of Orthropaedics, Beilun District People’s Hospital, Ningbo City, Ningbo 315800, China
关键词:
成人; 胫骨髁间隆突骨折; 关节镜; ExtremiFix空心螺钉
Keywords:
Adult; Tibial eminence fractures; Arthroscopy; ExtremiFix cannulated screw
分类号:
R683.42
文献标志码:
A
摘要:
目的观察关节镜下ExtremiFix空心双头加压螺钉（ExtremiFix cannulated screw system）治疗成人胫骨髁间隆突骨折的临床疗效。 方法2010年6月~2012年3月，对14例MeyersMcKeever分型Ⅱ型、Ⅲ型胫骨髁间隆突骨折的成人患者采用关节镜下复位、ExtremiFix非埋头型空心双头加压螺钉内固定，术后辅以铰链膝支具外固定并功能锻炼。结果全部病例术后经X线片检查证实骨折良好复位，随访6～21个月，平均13个月，均达到骨性愈合且骨折未移位。膝关节自主活动良好，无关节松弛。末次随访，Lysholm膝关节评分93.8～98.1分，平均96.2分，未出现手术并发症，无螺钉松动。 结论关节镜下复位、ExtremiFix空心双头加压螺钉内固定治疗MeyersMcKeeverⅡ、Ⅲ型成人髁间隆突骨折具有微创、螺钉双向加压作用能使骨折早期可靠固定且不占用关节空间等优势，更利于膝关节功能的恢复，为临床提供了另一种简单、有效的手术方法。
Abstract:
ObjectiveTo observe the efficacy of ExtremiFix cannulated screw fixation by arthroscopy for adult tibial eminence fractures. MethodsClinical data of 14 adult patients with tibial eminence fracture (MeyersMcKeever subtype Ⅱand Ⅲ ), who received arthroscopic reduction and fixation with ExtremiFix cannulated screw were analyzed. External fixation with hinged knee orthosis and functional exercises were carried out postoperatively. ResultsXray confirmed that all the patients had an excellent recovery postoperatively with the fractured bone healing without displacement during a 6 to 21month followup (mean:13 months); excellent knee motion without joint laxity were achieved in all the cases. At the last followup visit, the Lysholm knee scale was 93.8-98.1 points (mean:96.2 points),and no obvious surgical complications or screw loosing were found. ConclusionsArthroscopic restoration and fixation with ExtremiFix cannulated screw is effective for tibial eminence fractures (MeyersMcKeever subtype Ⅱand Ⅲ) in adult patients. We recommend it as a simple and effective therapy, for it is minimally invasive and bidirectional compressive screws provide an earlier reliable fixation without taking the joint space.

参考文献/References:

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备注/Memo

备注/Memo:
①（国家体育总局运动医学研究所体育医院，北京100061）
更新日期/Last Update: 2014-01-08