[1]刘浩,王建兵,徐可林,等.关节镜下带襻钢板治疗前交叉韧带胫骨止点撕脱骨折的疗效分析[J].中国微创外科杂志,2018,18(7):664-672.
　Liu Hao,Wang Jianbing,Xu Kelin,et al.Efficacy Analysis of Arthroscopic Internal Fixation With EndoButton in the Treatment of Tibial Avulsion Fracture of Anterior Cruciate Ligament[J].Chinese Journal of Minimally Invasive Surgery,2018,18(7):664-672.
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关节镜下带襻钢板治疗前交叉韧带胫骨止点撕脱骨折的疗效分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
18
期数:
2018年7期
页码:
664-672
栏目:
经验交流
出版日期:
2018-10-11

文章信息/Info

Title:
Efficacy Analysis of Arthroscopic Internal Fixation With EndoButton in the Treatment of Tibial Avulsion Fracture of Anterior Cruciate Ligament
作者:
刘浩; 王建兵; 徐可林; 顾三军*
无锡市第九人民医院关节外科，无锡214000
Author(s):
Liu Hao;  Wang Jianbing;  Xu Kelin;  et al.
Department of Joint Surgery, Wuxi No.9 People’s Hospital, Wuxi 214000, China
关键词:
关节镜; 带襻钢板; 前交叉韧带; 撕脱骨折
Keywords:
Arthroscopy; EndoButton; Anterior cruciate ligament; Avulsion fracture
文献标志码:
B
摘要:
目的探讨关节镜下带襻钢板治疗膝关节前交叉韧带胫骨止点撕脱骨折的疗效。方法2015年6月~2017年1月我科对20例前交叉韧带胫骨止点撕脱骨折在关节镜下行骨折复位固定术：经前交叉韧带定位器定位撕脱骨块，建立胫骨隧道，通过引线把带襻钢板拉入关节腔，固定线拉出胫骨隧道外口，镜下调整钢板位置，覆盖骨块，随后拉紧固定线，在胫骨隧道外穿入另一块带襻钢板，在其表面打结，形成悬吊固定。术后定期随访，了解骨折复位愈合情况并评估膝关节功能。结果手术时间50~100 min，平均61.4 min。20例随访6~21个月，平均16.5月。术后5个月复查X线片，均骨折复位满意，愈合良好；末次随访Lachman和前抽屉试验均阴性，Lysholm膝关节功能评分85~98分，平均95.5分。结论关节镜下带襻钢板治疗膝关节前交叉韧带胫骨止点撕脱骨折具有创伤小、固定可靠、预后良好等优点，值得推广。
Abstract:
ObjectiveTo discuss the curative effect of arthroscopic internal fixation with EndoButton in the treatment of tibial avulsion fracture of anterior cruciate ligament.MethodsFrom June 2015 to January 2017, 20 cases of tibial avulsion fracture of anterior cruciate ligament were treated with EndoButton fixation under knee arthroscopy. The avulsion bone was located with anterior cruciate ligamentum locator. A tibial tunnel was established. An EndoButton was introduced into the joint cavity via a guidewire and the fixation wire was pulled out of the external opening of the tibial tunnel. After adjustment of the plate, the bone was covered and the fixation wire was tightened. Another EndoButton was inserted outside of the tibial tunnel and was knotted on its surface for suspension fixation. Postoperative follow-ups were carried out to observe the reduction and healing of the avulsion fractures and to evaluate the functional recovery of the knee.ResultsThe operation time was 50-100 min (mean, 61.4 min). All the patients were followed up for 6-21 months (mean, 16.5 months). All the patients acquired bony union without fragments displacement at 5 months after operation under X-ray examinations. The results of Lachman test and anterior drawer test were both negative in all the cases at the last follow-up. The Lysholm scores were 85-98 points (mean, 95.5 points) at the last follow-up.ConclusionArthroscopic internal fixation with EndoButton in the treatment of tibial avulsion fracture of anterior cruciate ligament has advantages of little invasion, reliable fixation and favorable prognosis, which is worthy of being promoted.

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备注/Memo

备注/Memo:
*通信作者，E-mail: gusanjun65@163.com
更新日期/Last Update: 2018-10-11