[1]潘界恩,蔡震海,何晓君,等.全关节镜下Tight-Rope悬吊钢板系统内固定治疗后交叉韧带胫骨附着点撕脱骨折[J].中医正骨,2020,32(07):55-57+61.
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全关节镜下Tight-Rope悬吊钢板系统内固定治疗后交叉韧带胫骨附着点撕脱骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期数:
2020年07期
页码:
55-57+61
栏目:
临床报道
出版日期:
2020-07-20

文章信息/Info

作者:
潘界恩; 蔡震海; 何晓君; 黄成龙; 季康; 陈刚
嘉兴市第二医院,浙江 嘉兴 314001
关键词:
膝损伤;  后交叉韧带;  胫骨骨折;  关节镜检查;  骨折固定术; 内
摘要:
目的:观察全关节镜下Tight-Rope悬吊钢板系统内固定治疗后交叉韧带(posterior cruciate ligament,PCL)胫骨附着点撕脱骨折的临床疗效与安全性。方法:2017年10月至2018年12月,采用全关节镜下Tight-Rope悬吊钢板系统内固定治疗PCL胫骨附着点撕脱骨折患者18例。男11例,女7例。年龄23～56岁,中位数40.5岁。车祸伤9例,摔伤9例。均为单侧PCL胫骨附着点撕脱骨折,左侧6例、右侧12例。合并半月板损伤3例、内侧副韧带损伤1例、前交叉韧带撕裂1例、同侧髋臼骨折和肋骨骨折1例、同侧锁骨骨折和肩胛骨骨折1例。随访观察骨折愈合、膝关节功能恢复及并发症发生情况。结果:手术时间50～88 min,中位数62.5 min。所有患者均获随访,随访时间8～13个月,中位数12.5个月。骨折均愈合,愈合时间12～16周,中位数14周。Lysholm膝关节评分,术前(35.4±4.2)分、术后6个月(88.7±3.6)分。末次随访时,后抽屉试验均为阴性。均无血管神经损伤、内固定松动、切口感染等并发症发生。结论:全关节镜下Tight-Rope悬吊钢板系统内固定治疗PCL胫骨附着点撕脱骨折,骨折愈合好,有利于膝关节功能恢复,且安全性高。

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备注/Memo

备注/Memo:
基金项目:嘉兴市科技计划项目(2017AY33027)
更新日期/Last Update: 2020-07-20