引用本文:陈定启,潘宇朝,陈德焱,冯仕华,梁麦添,林永行,谭庆豪,郑开达.关节镜下Y型骨隧道缝线捆绑治疗后十字韧带胫骨附丽点撕脱骨折效果观察[J].中国临床新医学,2017,10(7):674-676.
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关节镜下Y型骨隧道缝线捆绑治疗后十字韧带胫骨附丽点撕脱骨折效果观察
陈定启,潘宇朝,陈德焱,冯仕华,梁麦添,林永行,谭庆豪,郑开达
529500 广东,阳江市中医医院骨外科
摘要:
[摘要] 目的 分析采用关节镜下Y型骨隧道缝线捆绑治疗后十字韧带胫骨附丽点撕脱骨折的临床疗效。方法 回顾性分析该院2014-11~2015-11收治的46例后十字韧带撕脱骨折采用关节镜下缝线捆绑治疗的患者,观察并比较其治疗前后的膝关节评分量表(Lysholm)评分、膝关节功能(IKDC)评分及术后并发症发生情况。结果 经治疗后,所有患者的Lysholm、IKDC评分均较治疗前有明显增加,差异有统计学意义(P<0.01);术后所有患者均无严重并发症发生,4例患者有不同程度的膝关节屈曲受限情况出现,经闭合手法松解后顺利治愈。结论 对后十字韧带胫骨附丽点撕脱骨折患者采用关节镜下缝线捆绑治疗,可明显提高患者膝关节功能评分,且无严重并发症发生,是一种安全、可靠的治疗方法。
关键词:  后十字韧带  关节镜  缝线捆绑
DOI:10.3969/j.issn.1674-3806.2017.07.24
分类号:R 68
基金项目:
The value of arthroscopic suture bundle treatment for the patients with fracture of Fuli cruciate ligament tibial avulsion
CHEN Ding-qi, PAN Yu-chao, CHEN De-yan, et al.
Department of Orthopaedics, Yangjiang Hospital of Traditional Chinese Medicine, Guangdong 529500, China
Abstract:
[Abstract] Objective To explore the clinical effect of arthroscopic suture bundle treatment on the posterior cruciate ligament tibial avulsion fracture of Fuli.Methods 46 patients with posterior cruciate ligament fractures in our hospital from November 2014 to November 2015 were treated with arthroscopic suture bundle treatment and their clinical data were retrospectively analyzed. The Lysholm scores, IKDC(knee function) scores and postoperative complications were observed and compared before and after the treatment.Results After the treatment, the Lysholm scores and IKDC scores were significantly higher than those before the treatment(P<0.01); All the patients had no postoperative serious complications. Limited knee flexion and extension occurred in 4 patients in some degrees and they were cured successfully after closed manipulation solution.Conclusion Arthroscopic suture bundle treatment is safe and reliable for the patients with posterior cruciate ligament tibial Fuli avulsion fractures.
Key words:  Posterior cruciate ligament  Arthroscopy  Sutures tied