| 关节镜下高强线联合外排锚钉治疗Meyers McKeeverⅡ、Ⅲ型前交叉韧带胫骨止点撕脱骨折 |
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投稿时间：2018-09-03 修订日期：2018-10-09
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| 期刊信息：《中国骨伤》年，第卷，第期，第-页 |
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| 中文摘要:目的：探讨关节镜下高强线联合外排锚钉治疗Meyers McKeeverⅡ、Ⅲ型前交叉韧带胫骨止点撕脱骨折的临床疗效。方法：自2014年3月至2016年6月，采用关节镜下高强线联合外排锚钉治疗Meyers McKeeverⅡ、Ⅲ型前交叉韧带胫骨止点撕脱骨折患者21例，其中男13例，女8例；年龄18～48（26.4±5.42）岁。致伤部位：左膝9例，右膝12例。致伤原因：运动伤12例，坠落伤6，车祸伤3例。Meyers-McKeever分型：Ⅱ型16 例，Ⅲ型5例。所有患者均为新鲜的，闭合性单纯损伤。受伤至手术时间为2～15（6.2±2.63）d，观察并比较患者手术前、手术后6个月的Lysholm评分、IKDC评分及膝关节活动度变化评价膝关节功能。结果：术后21例患者获得随访，时间12～24（14.30±3.01）个月。手术时间40～65（45.10±4.82）min；出血量5-15（10.05±2.75）ml。术前、术后6月的Lysholm评分分别为50.29±6.67、92.48±2.18。IKDC评分分别为47.19±4.57、90.71±2.22。膝关节活动度分别为83.05±5.33、132.05±7.15。术后6月与术前比较差异均有统计学意义（P＝0．000）。结论：关节镜下高强线联合外排锚钉治疗Meyers McKeeverⅡ、Ⅲ型ACL胫骨止点撕脱骨折创伤小，固定牢靠，临床效果满意。 |
| 【关键词】高强线 外排锚钉 前交叉韧带 胫骨止点撕脱骨折 |
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| High strength wire under arthroscopy combined outside anchor nail in treating Meyers McKeever Ⅱ, Ⅲ avulsion fracture of anterior cruciate ligament tibial check point |
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| ABSTRACT Abstract objective Evaluating the effect of the high strength wire under arthroscopy combined outside anchor nail in treating Meyers McKeever Ⅱ, Ⅲ anterior cruciate ligament tibial check point. Methods 21 patients who received the treatment of high strength wire under arthroscopy combined outside anchor nail for Meyers McKeever Ⅱ, Ⅲ avulsion fracture of anterior cruciate ligament tibial check point were enrolled from March 2014 to June 2016(male: 13 cases, female: 8 cases; Ages: 18 to 48(26.4±5.42) ; anatomic site: left knee: 9 cases, right knee: 12 cases. Cause of anatomic: sports injuries: 12 cases, falling injuries: 6 cases, accident injuries: 3 cases. Meyers - McKeever classification: Ⅱ type: 16 cases, Ⅲ type: 5 cases. All the fracture sites of the patients were fresh and closed. The time between injury and surgery was 2-15 (6.2±2.63) d. Observing and comparing the difference of the Lysholm score, IKDC score and the change of knee mobility pre-surgery and post- surgery. Results 21 patients were followed up for 12 to 24 (14.30±3.01) months. Operation time: 40 ~ 65 (45.10±4.82) min, Blood loss: 5-15 (10.05±2.75) ml. The Lysholm scores were respectively 50.29±6.67 and 92.48±2.18 pre-surgery and 6 months post- surgery. The IKDC scores were respectively 47.19±4.57 and 90.71±2.22, Knee joint activity was respectively 83.05±5.33 and 132.05±7.15. There was significant statistically difference between pre-surgery and 6 months post- surgery (P = 0.000). Conclusion high strength wire under arthroscopy combined outside anchor nail in treating Meyers McKeever Ⅱ, Ⅲ ACL tibial check point has the advantages of small trauma and firm fixation, and satisfactory clinical effect. |
| KEY WORDS high strength wire Outside anchor nail Anterior cruciate ligament Avulsion fracture of the tibia |
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