摘要
目的总结关节镜下Orthocord线治疗后交叉韧带止点撕脱性骨折的临床疗效。方法2009年10月至2010年6月，采用关节镜监视下复位，用Orthocord线固定，治疗后交叉韧带止点撕脱性骨折13例患者。采用膝关节Lysholm评分及影像学结果评价疗效。结果13例患者随访10～14（12±2）个月，术后3个月复查X线片显示：骨折复位良好，骨折端骨性愈合。所有患者术后末次随访膝关节稳定，关节活动度良好，无肿胀、疼痛，抽屉试验阴性，术后功能恢复满意。术后膝关节Lvsholm评分为（93．2±1．8）分，与术前膝关节Lysholm评分（72．3±2．8）分比较差异有统计学意义（t=15．8，P〈0．05）。结论OahocoM线能有效固定后交叉韧带止点撕脱性骨折，恢复后交叉韧带长度及张力，允许关节进行早期功能锻炼。
Objective To evaluate the clinical results of a procedure for treatment of avulsion fracture of posterior cruciate ligament （PCL） using arthroscopic reduction and Orthocord suture. Methods The clinical data of 13 patients who underwent arthroscopic reduction and Orthocord suture fixation for PCL avulsion fracture of the tibial eminence from October 2009 to June 2010 was analyzed retrospectively. Follow-up assessment including Lysholm knee score,and radiographic evaluation. Results All 13 patients achieved follow-up with 10-14 （ 12 ± 2） months. No significant complications were noted ,such as swelling, pain or disability of knee. Drawing test was negative. The preoperative Lysholm score in the 13 knees was （72.3 ± 2.8） scores, the postoperative Lysholm score was （93.2 ± 1.8） scores, difference was statistically significant （t = 15.8,P 〈 0.05 ）. Conclusions Treating PCL avulsion fracture with arthroscopic fixation by use of Orthocord suture can restore ligament length, stabilize fragments, promote early motion.
出处
《中国医师进修杂志》
2011年第35期16-18,共3页
Chinese Journal of Postgraduates of Medicine
关键词
关节镜
后交叉韧带
撕脱性骨折
Arthroscopes
Posterior cruciate ligament
Avulsion fracture
