改良膝关节后侧切口治疗后交叉韧带胫骨撕脱骨折临床分析

目的评价应用改良膝关节后侧切口治疗后交叉韧带胫骨撕脱骨折的方法及疗效。方法回顾分析应用改良膝关节后侧切口切开复位、空心螺钉置入治疗后交叉韧带胫骨撕脱骨折19例。结果本组手术过程顺利,住院期间无感染及下肢深静脉血栓形成等并发症。19例均获门诊复查随访,随访时间6～24个月,平均9个月,获得随访的患者骨折术后均I期愈合,膝关节活动度均正常,Lysholm评分由术前平均65.4分提高至最后一次随访平均96.6分。结论改良膝关节后侧切口治疗后交叉韧带胫骨撕脱骨折是简便、安全的手术入路,可充分显露骨折区域,对骨折进行有效复位、固定。

Treatment of tibial avulsion fracture of the posterior cruciate ligament by modified posterior approach

Objective To evaluate the results of treatment of tibial avulsion fracture of the posterior cruciate ligament by modified posterior approach.Methods Totally 19 cases of tibial avulsion fracture of the posterior cruciate ligament were retrospectively analyzed.Results Surgical operation was achieved in all cases,without infection and deep venous thrombosis of lower limbs.The follow-up period ranged from 6 months to 24 months（average 9 months） in all cases.All fractures healed in I period.Lysholm score reached 96.6 from preoperative 65.4.Conclusion Treatment of tibial avulsion fracture of the posterior cruciate ligament by modified posterior approach is simple and safe,which has advantages of sufficient exposure of the fracture area and effective reduction and fixation.