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| 关节镜下钢丝和空心钉固定治疗胫骨髁间前棘骨折的疗效比较 | |
| 引用本文： | 周亮,徐斌,王英明,钱三祥. 关节镜下钢丝和空心钉固定治疗胫骨髁间前棘骨折的疗效比较[J]. 中国内镜杂志, 2011, 17(8) |
| 作者姓名： | 周亮 徐斌 王英明 钱三祥 |
| 作者单位： | 安徽医科大学第一附属医院骨四科,安徽合肥,230022 |
| 摘 要： | 目的 探讨关节镜下钢丝捆扎固定与空心钉固定治疗胫骨髁间前棘骨折的疗效.方法 关节镜下采用2种固定方法治疗胫骨髁间前棘骨折患者40例:钢丝捆扎固定20例(A组),空心钉固定20例(B组).在关节镜监视下,对移位或粉碎骨折块进行复位,用钢丝或空心钉对骨折块行内固定,同时处理合并伤.膝关节功能采用Lysholm评分标准评定:术前为42.5分(35～46)分.术后使用支具于伸膝位制动4～6周,术后给予相应阶段的康复指导.结果40例患者术后均获得随访,平均18个月(6～36个月),X线片示骨折复位满意,愈合良好.术后末次随访膝关节Lysholm评分为95.5(89～100)分,手术前、后比较差异有显著性(P＜0.05),其中优32例,良5例,差3例,优良率92.5％.术后出现2例膝关节不稳,1例屈曲受限.结论关节镜下钢丝捆扎固定与空心钉固定治疗胫骨髁间前棘骨折均具有创伤小、内固定可靠等优势,疗效满意. |
| 关 键 词： | 胫骨髁间前棘 骨折 关节镜 |
Arthroscopic treatment of anterior tibial spine fractures with Kirschner wire and cannulated screw |
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| ZHOU Liang , XU Bin , WANG Ying-ming , QIANG San-xiang. Arthroscopic treatment of anterior tibial spine fractures with Kirschner wire and cannulated screw[J]. China Journal of Endoscopy, 2011, 17(8) | |
| Authors: | ZHOU Liang XU Bin WANG Ying-ming QIANG San-xiang |
| Affiliation: | ZHOU Liang,XU Bin,WANG Ying-ming,QIANG San-xiang(Department of Orthopaedics Surgery,the First Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230022,P.R.China) |
| Abstract: | [Objective] To study the curative effects of arthroscopic treatment of anterior tibial spine fractures with Kirschner wire and cannulated screw.[Methods] Arthroscopic treatment of two kinds of fixation of anterior tibial intercondylar eminence fractures was 40 cases,which included Kirschner wire fixed(Group A,n =20) and cannulated screw fixed(Group B,n =20).The fracture was reduced and fixed with the Kirschner wires or cannulated screws.The associated injury was treated at the same time.With an average Lysh... |
| Keywords: | anterior tibial intercondylar eminence fracture arthroscopy |
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