关节镜下带线可吸收双锚钉治疗胫骨髁间嵴撕脱骨折

目的探讨关节镜下带线可吸收双锚钉治疗胫骨髁间嵴撕脱骨折的方法及临床疗效。方法 2007年2月-2009年8月,对18例胫骨髁间嵴撕脱骨折患者于关节镜下应用带线可吸收双锚钉进行骨折复位及固定。男12例,女6例;年龄17～48岁,平均30.6岁。致伤原因:交通事故伤4例,运动伤8例,摔伤6例。左侧7例,右侧11例。前抽屉试验及Lachman试验均呈阳性,Lysholm评分为(53.9±6.7)分,国际膝关节文献委员会(IKDC)2000主观膝关节评分为(58.1±3.7)分。根据Meyers-McKeever胫骨髁间嵴撕脱骨折分型:Ⅱ型10例,Ⅲ型7例,Ⅳ型1例。受伤至手术时间为6～20 d,平均10.2 d。结果术后切口均Ⅰ期愈合。患者均获随访,随访时间13～43个月,平均29.1个月。术后即刻X线片检查示胫骨髁间嵴撕脱骨折复位良好,术后3个月X线片复查示髁间嵴骨折均愈合。末次随访时,患肢膝关节活动范围达0～130°;除2例Lachman试验阴性、前抽屉试验弱阳性外,其余16例两项检查均呈阴性;Lysholm评分为(91.6±4.2)分,与术前比较差异有统计学意义(t=22.100,P=0.000);IKDC2000主观膝关节评分为(92.8±5.9)分,与术前比较差异有统计学意义(t=20.700,P=0.000)。结论关节镜下应用带线可吸收双锚钉治疗胫骨髁间嵴撕脱骨折,能实现有效复位、牢固固定以及骨折临床愈合,具有创伤小、操作简便等优点。

ARTHROSCOPIC TREATMENT FOR TIBIAL EMINENCE AVULSION FRACTURE USING ABSORBABLE DOUBLE SUTURE ANCHORS

Objective To investigate the outcomes of arthroscopic reduction and internal fixation of tibial eminence avulsion fracture using absorbable double suture anchors.Methods Between February 2007 and August 2009,18 patients with tibial eminence avulsion fracture were treated with arthroscopic reduction and fixation using absorbable double suture anchors.There were 12 males and 6 females with an average age of 30.6 years(range,17-48 years).The disease causes were traffic accident injury in 4 cases,sport injury i...