交通伤后胫骨髁间棘撕脱性骨折关节镜下治疗

目的 探讨交通伤后胫骨髁间棘撕脱骨折在关节镜下复位、PDS-Ⅱ线固定的治疗方法.方法 在2005年2月～2009年12月间,我科共治疗36例交通伤后急性胫骨髁间棘撕脱骨折.男性25例,女性7例;平均年龄27.5岁(11～55岁).其中Ⅱ型9例(25%),Ⅲ型20例(56%),Ⅳ型7例(19%).手术采用关节镜下骨折复位...

Efficacy and operation techniques of surgical treatment under arthroscopy for tibial intercondylar eminence fracture after car accident

Objective To investigate the arthroscopic treatment of avulsion fracture of tibial intercondylar eminence using PDSⅡ-suture fixation.Methods Totally 36 patients with acute avulsion fracture of tibial intercondylar eminence(Meyers and Mckeever typeⅡ in 9 cases,typeⅢ in 20 cases and type Ⅳ in 7cases)were arthroscopically treated with PDS-Ⅱ suture fixation from Feb.2005 to Oct.2009.The average age of patients was 27.5 years(11-55).Results All the patients were followed up for 6-37 months with an average of 20.1 months except for one case.The clinical results were proved to be satisfied radiographically.They had 98.2(87-100) Lysholm’s scores and Lachman test showed negative results.Thirty-two knees had normal functions and 3 patients had limited range of motion.One case had severe knee fibrosis after the primary surgery and was released under arthroscopy again.Conclusion Arthroscopic reduction and PDS-Ⅱsuture fixation is an effective,safe and simple method for treating avulsion fracture of tibial intercondylar eminence.