中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
9期
997-999
,共3页
徐思越%贺西京%李浩鹏%张廷
徐思越%賀西京%李浩鵬%張廷
서사월%하서경%리호붕%장정
外科手术,关节镜%胫骨骨折%内固定
外科手術,關節鏡%脛骨骨摺%內固定
외과수술,관절경%경골골절%내고정
Surgical procedures,arthroscopic%Tibial fractures%Internal fixation
目的 通过对19例经关节镜治疗胫骨髁间嵴撕脱骨折患者的随访观察,评价关节镜技术在胫骨髁间嵴撕脱骨折治疗方面的应用价值.方法 19例患者均为胫骨髁间嵴前交叉韧带附着处撕脱骨折,且在伤后3周内接受关节镜下撕脱骨折复位钢丝贯穿缝合固定术.根据Lysholm评分表对本组患者的膝关节功能及手术效果进行评价.结果 19例患者中16例获得有效随访,手术前平均Lysholm评分为(7.7±1.3)分,手术后平均Lysholm评分为(95.1±7.2)分,手术效果优良率87.5%.结论 关节镜下治疗胫骨髁间嵴撕脱骨折的手术方式安全有效,且创伤较小.
目的 通過對19例經關節鏡治療脛骨髁間嵴撕脫骨摺患者的隨訪觀察,評價關節鏡技術在脛骨髁間嵴撕脫骨摺治療方麵的應用價值.方法 19例患者均為脛骨髁間嵴前交扠韌帶附著處撕脫骨摺,且在傷後3週內接受關節鏡下撕脫骨摺複位鋼絲貫穿縫閤固定術.根據Lysholm評分錶對本組患者的膝關節功能及手術效果進行評價.結果 19例患者中16例穫得有效隨訪,手術前平均Lysholm評分為(7.7±1.3)分,手術後平均Lysholm評分為(95.1±7.2)分,手術效果優良率87.5%.結論 關節鏡下治療脛骨髁間嵴撕脫骨摺的手術方式安全有效,且創傷較小.
목적 통과대19례경관절경치료경골과간척시탈골절환자적수방관찰,평개관절경기술재경골과간척시탈골절치료방면적응용개치.방법 19례환자균위경골과간척전교차인대부착처시탈골절,차재상후3주내접수관절경하시탈골절복위강사관천봉합고정술.근거Lysholm평분표대본조환자적슬관절공능급수술효과진행평개.결과 19례환자중16례획득유효수방,수술전평균Lysholm평분위(7.7±1.3)분,수술후평균Lysholm평분위(95.1±7.2)분,수술효과우량솔87.5%.결론 관절경하치료경골과간척시탈골절적수술방식안전유효,차창상교소.
Objective To evaluate the clinical therapeutic efficacy of arthroscopic treatment of tibial eminence intercondylar avulsion fracture.Methods All patients (19 cases) had avulsion fracture of tibial intercondylar eminence and received arthroscopic treatment.The knee function and operative results were evaluated by Lysholm scores.Results Sixteen of 19 patients had effective follow-ups,Lysholm score was 7.7±1.3 before operation,and 95.1±7.2 after operation.The excellence rate was 87.5%.Conclusion Arthroscopic treatment of tibial intercondylar eminence avulsion fractures is safe and effective,with relatively smaller traumas.
