CAJ | 학술논문

目的：探讨关节镜下应用可吸收缝线治疗儿童胫骨髁间棘骨折的手术方法及疗效。方法对2009年1月至2013年6月收治的12例胫骨髁间棘骨折患儿进行关节镜下复位骨折块,以可吸收缝合线 PDS-Ⅱ线(降解时间约6个月)固定骨折块。对患儿资料进行回顾性分析,骨折类型按Meyers 和 McKeever 分型分为：Ⅱ型5例,Ⅲ型7例。研究术后并发症,膝关节活动度的改善,Lach-man 试验及轴移试验结果及末次随访时 Lysholm 评分。结果所有病例均获6~12个月随访,平均10.7个月。所有骨折病例均于3个月内一期愈合。无骨折移位、感染、伤口不愈合、长期持续疼痛等并发症。膝关节活动度：所有患儿平均术后3个月膝关节活动度恢复正常,无伸膝或屈膝受限。所有患儿 Lachman 试验及轴移试验阴性。末次随访时 Lysholm 评分平均97.3±2.7。结论关节镜下应用丝线内固定对于儿童胫骨髁间棘骨折是一种安全有效的治疗方式,不影响胫骨近端骺板发育。
목적：탐토관절경하응용가흡수봉선치료인동경골과간극골절적수술방법급료효。방법대2009년1월지2013년6월수치적12례경골과간극골절환인진행관절경하복위골절괴,이가흡수봉합선 PDS-Ⅱ선(강해시간약6개월)고정골절괴。대환인자료진행회고성분석,골절류형안Meyers 화 McKeever 분형분위：Ⅱ형5례,Ⅲ형7례。연구술후병발증,슬관절활동도적개선,Lach-man 시험급축이시험결과급말차수방시 Lysholm 평분。결과소유병례균획6~12개월수방,평균10.7개월。소유골절병례균우3개월내일기유합。무골절이위、감염、상구불유합、장기지속동통등병발증。슬관절활동도：소유환인평균술후3개월슬관절활동도회복정상,무신슬혹굴슬수한。소유환인 Lachman 시험급축이시험음성。말차수방시 Lysholm 평분평균97.3±2.7。결론관절경하응용사선내고정대우인동경골과간극골절시일충안전유효적치료방식,불영향경골근단후판발육。
Objective To explore the efficacies of arthroscopic treatment for avulsed fracture of tibial intercondylar eminence with polydioxanone (PDS-II)suture fixation in children.Methods The experiences were summarized for 12 children undergoing arthroscopic treatment for avulsed fracture of tibial intercondylar eminence with PDS-Ⅱ suture fixation from January 2009 to June 2013.According to the Meyers and McKeever classification,the fractures were of type Ⅱ (n=5)and type Ⅲ (n=7). And the complication,range of motion,Lachman test,pivot test and Lysholm score were evaluated. Results The follow-up period was 6 to 12 months.All of them recovered postoperatively well with a full range of motions without displacement,infection or non-union at 3 months.Lachmann and pivot tests were all negative.The average Lysholm score was 97.3 ± 2.7.Conclusions Arthroscopic treatment with PDS-II suture fixation is both safe and efficacious in the treatment of avulsed fracture of tibial intercondylar eminence in children.