蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2014年
5期
616-618
,共3页
张庆%黄明%郑延贵%戴永立%方贵明
張慶%黃明%鄭延貴%戴永立%方貴明
장경%황명%정연귀%대영립%방귀명
胫骨骨折%胫骨髁间隆突骨折%关节镜术%骨折固定术
脛骨骨摺%脛骨髁間隆突骨摺%關節鏡術%骨摺固定術
경골골절%경골과간륭돌골절%관절경술%골절고정술
tibial fractures%the fracture of tibia intercondylar eminence%arthroscopy%fracture fixation
目的:探讨关节镜下复位内固定治疗胫骨髁间隆突撕脱骨折的手术方法及疗效。方法:对16例Meyers-McKeever Ⅱ、Ⅲ、Ⅳ型胫骨髁间隆突撕脱骨折患者施行关节镜下复位内固术,其中钢丝内固术9例,空心螺钉7例。术后3周使用可调式支具于伸膝位制动4~5周,术后给予相应功能锻炼指导。结果:16例患者术后骨折均愈合。术后3个月X线片显示骨折愈合,所有患者膝关节活动度正常,Lachman试验和前抽屉试验阴性。16例均未出现关节感染僵硬、屈伸受限、行走不稳和慢性疼痛等并发症。结论:关节镜下分别采用钢丝和空心螺钉对Meyers-McKeever Ⅱ、Ⅲ、Ⅳ型的胫骨髁间棘骨折固定均能获得较好疗效。
目的:探討關節鏡下複位內固定治療脛骨髁間隆突撕脫骨摺的手術方法及療效。方法:對16例Meyers-McKeever Ⅱ、Ⅲ、Ⅳ型脛骨髁間隆突撕脫骨摺患者施行關節鏡下複位內固術,其中鋼絲內固術9例,空心螺釘7例。術後3週使用可調式支具于伸膝位製動4~5週,術後給予相應功能鍛煉指導。結果:16例患者術後骨摺均愈閤。術後3箇月X線片顯示骨摺愈閤,所有患者膝關節活動度正常,Lachman試驗和前抽屜試驗陰性。16例均未齣現關節感染僵硬、屈伸受限、行走不穩和慢性疼痛等併髮癥。結論:關節鏡下分彆採用鋼絲和空心螺釘對Meyers-McKeever Ⅱ、Ⅲ、Ⅳ型的脛骨髁間棘骨摺固定均能穫得較好療效。
목적:탐토관절경하복위내고정치료경골과간륭돌시탈골절적수술방법급료효。방법:대16례Meyers-McKeever Ⅱ、Ⅲ、Ⅳ형경골과간륭돌시탈골절환자시행관절경하복위내고술,기중강사내고술9례,공심라정7례。술후3주사용가조식지구우신슬위제동4~5주,술후급여상응공능단련지도。결과:16례환자술후골절균유합。술후3개월X선편현시골절유합,소유환자슬관절활동도정상,Lachman시험화전추체시험음성。16례균미출현관절감염강경、굴신수한、행주불은화만성동통등병발증。결론:관절경하분별채용강사화공심라정대Meyers-McKeever Ⅱ、Ⅲ、Ⅳ형적경골과간극골절고정균능획득교호료효。
Objective:To evaluate the efficacy and operation techniques of the reduction and internal fixation under arthroscopy in the treatment of avulsion fracture of tibia intercondylar eminence. Methods:Sixty-six cases with types Ⅱ,Ⅲ,Ⅳof Meyers-McKeever avulsion fracture of tibia intercondylar eminence were treated with reduction and internal fixation under arthroscopy, which included 9 cases treated with steel wire internal fixation and 7 cases treated with hollow screw. The adjustable supports were used to fix the injury leg on knee-extended position for 4 to 5 weeks at postoperative 3 weeks,the corresponding functional exercise guidance was implemented after operation. Results:All fractures healed by X-ray detection,the knee joint mobility arrived at normal and the Lachman test and front drawer test were negative at 3 months after operation. The complications such as the infection, stiffness, limitation of extension and flexion movement of joint,walking instability,and chronic pain in 16 cases were not found. Conclusions:The effects of the stainless steel wire and screw fixation techniques in the treatment of typesⅡ,Ⅲ,Ⅳof Meyers-McKeever fracture of tibia intercondylar eminence are good.