CAJ | 학술논문

目的：探讨后交叉韧带胫骨止点撕脱骨折手术治疗的临床疗效。方法使用改良Burks-Schaffer入路切开复位空心螺钉内固定治疗16例后交叉韧带胫骨止点撕脱骨折。结果手术时间35~55 min。16例均获随访，时间7~15个月。骨折均愈合良好，无再移位发生。平均Lysholm评分：从术前53．2分±3．2分提高至末次随访时95．6分±4．3分(P<0．05)。结论改良Burks-Schaffer入路治疗后交叉韧带胫骨止点撕脱骨折可小切口快捷显露骨折区域，空心螺钉固定骨折可靠满意。
목적：탐토후교차인대경골지점시탈골절수술치료적림상료효。방법사용개량Burks-Schaffer입로절개복위공심라정내고정치료16례후교차인대경골지점시탈골절。결과수술시간35~55 min。16례균획수방，시간7~15개월。골절균유합량호，무재이위발생。평균Lysholm평분：종술전53．2분±3．2분제고지말차수방시95．6분±4．3분(P<0．05)。결론개량Burks-Schaffer입로치료후교차인대경골지점시탈골절가소절구쾌첩현로골절구역，공심라정고정골절가고만의。
Objective To study the clinical effect for surgery of tibial avulsion fracture of the posterior cruciate liga-ment( PCL) . Methods 16 cases of tibial avulsion fracture of the PCL were fixed with canulated screw through the modified Burks-Schaffer approach. Results The operation time was from 35 to 55 minutes. All the patients were fol-lowed up for 7~15 months. All the patients were healed well with no fracture displacement. The average Lysholm score reached 95. 6 ± 4. 3 from preoperative 53. 2 ± 3. 2 (P<0. 05). Conclusions Treatment of tibial avulsion frac-ture of the PCL through the modified Burks-Schaffer approach is a better surgical procedure with minimal incision, fast sufficient exposure. Fixation with canulated screw is effective and satisfactory.