CAJ | 학술논문

目的：探讨关节镜微创治疗前交叉韧带(ACL)胫骨部撕脱骨折的治疗效果。方法关节镜微创治疗ACL胫骨附着部撕脱骨折38例,其中Ⅰ型3例,Ⅱ型12例,Ⅲ型23例。所有患者均采取常规膝关节前外侧入路进镜检查,行骨折复位,然后自胫骨结节两侧钻孔,直达骨折块,用2枚导针穿入,将直径0.7 mm钢丝穿入固定骨块,在骨外拧紧钢丝,观察治疗效果。结果本组38例经4~32个月随访,6周愈合24例,8周愈合8例,12周愈合6例,膝关节功能良好。结论关节镜微创治疗ACL胫骨部撕脱骨折,对膝关节损伤小,用较粗钢丝内固定,固定可靠、恢复快,可早期行膝关节功能锻炼,利于关节功能恢复。
목적：탐토관절경미창치료전교차인대(ACL)경골부시탈골절적치료효과。방법관절경미창치료ACL경골부착부시탈골절38례,기중Ⅰ형3례,Ⅱ형12례,Ⅲ형23례。소유환자균채취상규슬관절전외측입로진경검사,행골절복위,연후자경골결절량측찬공,직체골절괴,용2매도침천입,장직경0.7 mm강사천입고정골괴,재골외녕긴강사,관찰치료효과。결과본조38례경4~32개월수방,6주유합24례,8주유합8례,12주유합6례,슬관절공능량호。결론관절경미창치료ACL경골부시탈골절,대슬관절손상소,용교조강사내고정,고정가고、회복쾌,가조기행슬관절공능단련,리우관절공능회복。
Objective To explore the curative effect of minimally invasive treatment through arthroscope for anterior cruciate ligament (ACL) tibial avulsion fracture.Methods Among 38 patients of ACL tibial avulsion fracture undergoing minimally invasive treatment through arthroscope, there were 3 cases of type Ⅰ, 12 cases of type Ⅱ, and 23 cases of type Ⅲ. Arthroscopy was performed into the front knee with the conventional approach and the reduction of fracture was carried out in all the patients. Then drilling was done from both sides of the tibia to the fracture fragments. After the penetration of two needles, the wire of 0.7 mm diameter was introduced to fix the bone fragments and tightened out of the bone. Curative effects were observed.Results The follow-up of 38 cases lasted 4~32 months. There were 24 healed cases in 6 weeks, 8 healed cases in 8 weeks, and 6 cases in 12 weeks. They all had good knee joint function.Conclusion Minimally invasive treatment through arthroscope for ACL tibial avulsion fracture has few damage to knee joint. Thick wire can provide reliable internal fixation, which can recover quickly. Early exercise of knee joint function can be conducted to benefit joint function recovery.