镜下改良双"8"字缝线固定Ⅱ型胫骨棘撕脱骨折
Modified 8-figure double suture loop for fixation of type Ⅱ tibial interspinal avulsion fracture under arthroscope
董伟 1谷源林 1颜军尧 1丛晓明 1王晓明1
作者信息
- 1. 威海卫人民医院,山东威海 264200
- 折叠
摘要
[目的]探讨关节镜下改良双"8"字双隧道治疗Meyers-MckeeverⅡ型胫骨髁间嵴骨折的临床疗效.[方法]回顾性分析2015年10月-2020年5月应用关节镜下改良双"8"字双隧道线袢固定Meyers-MckeeverⅡ型胫骨髁间嵴骨折的17例患者的临床资料,评价临床及影像结果.[结果]所有患者均顺利完成手术,无严重并发症.随访时间平均(18.5±6.9)个月,随着术前、术后3个月和末次随访的时间推移,VAS评分显著降低[(6.8±0.8),(2.3±0.5),(0.9±07),P＜0.001],Lyshol评分[(51.9± 4.2),(81.3±1.4),(91.2±2.0),P＜0.001]、IKDC 评分[(53.4±2.9),(79.7±2.8),(89.5±2.4),P＜0.001]、ROM[(67.6±1.1)°,(102.2±3.8)°,(124.1±1.0)°,P＜0.001]均显著增加,前抽屉试验和Lachman试验均显著改善(P＜0.05).影像方面,骨折复位全部为优,平均骨折愈合时间(11.2±0.8)周.[结论]关节镜下改良双"8"字双隧道治疗Meyers-MckeeverⅡ型胫骨髁间嵴骨折可以达到解剖复位和牢固固定,手术疗效满意.
Abstract
[Objective]To investigate the clinical outcomes of modified 8-figure double suture loop for fixation of type Ⅱ tibial interspi-nal avulsion fracture under arthroscope.[Methods]A retrospective study was conducted on 17 patients who underwent abovesaid proce-dures for Meyers-Mckeever type Ⅱ tibial interspinal fracture under arthroscope from October 2015 to May 2020.The clinical and imaging documents were evaluated.[Results]All patients were successfully operated without serious complications,and followed up for(18.5±6.9)months in a mean.With time preoperatively,3 months postoperatively and the last follow-up,the VAS score decreased significantly[(6.8± 0.8),(2.3±0.5),(0.9±07),P＜0.001],while the Lysholm score[(51.9±4.2),(81.3±1.4),(91.2±2.0),P＜0.001],IKDC scores[(53.4±2.9),(79.7± 2.8),(89.5±2.4),P＜0.001],and ROM[(67.6±1.1)°,(102.2±3.8)°,(124.1±1.0)°,P＜0.001]increased significantly.In addition,the knee laxi-ty in terms of anterior drawer test and Lachman test were also significantly improved(P＜0.05).Regarding imaging,all patients got fracture reduction excellent,with the mean fracture healing time of(11.2±0.8)weeks.[Conclusion]The modified 8-figure double suture loop fixa-tion under arthroscope does achieve anatomical reduction and firm fixation of Meyes-McKeever type Ⅱ tibial interspinal fractures with satis-factory clinical consequences.
关键词
关节镜/骨折固定术/胫骨髁间嵴骨折/临床疗效Key words
arthroscopy/fracture fixation/tibial interspinal fractures/clinical outcomes引用本文复制引用
出版年
2024
NETL
NSTL
万方数据