我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

关节镜下缝线桥技术治疗儿童新鲜前交叉韧带胫骨止点骨折(PDF)

《创伤外科杂志》[ISSN:/CN:]

期数:
2020年08期
页码:
583-587
栏目:
论著（临床研究）
出版日期:
2020-08-20

文章信息/Info

Title:
Arthroscopic technique with suture bridge fixation for treating fresh avulsion fracture of adolescent tibial eminence of anterior cruciate ligament
文章编号:
1009-4237(2020)08-0583-05
作者:
程松苗; 陈鹏旭; 李 强; 蒋 旭; 胡 勇
610041 成都,四川省骨科医院
Author(s):
CHENG Song-miao; CHEN Peng-xu; LI Qiang; JIANG Xu; HU Yong
Sichuan Provincial Orthopedic Hospital,Chengdu 610041,China
关键词:
胫骨止点骨折;  前交叉韧带;  缝合桥;  儿童
分类号:
R 683.42
DOI:
10.3969j.issn.1009-4237.2020.08.006
文献标识码:
A
摘要:
目的 评估在关节镜下缝线桥技术治疗儿童新鲜前交叉韧带胫骨止点撕脱骨折的临床疗效。方法 回顾性分析2015年7月—2018年7月四川省骨科医院收治的儿童(14岁及以下骨骺未闭合者)新鲜前交叉韧带胫骨止点撕脱骨折50例,男性28例,女性22例; 年龄9～14岁,平均10.6岁。运动伤20例,道路交通伤30例。所有患者采用关节镜下缝线桥技术治疗前交叉韧带胫骨止点撕脱骨折,术后通过X线片、MRI评估骨折愈合情况和下肢畸形情况,通过关节测量仪(KT-1000)、拉赫曼试验(Lachman test)评估关节松弛度,Lysholm和IKDC评分评价膝关节功能。结果 50例患者均得到随访,随访时间12～48个月,平均31.1个月。通过术后膝关节X线片发现骨折均愈合,下肢全长X线片检查无一例发生短缩和成角畸形,Lysholm和IKDC评分由术前的(40.32±6.47)分、(48.54±9.76)分,改善为术后(92.58±4.46)分、(88.57±6.24)分。Lachman test弱阳性5例,KT-1000双侧差值为(1.94±0.81)mm,无一例超过3mm。结论 关节镜下使用缝线桥技术治疗儿童新鲜前交叉韧带胫骨止点撕脱骨折临床效果满意。

参考文献/References

[1] Patel NM,Park MJ,Sampson NR,et al.Tibial eminence fractures in children: earlier posttreatment mobilization results in improved outcomes[J].J Pediatr Orthop,2012,32(2):139-144.
[2] Wiley JJ,Baxter MP.Tibial spine fractures in children[J].Clin Orthop Relat Res,1990,(255):54-60.
[3] Noyes FR,Delucas JL,Torvik PJ.Biomechanics of anterior cruciate ligament failure: an analysis of strain-rate sensitivity and mechanisms of failure in primates[J].J Bone Joint Surg(Am),1974,56(2):236-253.
[4] Sinha S,Meena D,Naik AK,et al.Arthroscopic fixation of tibial spine avulsion in skeletally immature: the technique[J].J Orthop Case Rep,2017,7(6):80-84.
[5] Seon JK,Park SJ,Lee KB,et al.A clinical comparison of screw and suture fixation of anterior cruciate ligament tibial avulsion fractures[J].Am J Sports Med,2009,37(12):2334-2339.
[6] Kocher MS,Foreman ES,Micheli LJ.Laxity and functional outcome after arthroscopic reduction and internal fixation of displaced tibial spine fractures in children[J].Arthroscopy,2003,19(10):1085-1090.
[7] Owens BD,Crane GK,Plante T,et al.Treatment of type III tibial intercondylar eminence fractures in skeletally immature athletes[J].Am J Orthop(Belle Mead NJ),2003,32(2):103-105.
[8] Mah JY,Adili A,Otsuka NY,et al.Follow-up study of arthroscopic reduction and fixation of type III tibial-eminence fractures[J].J Pediatr Orthop,1998,18(4):475-477.
[9] Tudisco C,Giovarruscio R,Febo A,et al.Intercondylar eminence avulsion fracture in children: long-term follow-up of 14 cases at the end of skeletal growth[J].J Pediatr Orthop B,2010,19(5):403-408.
[10] Meyers MH,Mckeever FM.Fracture of the intercondylar eminence of the tibia[J].J Bone Joint Surg(Am),1959,41-A(2):209-222.
[11] Zaricznyj B.Avulsion fracture of the tibial eminence: treatment by open reduction and pinning[J].J Bone Joint Surg(Am),1977,59(8):1111-1114.
[12] Kieser DC,Gwynne-Jones D,Dreyer S.Displaced tibial intercondylar eminence fractures[J].J Orthop Surg(Hong Kong),2011,19(3):292-296.
[13] Aderinto J,Walmsley P,Keating JF.Fractures of the tibial spine: epidemiology and outcome[J].Knee,2008,15(3):164-167.
[14] Estes AR,Oladeji LO.Arthroscopic treatment of tibial spine malunion with resorbable screws[J].Am J Orthop(Belle Mead NJ),2015,44(5):E160-164.
[15] Sawyer GA,Anderson BC,Paller D,et al.Biomechanical analysis of suture bridge fixation for tibial eminence fractures[J].Arthroscopy,2012,28(10):1533-1539.
[16] Bong MR,Romero A,Kubiak E,et al.Suture versus screw fixation of displaced tibial eminence fractures: a biomechanical comparison[J].Arthroscopy,2005,21(10):1172-1176.
[17] 王文怀,方凯彬,林三福,等.关节镜下三点缝合固定治疗前交叉韧带胫骨止点撕脱骨折的早期疗效[J].中国修复重建外科杂志,2019,33(7):860-864.

备注/Memo

备注/Memo:
【通信作者】 胡勇,E-mail:yhoo0425@vip.sina.com
更新日期/Last Update: 2020-08-20