| 王炯,李光辉.关节镜下PDS线引导Orthocord线固定与空心螺钉固定治疗胫骨髁间棘骨折的疗效对比.骨科,2021,12(5): 440-444. |
| 关节镜下PDS线引导Orthocord线固定与空心螺钉固定治疗胫骨髁间棘骨折的疗效对比 |
| Comparison of Effectiveness of Arthroscopic Fixation in Treatment of Tibial Eminence Fractures Using Orthocord Suture Guided by PDS Suture vs. Cannulated Screw |
| 投稿时间：2020-11-16 |
| DOI：10.3969/j.issn.1674-8573.2021.05.010 |
| 中文关键词: 关节镜 胫骨髁间棘骨折 骨折固定术 |
| 英文关键词: Arthroscopy Tibial eminence fracture Fracture fixation |
| 基金项目:湖北省自然科学基金（2018CKB911） |
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| 中文摘要: |
| 目的 比较经关节镜PDS线引导Orthocord线固定与空心螺钉固定治疗胫骨髁间棘骨折的疗效。方法 收集2017年4月至2019年10月武汉市蔡甸区人民医院骨科手术治疗的胫骨髁间棘骨折病人48例，将经关节镜PDS线引导Orthocord线固定的26例病人纳入缝线固定组，空心螺钉固定治疗的22例病人纳入螺钉固定组。记录两组手术时间、功能锻炼开始时间、骨折愈合时间；术前、术后1个月和6个月，采用膝关节活动度、抽屉试验和Lachman试验阳性比例和膝关节Lysholm评分估计病人膝关节功能恢复情况。结果 缝线固定组手术时间长于螺钉固定组，功能锻炼开始时间早于螺钉固定组，术后1个月的膝关节活动度、阳性比例和Lysholm评分均优于螺钉组，差异均有统计学意义（P均＜0.05）。两组骨折愈合时间和术后6个月膝关节功能比较，差异均无统计学意义（P均＞0.05）。结论 两种手术方式均可获得满意的疗效，但缝线固定组可早期功能锻炼，更适合粉碎性骨折，避免二次手术取出内固定，可行磁共振检查，有一定的临床应用价值。 |
| 英文摘要: |
| Objective To compare clinical outcomes of arthroscopic therapy for tibial eminence fracture with Orthocord suture guided by PDS suture vs. cannulated screw. Methods A total of 48 patients with tibial eminence fracture treated surgically in Caidian District People's Hospital of Wuhan from April 2017 to October 2019 were collected. The suture fixation group included 26 patients fixed with Orthocord line guided by arthroscopic PDS line, and 22 patients treated with hollow screw served as the screw fixation group. The operation time, the starting time of functional training, the fracture healing time, and the relevant indicators of knee joint function (knee joint range of motion, proportion of positive drawer test and Lachman test, knee joint Lysholm score) were compared between two groups. Results The operation time was longer than, and the start time of functional exercise was earlier in suture fixation group than in screw fixation group. The knee joint range of motion, positive proportion and Lysholm score one month after operation were better in suture fixation group than those in screw group (all P＜0.05). There was no significant difference in fracture healing time and knee function 6 months after operation between the two groups (P＞0.05). Conclusion Both surgical methods can achieve satisfactory results, but the suture fixation group can do functional training earlier, more suitable for comminuted fractures, avoids secondary surgery to remove the internal fixation, and can be used for magnetic resonance examination, which has certain clinically applied value. |
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