| 王宾,沈世彬,黄浩然,等.关节镜联合Orthcord线固定治疗青少年胫骨髁间隆起撕脱骨折的疗效观察.骨科,2022,13(2): 146-150. |
| 关节镜联合Orthcord线固定治疗青少年胫骨髁间隆起撕脱骨折的疗效观察 |
| Efficacy of Arthroscopy Combined with Orthcord Line Fixation for Avulsion Fracture of Tibial Intercondylar Eminence in Adolescents |
| 投稿时间：2021-09-18 |
| DOI：10.3969/j.issn.1674-8573.2022.02.010 |
| 中文关键词: 关节镜 胫骨髁间骨折 内固定 微创 钢丝 前交叉韧带 |
| 英文关键词: Arthroscopy Tibial intercondylar fracture Internal fixation Minimally invasive surgery Steel wire Anterior cruciate ligament |
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| 目的 探讨关节镜联合Orthcord线固定治疗青少年胫骨髁间隆起撕脱骨折的临床疗效。方法 回顾性分析2018年4月至2019年4月在我院初次行关节镜联合Orthcord线固定治疗青少年胫骨髁间隆起撕脱骨折的病人22例，观察其术后各时段的康复情况，应用疼痛视觉模拟量表（visual analogue scale，VAS）、国际膝关节文献委员会膝关节评估表（International Knee Documentation Committee Knee Evaluation Form，IKDC）2000评分、膝关节Lysholm评分评估术后膝关节功能恢复情况。结果 所有病人均获得随访，随访时间为6~12个月。20例切口甲级愈合，2例术后出现脂肪液化，对症处理后切口正常愈合。术后各时段的VAS评分均较术前显著降低，而Lysholm评分和IKDC 2000评分均显著高于术前，差异有统计学意义（P＜0.05）；且术后3、6个月的评分与术后1个月时的相比，差异均有统计学意义（P＜0.05）。结论 关节镜联合Orthcord线固定治疗青少年胫骨髁间隆起撕脱骨折临床疗效满意，可有效复位骨折，并且固定效果确切持久，避免了二次手术的损伤，有利于膝关节功能的早期康复。 |
| 英文摘要: |
| Objective To investigate the clinical effect of arthroscopy combined with Orthcord wire fixation in the treatment of avulsion fracture of tibial intercondylar eminence in adolescents. Methods A total of 22 cases of juvenile avulsion fracture of tibial intercondylar eminence treated by arthroscopy combined with Orthcord wire fixation for the first time in our hospital from April 2018 to April 2019 were analyzed retrospectively. The rehabilitation of each period after operation was observed, and the visual analog scale (VAS), International Knee Documentation Committee Knee Evaluation Form (IKDC) and Lysholm score were applied to evaluate the recovery of knee function. Results All patients are followed up for 6-12 months. The incision healed in Grade A in 20 cases and fat liquefaction occurred in 2 cases. The incision healed normally after symptomatic treatment. The VAS score of each period after operation was significantly lower than that before operation, while Lysholm score and IKDC 2000 score were significantly higher than those before operation (P＜0.05). The scores at 3 and 6 months after operation were significantly different from those at 1 month after operation (P＜0.05). Conclusion The clinical effect of arthroscopy combined with Orthcord line fixation in the treatment of juvenile tibial intercondylar eminence avulsion fracture is satisfactory. It can effectively reduce the fracture, and the fixation effect is accurate and lasting. It avoids the injury of secondary operation and is conducive to the early rehabilitation of knee function. |
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