| 赵胜豪,李烨,胡勇,等.关节镜下单隧道带袢肩锁钛板联合Versalok锚钉治疗后交叉韧带下止点撕脱骨折.骨科,2022,13(5): 400-404. |
| 关节镜下单隧道带袢肩锁钛板联合Versalok锚钉治疗后交叉韧带下止点撕脱骨折 |
| Arthroscopic Treatment of Tibial Avulsion Fracture of Posterior Cruciate Ligament via Single Bone Tunnel Acromioclavicular Endobutton Combined with Versalok Anchor |
| 投稿时间：2022-04-18 |
| DOI：10.3969/j.issn.1674-8573.2022.05.004 |
| 中文关键词: 关节镜 后交叉韧带 撕脱骨折 运动损伤 |
| 英文关键词: Arthroscopy Posterior cruciate ligament Avulsion fractures Athletic injury |
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| 中文摘要: |
| 目的 探讨全关节镜下经胫骨单隧道带袢肩锁钛板联合Versalok锚钉固定治疗后交叉韧带（posterior cruciate ligament，PCL）下止点撕脱骨折的临床疗效。方法 回顾性分析2018年1月至2020年12月于我院采用膝关节镜下经胫骨单隧道带袢肩锁钛板联合Versalok锚钉治疗PCL下止点撕脱骨折的18例病人的临床资料。通过X线片评价骨折愈合情况，通过膝关节屈伸活动度、疼痛视觉模拟量表（VAS）、Lysholm膝关节评分评价膝关节功能，通过KT-2000评价膝关节稳定性。结果 18例病人的手术时间为（68.4±12.5） min，术中未出现骨折块碎裂等医源性损伤。随访14~16个月，术后X线片示骨折复位固定良好，膝关节稳定性恢复，骨折愈合时间为（15.1±1.2）周，未见内固定物松动、移位、骨折不愈合等并发症，术后无感染并发症。术后1、3个月随访时膝关节屈伸活动度恢复满意。术后1、3、6个月的VAS评分分别为（3.72±0.83）分、（2.11±0.68）分、（0.56±0.62）分，术后1、3、6个月和末次随访的Lysholm膝关节评分分别为（28.5±4.38）分、（65.78±9.07）分、（84.94±3.12）分、（97.50±2.50）分，与术前比较，差异有统计学意义（P＜0.05）。术前与术后随访KT-2000测量结果的差异有统计学意义（P＜0.05）。结论 关节镜下经胫骨单隧道带袢肩锁钛板联合Versalok锚钉治疗PCL下止点撕脱骨折操作安全、简便、固定可靠，创伤小、恢复快、临床疗效满意。 |
| 英文摘要: |
| Objective To investigate the clinical effect of arthroscopic treatment of tibial avulsion fracture of posterior cruciate ligament (PCL) via single bone tunnel acromioclavicular Endobutton combined with Versalok anchor. Methods From January 2018 to December 2020, 18 patients with tibial avulsion fracture of PCL were treated by single bone tunnel acromioclavicular Endobutton combined with Versalok anchor in our hospital. Knee X-ray film was used to observe the fracture healing. The visual analogue scale (VAS), knee range of motion (ROM) and Lysholm knee score were used to evaluate the knee function. The KT 2000 was used to test the knee stability. Results The operation time was (68.4±12.5) min. There was no iatrogenic injury such as fracture fragment during the operation. All the 18 patients were followed up for 14-16 months. X-ray showed that the fracture was well reduced and fixed, the stability of the knee joint was restored, and the healing time of the fracture was (15.1±1.2) weeks. There were no complications such as infection, loosening of the internal fixator, displacement and non-union of the fracture. The range of knee flexion and extension was satisfactory at 1st month and 3rd month during the follow-up period. The VAS scores were 6.72±0.96, 3.72±0.83, 2.11±0.68, and 0.56±0.62 preoperatively, 1st, 3rd and 6th month postoperatively, respectively, and the Lysholm knee scores were 14.28±11.58, 28.5±4.38, 65.78±9.07, 84.94±3.12, and 97.50±2.50 preoperatively, 1st, 3rd and 6th month postoperatively, and at the last follow-up, respectively. The difference was statistically significant (P＜0.05). There was statistically significant difference in KT-2000 results between preoperative and postoperative follow-up (P＜0.05). Conclusion Arthroscopic treatment of tibial avulsion fracture of PCL via single bone tunnel acromioclavicular Endobutton combined with Versalok anchor is safe, simple and reliable. The operation under full scope has little trauma, quick recovery and satisfactory clinical effect. |
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