关节镜下治疗前叉止点撕脱性骨折.ppt

To screw into the hollow screw To inspect after fixation Postoperative X-ray Postoperative functional rehabilitation To take positive exercise of knee flexion and extension in 2 to 4 weeks To load limitedly within 9 weeks physical exercise can be take 12 weeks later Thanks for your attention * * * A failed case Case 1 Single tunnel fixation with steel wire and extrusion screw No extrusion nail was found before operation impinge If the fracture mass is small, using Ethibond suture Old fracture of avulsion fracture of ACL Case 2 Wound freshness To clean and remove all dead, damaged tissue around of the fracture mass To introduce the wire by a lumbar puncture needle To thread through No. 5 Ethibond, and fix fracture with 8 tension band To inspect carefully The patients were followed up for 1 month after surgery Case 3 To use PDSii as the thread To use PDSii as the thread To use PDSii as the thread Case 4 Old avulsion fracture of ACL With bone sclerosis, and ACL stretch and tear The bone block cannot be removed with the nucleus pulposus clamp micro-grinding drill to drill To remove bone mass with nucleus pulposus forceps Enlargement of the condylar fossa The picture was taken after reconstruction of anterior cruciate ligament Postoperative X-ray followed up for 1 month after surgery For a bigger fracture block, hollow screw is a good choice Lateral meniscus (LM) is being pulled and displaced If the fracture of the tibial plateau is combined, first of all, the fracture should be fixed X-ray showed ACL avulsion fracture combined with tibial plateau fracture Case 4 MRI To check the stability of knee joint before operation To carefully examine the collapse of the lateral tibial plateau To reduce and fix tibial plateau fractures To remove the synovial tissue of the femoral condyle Arthroscopic image of the reduce fracture To cut the transverse ligament of meniscus The reduction of the fracture mass is blocked by the transverse ligament of the menis