关节镜下带线锚钉治疗胫骨髁间嵴骨折.pdfVIP

· 176· 中国骨伤2008年3月第21卷第3期 China J OrthopTrauma，Mar．2008，Vo1．21．No．3 · lI~．etc．z3t-究 · 关节镜下带线锚钉治疗胫骨髁间嵴骨折 马海涛，毕大卫，陈亿民，姚小聪，翟利锋，刘道君 (杭州市萧山第一人民医院骨科，浙江 杭州 3l】200) 【摘要】 目的：探讨胫骨髁间嵴骨折在关节镜下复位、内固定的方法。方法：本组9例新鲜胫骨髁间嵴骨折，其中 男6例，女3例；年龄22-55岁，平均36．4岁。Meyers—MckeeverI1型4例，Ⅲ型5例。在关节镜下复位，使用Depuy Mitek带线锚钉固定。术后积极康复锻炼，随访6-22个月，了解骨折复位、愈合，膝关节松弛度、活动度及患肢整体功能 康复情况。结果：9例胫骨髁间嵴骨折均愈合，无移位，无膝关节松弛或不稳定，无伸膝受限。术后6个月Lysholm膝关 节功能评分平均为(93．8±2．3)分。结论：关节镜下带线锚钉治疗胫骨髁间嵴骨折复位、固定可靠，方法简便、易行，膝关 节镜手术有助于关节内其他合并伤的诊断和处理，创伤小，早期可行膝关节功能锻炼，有利于关节功能恢复。 【关键词】 胫骨骨折； 关节镜手术操作； 骨折固定术，内； 膝关节 Treatment of fractures of tibia intercondylar eminence under arthroscopy using suture anchors MA Hal—tOO，BI Da— wei，CHENYi—min，YA0Xioo—cong，ZHA，，J ng，LIUDoo-jun．Department ofOrthopaedics，the FirstPeople HospitalofXi— ooshan，Hangzhou 311200，Zhejiang，China ABSTRACT Objective：To explore a new technique of reduction and internal fixation for tibia intercondylar eminence frac— tures under arthroscopy．Methods：From June 20o4 to February 2006．9 patients with fresh tibia intercondylar eminence frac— ture(type I1 in 4 cases and typeⅢ in 5 cases)were treated with reduction and internal fixation using suture anchors(Depuy Mitek)under arthroscopy．All the patients，subject to regular post—operation functional exercise，were followed up for 6 to 22 months．The results were evaluated in the aspects of fracture reduction healing，knee joint relaxation and ROM，and functional restoration of overall limbs．Results：In the nine patients，the tibia intercondylar eminence~actures healed without displace— ment and nonunion．No knee joint relaxation or extension—restriction was found．Lysholm score indicated 93．8±2．3 at the 6th postoperative months．Conclusion：The reduction and internal fixation of tibia intercondylar eminence fractures under arthroscopy using suture anchors demonstrate a reliable and easy—to—use technique．Operati