关节镜下心螺钉与缝线内固定治疗胫骨髁间棘骨折.doc

关节镜下空心螺钉与缝线内固定治疗胫骨髁间棘骨折 陈维东(盐城市第三人民医院骨科，江苏省盐城市 224001) 文章亮点： 比较关节镜下应用空心螺钉(n=25)与缝线(n=21)内固定治疗胫骨髁间棘骨折的效果，得出空心螺钉治疗胫骨髁间棘骨折比缝线有利于胫骨髁间棘骨折恢复的结论，提供临床同仁借鉴。 关键词： 骨关节植入物；骨科植入物；关节镜；胫骨髁间棘骨折；空心螺钉；缝线；内固定；Lysholm评分；疗效 主题词： 骨折；关节镜；内固定器；缝线；骨钉 摘要 背景：胫骨髁间棘骨折临床目前多用关节镜下手术治疗，但其固定方法目前尚有争议。 目的：比较关节镜下应用空心螺钉与缝线内固定治疗胫骨髁间棘骨折的临床疗效。 方法：收集盐城市第三人民医院自2010年6月至2013年1月收治的46例胫骨髁间棘骨折患者，根据患者意愿及医师建议分为空心螺钉组(n=25)和缝线组(n=21)，分别在关节镜下行空心螺钉与缝线内固定。 结果与结论：空心螺钉组与缝线组胫骨髁间棘骨折患者固定后Ikeuchi膝关节评分优良率差异无显著性意义 (P 0.05)，但空心螺钉组患者固定后功能训练时间明显比缝线组短(P 0.05)。提示关节镜下空心螺钉治疗胫骨髁间棘骨折比缝线有利于胫骨髁间棘骨折患者的恢复。 Hollow screw and suture fixation for treatment of tibial intercondylar eminence fractures under arthroscopy Chen Wei-dong (Department of Orthopedics, the Third People’s Hospital of Yancheng, Yancheng 224001, Jiangsu Province, China) Abstract BACKGROUND: Intercondylar eminence fractures of the tibia are often treated by arthroscopic surgery, but the fixation methods are controversial. OBJECTIVE: To compare curative effect of hollow screw and suture fixation in treatment of tibial intercondylar eminence fractures under arthroscopy. METHODS: A total of 46 patients with tibial intercondylar eminence fractures were recruited from the Third People’s Hospital of Yancheng, China from June 2010 to January 2013. According to the patient’s willing and physician’s suggestions, the involved patients were divided into hollow screw group (n=25) and suture fixation group (n=21), undergoing hollow screw and suture fixation under arthroscopy, respectively. RESULTS AND CONCLUSION: According to Ikeuchi grade, the excellent and good rate after fixation showed no significant differences between the two groups (P 0.05), but the functional training time in hollow screw group was significantly shorter than that in suture fixation group (P 0.05). Hollow screw treatment under the arthroscopy is better than suture fixation in treatment of intercondylar eminence fractures of the tibia. Subject headings: fracture; arthroscopy; internal fixator; suture; bo