设为首页 加入收藏 登录旧版
带肌腱编制孔内固定系统治疗膝关节后交叉韧带胫骨止点撕脱骨折的疗效分析
Treatment of posterior cruciate ligament tibial insertion avulsion fracture with tendon braided hole internal fixation system
  
DOI:
中文关键词:  带肌腱编制孔内固定系统  膝关节后交叉韧带胫骨止点撕脱骨折  膝关节功能康复
英文关键词:Tendon preparation hole fixation system  Posterior cruciate ligament tibial insertion avulsion fracture  Knee function rehabilitation
基金项目:
作者单位
陈广栋1,2 刘帆1 胡庆常1 李晨晨1 许新秀1 曹同军1  
摘要点击次数: 42
全文下载次数: 67
中文摘要:
      目的 评估应用带肌腱编制孔内固定系统治疗膝关节后交叉韧带胫骨止点撕脱骨折的疗效。方法 对2016年6月至2018年6月期间沧州市中心医院收治的90例膝关节后交叉韧带胫骨止点撕脱骨折患者作为研究对象进行回顾性分析。其中男52例,女38例;年龄36 ~ 58岁,平均年龄(40±12)岁;所有患者均为单侧损伤,其中左侧49例,右侧41例,均利用带肌腱编制孔内固定系统治疗。术后定期随访,采用Lysholm评分和Tegner膝关节运动水平评分系统评价膝关节功能康复情况。结果 90 例患者中62 例获得随访,平均随访(32±2)个月(24 ~ 36 个月)。术前患侧膝关节Lysholm评分为(27.6±2.0)分,健侧膝关节Lysholm评分为(96.5±1.7)分,两侧间差异具有统计学意义(P<0.05)。末次随访时,患侧膝关节Lysholm评分为(96.2±1.8)分,健侧膝关节Lysholm评分为(96.8±1.6)分,两侧间比较差异无统计学意义(P>0.05)。术前Tegner活动评分为(1.6±1.1)分,术后末次随访为(7.0±1.3)分,差异具有统计学意义(P<0.05);Lysholm 评分优46 例,良14 例,可1 例,差1 例,优良率96.8%。结论 带肌腱编制孔内固定系统治疗膝关节后交叉韧带胫骨止点撕脱骨折操作简便,疗效明确,膝关节功能恢复好。
英文摘要:
      Objective To evaluate the effect of internal fixation system with tendon hole device in the treatment of PCL tibial insertion avulsion fracture. Methods A total of 90 patients with PCL tibial insertion avulsion fracture treated in Cangzhou Central Hospital from June 2016 to June 2018 were analyzed retrospectively, including 52 males and 38 females, aged from 36-58 years, with an average age of (40±12) years. All patients had unilateral injury, including 49 cases on the left and 41 cases on the right. All patients were treated with tendon internal fixation system. After regular follow-up, Lysholm score and Tegner knee motion level score system were used to evaluate the rehabilitation of knee function. Results Among all of the 90 cases, 62 cases were followed up for an average of (32±2) months (24-36 months). Before operation, the Lysholm score of the affected knee was (27.6±2.0) points and that of the healthy knee was (96.5±1.7) points, and the difference between the two sides was statistically significant (P<0.05). At the final follow-up, the Lysholm score of the affected knee was (96.2±1.8) points and that of the healthy knee was (96.8±1.6) points, and there was no significant difference between the two sides (P>0.05). The mean preoperative Tegner score was (1.6±1.1) points and the last follow-up Tegner score was (7.0±1.3) points, and the difference was statistically significant (P<0.05). Lysholm score was excellent in 46 cases, good in 14 cases, fair in 1 case and poor in 1 case, the excellent and good rate was 96.8%. Conclusion The treatment of PCL tibial insertion avulsion fracture with tendon preparation hole internal fixation system has good results of simple operation, definite curative effect and good recovery of knee joint function.
查看全文  查看/发表评论  下载PDF阅读器
扫码关注
《生物骨科材料与临床研究》微信公众号