关节镜下高强度钢丝联合体外锚钉治疗前交叉韧带胫骨止点Meyers McKeeverⅡ、Ⅲ型撕脱骨折
[High strength wire under arthroscopy combined with outside anchor nail in treating Meyers McKeever II, III avulsion fracture of anterior cruciate ligament tibial check point].
作者信息
Shen Fu-Xiang, Du Wei-Bin, Chen Rong-Liang, Cao Guo-Ping
机构信息
Department of Orthopaedics, Jiangnan Hospital Affiliated to Zhejiang University of Chinese Medicine Hangzhou Xiaoshan TCM Hospital, Hangzhou 311201, Zhejiang, China.
Department of Orthopaedics, Jiangnan Hospital Affiliated to Zhejiang University of Chinese Medicine Hangzhou Xiaoshan TCM Hospital, Hangzhou 311201, Zhejiang, China;
出版信息
Zhongguo Gu Shang. 2019 Nov 25;32(11):1034-1037. doi: 10.3969/j.issn.1003-0034.2019.11.011.
OBJECTIVE
To explore clinical effect of high strength wire under arthroscopy combined with outside anchor nail in treating Meyers McKeever II, III anterior cruciate ligament tibial check point.
METHODS
From March 2014 to June 2016, 21 patients with Meyers McKeever II, III avulsion fracture of anterior cruciate ligament tibial check point were treated by high strength wire under arthroscopy combined outside anchor nail. There were 13 males and 8 females aged from 18 to 48 years old with an average of (26.40±5.42) years old. There were 9 cases injured on the left side, and 12 cases on the right side. The courses of disease included sports injuries of 12 cases, falling down injuries of 6 cases, and accident injuries of 3 cases. According to Meyers-McKeever classification, 16 patients were type II and 5 patients were type III. All fractures were fresh, closed and simple injury. The time from injury to operation ranged from 2 to 15 days with an average of (6.20±2.63) d. Lysholm score, IKDC score and the changes of knee mobility were observed and compared before operation and 6 months after operation.
RESULTS
Twenty-one patients were followed up for 12 to 24 months with an average of (14.30±3.01) months. Operation time ranged from 40 to 65 min with an average of (45.10±4.82) min, Blood loss ranged from 5 to 15 ml with an average of (10.05±2.75) ml. Lysholm score was improved from 50.29±6.67 before operation to 92.48±2.18 at 6 months after operation. IKDC scores was increased from 47.19±4.57 before operation to 90.71±2.22 at 6 months after operation. Knee joint activity was respectively (83.05±5.33)° and (132.05±7.15)° before operation and 6 months after operation.
CONCLUSIONS
High strength wire under arthroscopy combined outside anchor nail in treating Meyers McKeever II, III ACL tibial check point has the advantages of less trauma, firm fixation, and satisfactory clinical effect.
目的
探讨关节镜下高强度钢丝联合外侧锚钉治疗Meyers McKeeverⅡ、Ⅲ型前交叉韧带胫骨止点撕脱骨折的临床疗效。
方法
选取2014年3月至2016年6月采用关节镜下高强度钢丝联合外侧锚钉治疗的21例Meyers McKeeverⅡ、Ⅲ型前交叉韧带胫骨止点撕脱骨折患者。其中男13例，女8例，年龄18～48岁，平均（26.40±5.42）岁。左侧损伤9例，右侧损伤12例。致伤原因包括运动损伤12例，摔伤6例，意外伤3例。按照Meyers-McKeever分型，Ⅱ型16例，Ⅲ型5例。所有骨折均为新鲜闭合性单纯损伤。受伤至手术时间为2～15 d，平均（6.20±2.63）d。观察并比较术前及术后6个月的Lysholm评分、IKDC评分及膝关节活动度变化。
结果
21例患者均获随访，随访时间12～24个月，平均（14.30±3.01）个月。手术时间40～65 min，平均（45.10±4.82）min；出血量5～15 ml，平均（10.05±2.75）ml。术后6个月Lysholm评分由术前的50.29±6.67提高至92.48±2.18；IKDC评分由术前的47.19±4.57提高至90.71±2.22。术前及术后6个月膝关节活动度分别为（83.05±5.3）°和（132.05±7.15）°。
结论
关节镜下高强度钢丝联合外侧锚钉治疗Meyers McKeeverⅡ、Ⅲ型前交叉韧带胫骨止点撕脱骨折具有创伤小、固定牢固、临床疗效满意等优点。
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