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儿童胫骨髁间隆起骨折时半月板的嵌顿

Incarceration of the meniscus in fractures of the intercondylar eminence of the tibia in children.

作者信息

Falstie-Jensen S, Søndergård Petersen P E

出版信息

Injury. 1984 Jan;15(4):236-8. doi: 10.1016/0020-1383(84)90005-6.

DOI:10.1016/0020-1383(84)90005-6
PMID:6546374
Abstract

Four cases of trapping of the meniscus in type II or III fractures of the intercondylar eminence of the tibia in children are reported. At operation the fragments could not be apposed until the meniscus had been lifted out of the fracture. In our opinion, if they had not been operated on these patients would have had persistent trouble in the knee, including non-union, loss of extension and laxity of the anterior cruciate ligament. We therefore recommend either operation for type II and type III lesions or arthroscopy. If the meniscus is trapped we suggest that it should be lifted out and the fragments apposed under arthroscopic control.

摘要

本文报告了4例儿童胫骨髁间隆起II型或III型骨折合并半月板嵌入的病例。手术时,在半月板从骨折处取出之前,骨折块无法对合。我们认为,如果这些患者未接受手术,将会出现膝关节持续问题,包括骨折不愈合、伸直受限以及前交叉韧带松弛。因此,我们建议对II型和III型损伤进行手术或关节镜检查。如果半月板嵌入,我们建议在关节镜控制下将其取出并使骨折块对合。

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