Mah J Y, Otsuka N Y, McLean J
Division of Orthopaedic Surgery, Children's Hospital, McMaster University Medical Centre, Hamilton, Ontario, Canada.
J Pediatr Orthop. 1996 Jan-Feb;16(1):119-21. doi: 10.1097/00004694-199601000-00024.
A technique of arthroscopic reduction and fixation of type III tibial-eminence fractures is described. After reduction of the fracture, polyglactin (Vicryl) suture was passed into the knee with the use of the arthroscope to fix the fracture. Early mobilization of the patients was begun after 2 weeks. Two patients (aged 10 and 13 years old), with 2 years follow-up after treatment of their fracture with this technique, had full range of motion of the knee with no sign of instability. Arthroscopic reduction and fixation of type III tibial-eminence fractures is a technique that can reduce hospital stay, rehabilitation, and the morbidity associated with the use of an arthrotomy for treatment.
本文描述了一种关节镜下复位及固定Ⅲ型胫骨髁间棘骨折的技术。骨折复位后，通过关节镜将聚乙醇酸（薇乔）缝线送入膝关节以固定骨折。术后2周开始让患者早期活动。两名患者（年龄分别为10岁和13岁）采用该技术治疗骨折后随访2年，膝关节活动范围正常，无不稳定迹象。关节镜下复位及固定Ⅲ型胫骨髁间棘骨折是一种可缩短住院时间、减少康复时间以及降低因切开手术治疗相关并发症的技术。
