关节镜下极后高位入路空心螺钉固定手术治疗后交叉韧带胫骨止点撕脱骨折的临床效果
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摘要
目的研究关节镜下极后高位入路空心螺钉固定手术治疗后交叉韧带胫骨止点撕脱骨折的临床效果。方法将我院90例患者根据抽签随机分为观察组(n=45,关节镜下极后高位入路空心螺钉固定手术治疗)与对照组(n=45,标准入路缝线固定治疗)。比较两组手术时间、术前及术后Lysholm评分、IKDC分级、后抽屉实验及KT-2000检查结果。结果观察组手术时间显著短于对照组(P<0.05);术后,两组IKDC分级比较,差异无统计学意义(P>0.05);术后,两组Lysholm评分均升高(P<0.05),但组间差异不显著(P>0.05);术后,两组后抽屉试验、KT-2000患膝及健膝比较,差异不显著(P>0.05)。结论关节镜下极后高位入路空心螺钉固定手术较传统手术可有效缩短后交叉韧带胫骨止点撕脱骨折的手术时间,且可获得良好的固定效果。
Objective To study the clinical effect of arthroscopic posterior hollow screw fixation via posterior high approach in the treatment of tibial insertion avulsion fracture of cruciate ligament. Methods Ninety patients in our hospital were divided into observation group(n =45, arthroscopic posterior hollow screw fixation via posterior high approach) and control group(n=45, standard approach suture fixation) according to randomly lottery. The operation time, Lysholm score before and after operation, IKDC grade, posterior drawer test and KT-2000 examination results were compared between the two groups. Results The operation time of the observation group was shorter than that of the control group(P<0.05). After surgery, IKDC classification of the two groups had no statistical significance(P>0.05); after operation, Lysholm scores of the two groups increased(P<0.05), but there was no significant difference between the two groups(P>0.05); after operation, there were no significant differences in the posterior drawer test, KT-2000 in affected knees and healthy knees between the two groups(P >0.05). Conclusion The arthroscopic hollow screw fixation via posterior high approach is more effective than traditional surgery, which can effectively shorten the operation time of the posterior cruciate ligament tibial avulsion fracture and can obtain a good fixation effect.
Objective To study the clinical effect of arthroscopic posterior hollow screw fixation via posterior high approach in the treatment of tibial insertion avulsion fracture of cruciate ligament. Methods Ninety patients in our hospital were divided into observation group(n =45, arthroscopic posterior hollow screw fixation via posterior high approach) and control group(n=45, standard approach suture fixation) according to randomly lottery. The operation time, Lysholm score before and after operation, IKDC grade, posterior drawer test and KT-2000 examination results were compared between the two groups. Results The operation time of the observation group was shorter than that of the control group(P<0.05). After surgery, IKDC classification of the two groups had no statistical significance(P>0.05); after operation, Lysholm scores of the two groups increased(P<0.05), but there was no significant difference between the two groups(P>0.05); after operation, there were no significant differences in the posterior drawer test, KT-2000 in affected knees and healthy knees between the two groups(P >0.05). Conclusion The arthroscopic hollow screw fixation via posterior high approach is more effective than traditional surgery, which can effectively shorten the operation time of the posterior cruciate ligament tibial avulsion fracture and can obtain a good fixation effect.
引文
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[4]倪建龙,时志斌,党晓谦,等.关节镜下双股ETHIBOND线固定治疗后交叉韧带胫骨止点撕脱骨折的疗效观察[J].中国骨与关节杂志,2016,5(10):735-738.
[5]王新民,刘飞,赵海霞,等.关节镜下极后高位入路空心螺钉固定与标准入路缝线固定修复后交叉韧带胫骨止点撕脱骨折[J].中国组织工程研究,2017,21(35):5655-5660.
[6]张军,徐荣明,查卫斌,等.3种方法手术治疗前交叉韧带胫骨止点撕脱骨折的临床疗效分析[J].中国骨与关节损伤杂志,2017,32(10):1077-1078.