本文選題：關(guān)節(jié)鏡 + 青少年��； 參考：《中國(guó)運(yùn)動(dòng)醫(yī)學(xué)雜志》2017年11期

【摘要】：目的:探討關(guān)節(jié)鏡下單脛骨隧道,雙Endobutton微型鋼板結(jié)合雙股高強(qiáng)度Ultrabraid Suture裝置懸吊固定青少年(骨骺未閉合)患者前交叉韌帶脛骨止點(diǎn)撕脫性骨折的早期療效。方法:回顧性分析2012年5月~2015年6月對(duì)21例青少年患者急性前交叉韌帶脛骨止點(diǎn)撕脫性骨折,采用關(guān)節(jié)鏡下雙Endo-button微型鋼板結(jié)合雙股高強(qiáng)度Ultrabraid Suture裝置懸吊固定,對(duì)所有患者進(jìn)行關(guān)節(jié)鏡下骨床新鮮化、骨折塊復(fù)位,雙Endobutton微型鋼板懸吊固定。所有患者術(shù)后1周、1個(gè)月、3個(gè)月、每隔半年復(fù)查X線片。采用前抽屜試驗(yàn)和Lachman試驗(yàn)來(lái)評(píng)估膝關(guān)節(jié)術(shù)后穩(wěn)定性,記錄Lysholm評(píng)分,評(píng)估患者術(shù)后恢復(fù)情況。結(jié)果:術(shù)中出血量43~68 ml,平均53.95±7.10 ml;手術(shù)時(shí)間27~55 min,平均38.76±7.71 min。所有21例患者均獲隨訪18~25個(gè)月,平均21.86±2.78個(gè)月。術(shù)后3個(gè)月X線片提示骨折塊完全愈合,沒(méi)有出現(xiàn)骨折畸形愈合或不愈合。所有患者均未出現(xiàn)軟組織感染、髁間撞擊癥造成的膝關(guān)節(jié)伸直受限等并發(fā)癥。末次隨訪Lysholm評(píng)分(97.14±1.35)相比術(shù)前(40.24±5.81)顯著提高。結(jié)論:關(guān)節(jié)鏡下單脛骨隧道,雙Endobutton鋼板結(jié)合雙股高強(qiáng)度Ultrabraid Suture懸吊固定治療急性期青少年患者前交叉韌帶脛骨止點(diǎn)撕脫性骨折,早期臨床效果令人滿意。
[Abstract]:Objective: to investigate the early effect of single tibial tunnel under arthroscopy, double Endobutton mini-plate combined with double high strength Ultrabraid suture device for suspension fixation of tibial avulsion fracture of anterior cruciate ligament (ACL) in adolescent (epiphyseal unclosed) patients. Methods: from May 2012 to June 2015, 21 cases of acute avulsion fracture of anterior cruciate ligament tibia were analyzed retrospectively. Double Endo-button mini-plate combined with double high strength Ultrabraid support was used for suspension fixation under arthroscopy. All patients were treated with arthroscopic bone bed freshness, fracture block reduction and double Endobutton mini-plate suspension fixation. X-ray examination was performed 1 week, 1 month, 3 months after operation in all patients. Anterior drawer test and Lachman test were used to evaluate the postoperative stability of knee joint, to record the Lysholm score and to evaluate the postoperative recovery. Results: the intraoperative bleeding was 436.68 ml (mean 53.95 鹵7.10 ml) and the operative time was 2755 min (mean 38.76 鹵7.71 min). All 21 patients were followed up for 18 ~ 25 months (mean 21.86 鹵2.78 months). 3 months after operation, X-ray showed complete union of fracture and no malunion or non-union. No soft tissue infection and condylar impingement were found in all patients. Lysholm score (97.14 鹵1.35) at the last follow-up was significantly higher than that before operation (40.24 鹵5.81). Conclusion: single tibial tunnel under arthroscopy, double Endobutton plate combined with double high strength Ultrabraid suture suspension fixation for tibial avulsion fracture of anterior cruciate ligament in acute juvenile patients, the early clinical effect is satisfactory.
【作者單位】： 蘇州大學(xué)附屬第三醫(yī)院骨關(guān)節(jié)科;
【基金】：江蘇省常州市重大課題(ZD 201604)實(shí)用新型專利號(hào):ZL 2015 2 0508727.0
【分類號(hào)】：R687.4

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