本文關(guān)鍵詞： 空心釘 帶線錨釘 后交叉韌帶 骨折　出處：《重慶醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:探討經(jīng)膝關(guān)節(jié)后內(nèi)側(cè)小切口空心釘、帶線錨釘雙聯(lián)固定治療后交叉韌帶脛骨撕脫骨折的手術(shù)效果。方法:選取重慶醫(yī)科大學(xué)附屬第二醫(yī)院2010年03月2014年02月收治的17例后叉韌帶(Posterior cruciate ligament,PCL)脛骨撕脫骨折患者,其中男性12例,女性5例,年齡19~56歲,平均38.7歲,右膝11例,左膝6例;致傷原因:交通傷8例,運(yùn)動(dòng)傷5例,摔倒4例,Meyers-Mc Keever分型,其中Ⅰ型2例,Ⅱ型8例,Ⅲ型7例;采用后內(nèi)側(cè)小切口空心釘聯(lián)合帶線錨釘固定,術(shù)后使用可調(diào)節(jié)支具固定,傷口拆線后支具保護(hù)下膝關(guān)節(jié)屈伸鍛煉,4周左右部分負(fù)重鍛煉,6~8周逐漸拆除支具至正常負(fù)重。參照Lysholm膝關(guān)節(jié)評(píng)分系統(tǒng)評(píng)價(jià)療效。結(jié)果:17例患者術(shù)后均得到隨訪,隨訪時(shí)間6~12月。所有患者傷口均一期愈合,無傷口感染、血管神經(jīng)損傷、深靜脈血栓(deep vein thrombosis,DVT)形成等嚴(yán)重并發(fā)癥,術(shù)后3~6月,平均4.2月骨性愈合,無帶線錨釘及空心螺釘松動(dòng),Lachman實(shí)驗(yàn)陰性,Lysholm評(píng)分顯示優(yōu)秀15例,良2例。結(jié)論:空心釘和帶線錨釘雙聯(lián)固定治療PCL脛骨撕脫骨折學(xué)習(xí)曲線短,操作容易,術(shù)后能更早開始功能鍛煉,獲得更好的功能,效果滿意。
[Abstract]:Objective: to study the transarticular posterior medial small incision hollow nail. Surgical results of tibial avulsion fracture of posterior cruciate ligament treated with wire anchor nail. Methods: 17 cases of posterior cruciate ligament tibial avulsion fracture were treated in the second affiliated Hospital of Chongqing Medical University on March 2010 and February 2014. Among them, 12 cases were male, 5 cases were female, the age was 1956 years old (mean 38.7 years), 11 cases were right knee and 6 cases were left knee, the causes of injury were traffic injury (8 cases), sports injury (5 cases), fall (4 cases) according to Meyers-Mc Keever classification, including type 鈪，

本文編號(hào)：1550752