| 李志江 李兰 李振瑞 张威 唐佩福.关节镜下不同固定方法治疗胫骨髁间嵴骨折的临床对比研究[J].,2017,17(6):1079-1082 |
| 关节镜下不同固定方法治疗胫骨髁间嵴骨折的临床对比研究 |
| Comparative Study of Treating Tibial Eminence Fracture in DifferentFixation Methods on Arthroscopic |
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| DOI： |
| 中文关键词: 胫骨髁间嵴骨折 关节镜 缝线法 钢丝固定 |
| 英文关键词: Tibial eminence fracture Arthroscopy Suture Wire fixation |
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| 中文摘要: |
| 目的：对比关节镜下缝合法和钢丝固定治疗胫骨髁间嵴骨折的临床效果。方法：收集我院2012 年1 月至2014 年12月年收
治的87 例胫骨髁间嵴骨折患者根据手术固定方法不同分为A 组（40 例），B 组（37 例），其中A组患者使用缝线法固定，B组患者
使用钢丝固定，分别于术后3、6、12 个月后随访患者影像学资料观察两组患者骨折骨折复位愈合情况，包括愈合时间、膝关节功
能进行评估，膝关节屈伸活动度，手术时间以及并发症发生情况等。结果：术前Lysholm 评分组间差异无统计学意义（P>0.05），术
后3 个月术Lysholm 评分组间差异亦无统计学意义（P>0.05），术后6、12 个月差异具有统计学意义（P<0.05）；两组术后Lysholm
评分与术前相比均逐渐升高，差异具有统计学意义（P<0.05）；两组手术时间差异无统计学意义（P＞0.05），术后随访第12个月两
组患者膝关节屈伸活动度比较A 组患者显著优于B 组患者，A 组愈合时间短于B组，差异均具有统计学意义（P＜0.05）。结论：使
用关节镜下缝合线固定治疗胫骨髁间嵴骨折具有创伤小、操作简便、固定稳固、利于关节早期的康复，可推广使用。 |
| 英文摘要: |
| Objective:To investigate the effective of treating tibial eminence fracture in suture andwire fixation on arthroscopic.Methods:87 patients of tibial eminence fracture cases collected from Jun 2012 to Dec 2013 in our hospital, which were divided into
groupA (n=40), group (37 cases)B according ways of fixation, which group A was given suture fixation, and group B wire fixation,
observing reset condition after 3, 6, 12 months, including healing time, assess knee function, range of motion of the knee, surgery time
and complications.Results:Preoperative and postoperative 3 months between Lysholm score was no significant difference (P>0.05), 6
and 12 months the difference was statistically significant (P<0.05); The two groups of Lysholm score were gradually increased in
preoperative,comparative with postoperative, and the difference was statistically significant (P<0.05); Operative time had no significant
difference in two groups (P>0.05), and patients knee a range of motion of the comparative group of patients was significantly better than
group B(P<0.05),and healing time ofA group shorter than group B group(P<0.05).Conclusion:Arthroscopic suture fixation between the
tibial eminence fracture with less trauma, simple, fixed solid, beneficial joint early rehabilitation, can be widely used. |
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