目的探讨交叉韧带胫骨止点骨折的微创治疗效果。方法30例交叉韧带胫骨止点骨折患者,其中17例利用关节镜对骨折部位利用Ethibon缝线进行固定复位治疗,13例通过后内侧小切口切开复位骨折,再用空心螺钉固定的方式进行治疗。术后通过支具进行外固定,有计划地进行膝关节功能康复训练。结果术后随访3~12(6.32±2.44)个月,复位效果均比较满意,骨折部位均于术后3个月左右愈合良好,Lachman试验与前抽屉试验均为阴性,膝关节活动度在0°~130°,膝关节稳定性恢复较好。术后ACL胫骨止点骨折患者Lysholm评分与IKDC评分分别为(92.43±4.37)分、(92.63±5.68)分,显著高于术前的(43.65±5.66)分、(46.77±6.21)分,差异均有统计学意义(P均<0.01)。结论应用微创手术方式对交叉韧带胫骨止点骨折患者进行治疗,具有手术创伤小、操作简单、安全性能好、预后效果佳等临床优势,值得推广应用。
ObjectiveTo explore the clinical effect of minimally invasive surgery in the treatment of tibial plateau fracture of cruciate ligament. Methods30 cases with cruciate ligament fracture were enrolled in this study, among them, 17 cases were treated by arthroscopic fixation of the fracture site using Ethibon suture fixation, another 13 cases were treated with open reduction and internal fixation with a hollow screw fixation. After the operation, the knee joint function rehabilitation training was carried out by means of the external fixation. ResultsPatients were followed up for 3-12 (6.32±2.44) months; reset effects are satisfied; all the fractures healed well after 3 months of operation; Lachman test and anterior drawer test both were negative; the activity of the knee joint was 0 degree to 130 degrees; the stability of the knee joint recovered well after surgery, The Lysholm score and IKDC score of the patients after operation were (92.43±4.37)points, (92.63±5.68) points, significantly higher than (43.65±5.66) points, (46.77±6.21) points of preoperative, the difference were statistically significant (P<0.01). ConclusionApplication of minimally invasive surgery in the treatment of tibial plateau fracture of cruciate ligament has the advantages of small surgical trauma, simple operation, good safety performance and good prognosis, which is worthy of popularization and application.