| 戴祝,唐进军,陈志伟,曹盛俊,廖瑛,李春.关节镜下治疗前交叉韧带止点胫骨髁间棘骨折.[J].中南医学科学杂志.,2007,(2):189-191. |
| 关节镜下治疗前交叉韧带止点胫骨髁间棘骨折 |
| Treatment of Avulsion Fracture of the Tibial Intercondylar Eminence and Ending Place of Anterior Cruciate Ligament Under Arthroscope |
| 投稿时间：2006-11-03 |
| DOI： |
| 中文关键词: 关节镜 胫骨髁间棘 骨折 内固定 关节功能恢复 镜下治疗 前交叉韧带止点 胫骨髁间棘骨折 Anterior Cruciate Ligament Place Tibial Fracture 术后随访 内固定手术 创伤小 钢丝内固定 阴性 抽屉试验 愈合 骨折复位 显示 结果 内侧 胫骨结节 |
| 英文关键词:arthroscope tibial intercondylar eminence fracture internal fixation |
| 基金项目:湖南省科技厅科研项目
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湖南省衡阳市科技局科研项目 |
| 戴祝 唐进军 陈志伟 曹盛俊 廖瑛 李春 |
| [1]南华大学第一附属医院骨科,湖南衡阳421001 [2]祁东县中医院外科,湖南衡阳421001 |
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| 中文摘要: |
| 目的 探讨关节镜下治疗前交叉韧带止点胫骨髁间棘撕脱性骨折的方法及疗效.方法 膝关节镜下,寻找并确定骨折块的部位,用前交叉韧带定位器在胫骨结节的内侧向前交叉韧带起点左右各钻一个骨道,复位骨折块后用钢丝内固定.结果 术后随访3月～2年,平均1年2个月,X线复查显示骨折复位及愈合良好,前抽屉试验及Lachman试验阴性,无前向不稳,关节功能恢复满意.结论 关节镜下胫骨髁间棘骨折钢丝内固定手术创伤小,固定可靠,术后关节功能恢复好. |
| 英文摘要: |
| Objective To study the minimal invasive procedure under arthroscope and clinic results in the treatment of avulsion fracture of the tibial intercondylar eminence.Method The fracture was found and two holes were drilled from internal tibial tubercules to the starting point of anterior crucial ligament using a positioning device under arthroscope.Reposition and fixation of the fracture were made using a steel wire.Result With 3 months to 2 years follow-ups(average 1 year and 2 months),X-ray confirmed satisfactory reposition and healing.Negative anterior drawer test or Lachman test and satisfactory joint function were received with no unsteadiness.Conclusion Treatment of avulsion fracture of the tibial intercondylar eminence using minimal invasive procedure under arthroscope is an effective procedure with the benefit of limited invasion and satisfactory fixation and joint function. |
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