医学临床研究
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医学临床研究  2021, Vol. 38 Issue (12): 1798-1801    DOI: 10.3969/j.issn.1671-7171.2021.12.012
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关节镜下缝线固定和非手术治疗后交叉韧带下止点撕脱骨折疗效比较
姜祖康, 周红星*
中国人民解放军联勤保障部队第989医院平顶山医疗区骨二科,河南 平顶山 467000
Clinical Comparative Study of Two Methods (Arthroscopy and Nonoperation) in Treatment of Posterior Cruciate Ligament Inferior Insertion Avulsion Fracture
JIANG Zu-kang, ZHOU Hong-xing
Pingdingshan Medical District Second Department of Orthopedics, The 989th Hospital of Chinese People Liberation Army Joint Logistics Support Force, Pingdingshan 467000, Henan, China
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摘要 【目的】对比研究关节镜下缝线固定治疗和非手术治疗后交叉韧带下止点撕脱骨折的临床疗效。【方法】回顾分析本院2013年9月至2018年5月收治的62例后交叉韧带下止点撕脱骨折(Meyers分型Ⅱ、Ⅲ型)临床资料。按治疗方法的不同分为关节镜下缝线固定治疗组32例(观察组)和传统非手术治疗组30例(对照组)。比较两组患者骨折临床愈合时间、关节稳定性(后抽屉试验)及Lysholm和HSS评分体系评价膝关节功能恢复情况。【结果】两组患者均接受随访6~24个月,平均(15.7±1.26)个月,对照组有3例出现不愈合,再进行手术治疗,观察组骨折临床愈合时间较对照组明显缩短,术后后抽屉试验评分也优于对照组。术后膝关节功能评分结果显示,观察组Lysholm评分和HSS评分均明显高于对照组。【结论】关节镜下缝线固定治疗后交叉韧带下止点撕脱骨折(Meyers分型Ⅱ、Ⅲ型)在愈合时间、关节稳定性和关节功能的恢复方面均优于非手术治疗,值得临床推广应用。
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作者相关文章
姜祖康
周红星
关键词 后交叉韧带/损伤骨折脱位关节镜检查骨折固定术,内治疗结果    
Abstract:【Objective】To explore the clinical comparative study of the treatment of posterior cruciate ligament (PCL) inferior insertion avulsion fracture by arthroscopic suture fixation and nonoperation. 【Methods】The clinical data of 62 (Meyers Classification:Ⅱ、Ⅲ) patients with posterior crucial ligament inferior insertion avulsion fracture in our department from September 2013 to May 2018 were included in the retrospective study. They were divided into two groups randomly. The observation group included 32 patients (20 male cases and12 female cases) with PCL inferior insertion avulsion fracture treated with suture fixation by arthroscopy, while the control group contained 30 patients (17 male cases and 13 female cases). The healing time, tibial displacement (posterior drawer test: PDT), the Lysholm knee score, the hospital special surgery knee score (HSS) of both groups were compared between the two groups. 【Results】Both groups of patients were followed up for 6-24 months with average of (15.7±1.26) months. Results showed that 3 cases of non-healing by surgery in the control group nonunion who needed reoperation. The healing time of the observation group was significantly shorter than that of the control group (P<0.05), PDT grade, Lysholm score and HSS in the observation group were superior to the control group. 【Conclusion】The arthroscopic suture fixation of PCL inferior insertion avulsion fracture (Meyers Classification:Ⅱ、Ⅲ) is more effective than nonoperative treatment, which has higher stability and more improves joint motion function.
Key wordsPosterior Cruciate Ligament/IN    Fracture Dislocation    Arthroscopy    Fracture Fixation, Internal    Treatment Outcome
收稿日期: 2021-01-22     
中图分类号:  R274.12  
通讯作者: *E-mail:hongxingzhou67@163.com   
引用本文:   
姜祖康, 周红星. 关节镜下缝线固定和非手术治疗后交叉韧带下止点撕脱骨折疗效比较[J]. 医学临床研究, 2021, 38(12): 1798-1801.
JIANG Zu-kang, ZHOU Hong-xing. Clinical Comparative Study of Two Methods (Arthroscopy and Nonoperation) in Treatment of Posterior Cruciate Ligament Inferior Insertion Avulsion Fracture. JOURNAL OF CLINICAL RESEARCH, 2021, 38(12): 1798-1801.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2021.12.012     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2021/V38/I12/1798
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