关节镜下治疗急性后交叉韧带胫骨止点撕脱性骨折2例

doi:10.3969/j.issn.1006-9771.2017.07.019

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (7): 824-828.doi: 10.3969/j.issn.1006-9771.2017.07.019

关节镜下治疗急性后交叉韧带胫骨止点撕脱性骨折2例

徐峰^{1, 2, 3}, 崔志刚^{2, 3}, 闵红巍^{2, 3}, 亓攀^{2, 3}, 田罡^{2, 3}, 冯建璞^{2, 3}, 刘克敏^{2, 3}

1. 北京大学国际医院,北京市 102206;
2.首都医科大学康复医学院,北京市 100068;
3.中国康复研究中心北京博爱医院,北京市 100068。

收稿日期:2016-09-27 出版日期:2017-07-25 发布日期:2017-08-07
通讯作者: 刘克敏,男,汉族,主任医师。E-mail: keminlqliu@sina.com。
作者简介:徐峰(1976-),男,汉族,安徽阜阳市人,博士,副主任医师,主要研究方向：骨关节矫形及骨科康复。

Arthroscopic Treatment for Acute Avulsion Fracture of Posterior Cruciate Ligament： Two Cases Report

XU Feng^{1, 2, 3}, CUI Zhi-gang^{2, 3}, MIN Hong-wei^{2, 3}, QI Pan^{2, 3}, TIAN Gang^{2, 3}, FENG Jian-pu^{2, 3}, LIU Ke-min^{2, 3}

1. Peking University International Hospital, Beijing 102206, China;
2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;
3. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received:2016-09-27 Published:2017-07-25 Online:2017-08-07
Contact: Correspondence to LIU Ke-min. E-mail: keminlqliu@sina.com

摘要/Abstract

摘要： 目的探讨关节镜下锁扣带袢双钛板固定术治疗急性后交叉韧带胫骨止点撕脱性骨折的适应症及效果。方法2014年12月至2015年1月,2例急性后交叉韧带胫骨止点撕脱骨折患者,术前完善影像学检查及评估,在关节镜下行复位及锁扣带袢双钛板固定,术后积极康复训练。结果成功1例,术后早期开始康复训练;术后3个月,患者膝关节功能恢复满意。失败1例,改用空心螺钉内固定,术后推迟2周开始康复训练,术后4个月基本恢复正常膝关节功能。结论对于后交叉韧带胫骨止点撕脱骨折块体积较大、较为完整的非骨质疏松患者,采取关节镜下锁扣带袢双钛板固定术可达到骨折的解剖复位和坚强固定,有利于早期进行康复训练。

关键词: 后交叉韧带, 撕脱性骨折, 关节镜, 锁扣带袢双钛板

Abstract: ObjectiveTo explore the efficacy of arthroscopic treatment for acute avulsion fracture of posterior cruciate ligament (PCL) using double titanium plate TightRope. MethodsFrom December 2014 to January 2015, two cases with acute avulsion fracture of PCL were treated with double titanium plate TightRope under arthroscopy, after assessment of three dimensional reconstructive CT and MRI. Rehabilitation was carried out after operation. ResultsOne case succeeded with double titanium plate TightRope, and rehabilitation could be performed early postoperatively. Another case failed in TightRope fixation, and accepted two internal hollow screws fixation instead. Rehabilitation was delayed until two weeks postoperatively. The function of the knee was satisfactory in the former patient after three months, who could extend the knee in a normal range, without pain or locking. The same effect was gained in the latter patient after four months. ConclusionFor acute tibial avulsion fracture of PCL with larger and intact fragment without osteoporosis, arthroscopic restoration and fixation with double titanium plate TightRope offers the opportunity to achieve anatomic reconstruction and rigid fixation for early rehabilitation in adult patients.

Key words: posterior cruciate ligament, avulsion fracture, arthroscopy, TightRope

中图分类号:

R683.42

徐峰, 崔志刚, 闵红巍, 亓攀, 田罡, 冯建璞, 刘克敏. 关节镜下治疗急性后交叉韧带胫骨止点撕脱性骨折2例[J]. 《中国康复理论与实践》, 2017, 23(7): 824-828.

XU Feng, CUI Zhi-gang, MIN Hong-wei, QI Pan, TIAN Gang, FENG Jian-pu, LIU Ke-min. Arthroscopic Treatment for Acute Avulsion Fracture of Posterior Cruciate Ligament： Two Cases Report[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(7): 824-828.

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关节镜下治疗急性后交叉韧带胫骨止点撕脱性骨折2例

Arthroscopic Treatment for Acute Avulsion Fracture of Posterior Cruciate Ligament： Two Cases Report

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