【摘要】 目的探讨关节镜下缝线固定技术治疗胫骨髁间隆突骨折的临床效果。方法自2005年10月～2006年10月,对13例胫骨髁间隆突骨折患者进行关节镜下复位,使用不可吸收缝线固定,术后早期功能锻炼,采用Lysholm及Tegner评分标准进行评估。结果13例患者获6～18个月随访(平均11个月),术后3个月所有胫骨髁间隆突骨折均愈合,术后6月Lysholm评分为(93.6±5.8)分,Tegner评分为(6.3±1.0)分。结论关节镜下缝线固定治疗胫骨髁间隆突骨折具有手术创伤小、操作方便、固定可靠、术后康复快、并发症少,可同时诊断并治疗合并的膝关节损伤。更多还原

【Abstract】 [Objective] To introduce the arthroscopic technique of suture fixation for tibial eminence fractures,and to report the clinical results.[Methods] From October 2005 to October 2006,13 patients with tibial eminence fracture were treated with arthroscopy of suture fixation technique.Aggressive rehabilitation was done soon after operation.The patients were followed up and evaluated according to Lyscholm and Tegner rating scale.[Results] 13 patients were followed up for 6 to 18 months(mean 11 months).Fractures were united within three months after operation in all cases.The Lyscholm knee score were(93.6±5.8) in average in 6 months postoperatively.And the Tegner score were(6.3±1.0) in average in 6 months postoperatively.[Conclusion] Arthroscopic treatment of tibial eminence fracture with suture fixation technique is reliable for the fixation and easy to operate.Because of the operation’s less invasion,the patients’ postoperative rehabilitation is rapid and with less complication.Arthroscopy can also assist in diagnosis and treatment of associated knee pathology.更多还原