上海交通大学学报（医学版）

›› 2013, Vol. 33 ›› Issue (3): 374-.doi: 10.3969/j.issn.1674-8115.2013.03.024

• 短篇论著 • 上一篇    下一篇

张力带钢丝固定治疗膝关节后交叉韧带止点撕脱骨折23例分析

张朝凯1, 吴 莉2, 丁 晶3, 刘庆波1, 李迎辉1, 吴明贵1, 俞 超4   

  1. 1.云南省大理州祥云县人民医院外四科, 大理 672100； 2.新疆乌鲁木齐市解放军69240部队医院41分队内科三所, 乌鲁木齐 830000； 3.成都军区昆明总医院附属骨科医院关节外科, 昆明 650000； 4.上海交通大学医学院附属第九人民医院骨科, 上海 200011
  • 出版日期:2013-03-28 发布日期:2013-03-29
  • 通讯作者: 俞 超, 电子信箱: 13801657670@139.com。
  • 作者简介:张朝凯（1975—）, 男, 主治医师, 学士； 电子信箱: zhangchaokai067@163.com。

Analysis of 23 cases of avulsion fractures of posterior cruciate ligament of knee joint treated by tension band wire fixation

ZHANG Chao-kai1, WU Li2, DING Jing3, LIU Qing-bo1, LI Ying-hui1, WU Ming-gui1, YU Chao4   

  1. 1.Department of Surgery, the People´s Hospital of Xiangyun, Dali 672100, China； 2.Department of Internal Medicine, Branch 41 of 69240 Hospital of PLA, Urumqi 830000, China； 3.Department of Joint Surgery, Affiliated Orthopedic Hospital of Kunming General Hospital of Chengdu Military Command, Kunming 650000, China； 4.Department of Orthopedic Surgery, the Ninth People´s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China
  • Online:2013-03-28 Published:2013-03-29

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摘要：

目的 探讨张力带钢丝固定治疗膝关节后交叉韧带止点撕脱骨折的效果。方法 23例膝关节后交叉韧带止点撕脱骨折患者，采用张力带钢丝复位固定，并对关节腔进行修整；采用Lysholm膝关节评分法评价疗效。结果 23例患者随访6个月～2年，22例（95.7%）术后膝关节功能恢复良好，1例老年患者术前即有骨性关节炎，关节间隙狭窄，术后仍有慢性疼痛及曲伸功能障碍。结论 张力带钢丝固定治疗膝关节后交叉韧带止点撕脱骨折简单、经济、有效。

关键词: 后交叉韧带, 撕脱骨折, 克氏针

Abstract:

Objective To investigate the outcomes of avulsion fractures of posterior cruciate ligament of knee joint treated by tension band wire fixation. Methods Twenty-three patients with avulsion fractures of posterior cruciate ligament of knee joint were treated with tension band wire fixation, and the outcomes were evaluated by Lysholm knee joint scoring. Results All the patients were followed up for 6 months to 2 years. Favorable function recovery was achieved in 22 (95.7%) patients. The other senior patient suffered from osteoarthritis and narrow joint space before operation, and there still existed chronic pain and flexion-extension dysfunction after operation. Conclusion Treatment of avulsion fractures of posterior cruciate ligament of knee joint by tension band wire fixation is simple, economical and effective.

Key words: posterior cruciate ligament, avulsion fractures, Kirschner wires