关节镜下微创治疗18例胫骨平台骨折合并前交叉韧带胫骨止点撕脱骨折的疗效观察

Effect of arthroscopic minimally invasive treatment for 18 cases of tibial plateau fracture with anterior cruciate ligament tibial avulsion fracture

摘要:

目的 探讨关节镜下微创治疗胫骨平台骨折合并前交叉韧带（ACL）胫骨止点撕脱骨折的手术效果。方法 选择2016年7月－2019年7月上海市宝山区罗店医院骨科和锦州医科大学附属第三医院骨二科收治的18例胫骨平台骨折合并ACL胫骨止点撕脱骨折的患者。利用关节镜进行关节腔检查、处理合并症、复位骨折及微创内固定，采用膝关节功能HSS评分分别在术后3、6和12个月对患者进行随访，评估患肢膝关节的功能。结果 所有患者术后切口均无感染，愈合良好，随访时间3～12个月，平均6个月。术后12个月膝关节功能为：优6例（33.3%）、良10例（55.6%）、可2例（11.1%）。结论 关节镜结合微创内固定治疗胫骨平台骨折合并ACL胫骨止点撕脱骨折，患者膝关节功能恢复良好。

Abstract:

Objective To explore the effect of arthroscopic minimally invasive treatment of tibial plateau fracture with anterior cruciate ligament (ACL) tibial avulsion fracture.Methods From July 2016 to July 2019, 18 patients with tibial plateau fracture complicated with ACL avulsion fracture were treated. Fracture reduction and proper internal fixation were performed in all these cases with arthroscopic assistance. Knee function assessment system (hospital for special surgery knee score) was used to assess knee function of the affected limb at 3, 6, and 12 months postoperatively.Results All these patients incisions were healed good after surgery. All these patients were followed up for 3 ~ 12 months, average 6 months. According to the HSS score, the excellent and good rate of the knee function after 12 months is excellent: 6 cases (33.3%), good: 10 cases (55.6%), middle: 2 case (11.1%).Conclusion Arthroscopic minimally invasive treatment of tibial plateau fracture combined with ACL avulsion fracture has a good effect on the recovery of knee joint function.