关节镜下Aesculap尼仑线治疗胫骨髁间隆突撕脱骨折

Tibial intercondylar eminence fracture treated with Aesculap suture under arthroscopy

目的 探讨关节镜下Aesculap尼仑线治疗胫骨髁间隆突撕脱骨折的疗效。 方法 对 12例不同分型骨折患者行关节镜下复位Aesculap不吸收尼仑线内固定术 ,并同时处理合并损伤。结果 采用适用于一般膝关节损伤患者的功能评定方法评定 ,优 10例 ,良 2例。结论 经关节镜治疗胫骨髁间隆突撕脱骨折 ,手术创伤小 ,切口瘢痕小 ,骨折块复位准确 ,并能同时处理关节内其它病变 ,术后功能恢复快 ,疗效佳 ,无需二次手术。较开放复位内固定具有明显优越性。

Objective To investigate the effects of Aesculap suture for tibial intercondylar eminence fracture under arthroscopy. Methods 12 cases with various types tibial eminence fracture were treated with unabsorbable Aesculap suture fixation under arthrosopy. The associated injuries were treated simultaneously. Results According to the common criteria for knee injury, the results were excellent in 10 cases, and good in 2. Conclusion This method has advantages of less invasion, smaller scar, accurate reduction, availability to treat associated intraacticular lesions, quick recovery and unnecessity of reoperation compared with open reduction and internal fixation.