单隧道钢丝固定治疗胫骨髁间隆突撕脱骨折

Steel wire for fixation of avulsion fracture of the tibial intercondylar eminence via single tunnel

目的观察胫骨髁间隆突撕脱性骨折的临床治疗效果。方法1999年4月至2003年12月,共完成手术26例,采用在胫骨上准确钻一隧道至骨折处,用钢丝横穿交叉韧带基底并经骨床或骨块上的钻孔及骨隧道引出皮外打结、固定。结果共23例患者获得随访,随访时间1～18个月,平均11个月;术前Lysholm评分为37～48分,平均42.5分,术后85～100分,平均93分。所有患者术后2个月经X线检查均获骨性愈合。除1例外均为解剖复位。结论对有移位骨折应及时手术,解剖复位,早期功能锻炼,可以获得良好的临床效果。

Objective To observe the clinical effects of steel wire fixation in treating the avulsion fracture of the tibial intercondylar eminence. Methods From April 1999 to December 2003, 26 cases with the avulsion fracture of tibial intercondylar eminence were treated with internal fixation of steel wire via single tunnel. The steel wire was crossed cruciate ligament and the avulsion fracture, pulled out and tied outside the skin. Results Twenty-three patients were followed up for 1-18 months with a mean of 11 months. The preoperative Lysholm scores were 42.5 points at mean (range 37 to 48 points) and increased to postoperative 93 points (range 85 to 100 points). Two months after operation, radiographs demonstrated an evidence of bone union in all cases and anatomical reduction in 22 cases. Conclusion For displaced fractures, operation in time and anatomical reduction as well as early functional exercises can lead to good clinical results.