关节镜辅助下钢丝固定治疗胫骨髁间棘撕脱骨折

目的:探讨关节镜辅助下钢丝固定治疗胫骨髁间棘撕脱骨折的临床疗效与使用价值。方法:对19例Meyers Mc-keeverⅡ、Ⅲ、Ⅳ的胫骨髁间棘撕脱骨折患者施行关节镜辅助下复位及钢丝内固定治疗,术程顺利,术后外固定伸膝位4～6周,指导下康复训练。结果:本组患者术后均恢复良好,骨折如期愈合,术后3个月所有患者膝关节Lysholm评分平均93.4±2.6分。结论:关节镜辅助下钢丝固定治疗胫骨髁间棘撕脱骨折,具开放手术无可比拟的优越性,疗效满意,为此类骨折理想的治疗方法。

Objective： Discuss clinical curative effect and the use value of arthroscopy auxiliary wire with fixed treatment between the tibia condyle spines avulsed fracture. Methods： On 19 cases of the tibia condyle Meyers Mekeever between patients with fracture of the avulsed arthroscopy and the assistant and steel wire internal fixation for reduction ; Art process smoothly, and postoperative external fixation knee extensor a 4 to 6 weeks, under the guidance of the rehabilitation training. Results： Patients healtheare in this group are satisfactory and all of them recover well after operation, Fracture healed as scheduled. The knees Lysholm of all the patients scored average （ 93.4 2. 6 ） points after 3 months. Conclusion：Arthroscopy auxiliary wire with fixed treatment between the tibia condyle spines avulsed fracture, has open surgery incomparable advantages, and the results were satisfactory, which is an ideal treatment method for such fracture.