关节镜下可吸收螺钉内固定治疗胫骨髁间嵴骨折

Clinical Efficacy of Arthroscopic Absorbable Screw Fixation in the Treatment of Tibial Intercondylar Eminence Fracture

目的:探讨关节镜下复位、可吸收螺钉内固定治疗胫骨髁间嵴骨折的临床效果.方法:采用关节镜下可吸收螺钉内固定治疗胫骨髁间嵴骨折12例,Meyers-MckeeverⅡ型4例、Ⅲa型7例、Ⅲb型1例.结果:12例患者术后复查X线片示骨折复位对位对线良好.随访6～15个月,本组12例患者膝关节功能均恢复正常.结论:关节镜下可吸收螺钉治疗胫骨髁间嵴骨折创伤小、方法简便、易行,骨折固定可靠,并有助于关节内其他合并伤的诊断和处理,可早期行膝关节功能锻炼,有利于关节功能恢复,而且可吸收螺钉内固定免除了二次行取内固定手术创伤,值得临床应用.

Objective： To investigate the clinical efficacy of arthroscopic reset and absorbable screw internal fixation in the treatment of tibial intercondylar eminence fracture. Methods： 12 cases of tibial intercondylar eminence fracture were treated with arthroscopic absorbable screw fixation, in which 4 cases were Meyers-Mckeever II; 7 cases were Ilia; 1 case was IIIb. Results： The X-ray reexamination showed all the 12 patients＇ fracture reduction were good, and all patiens＇ knee joint function recovered to normal in 6 to 15 months follow-up. Conclusion： It is simple, easy and reli- able to treat tibial intercondylar eminence fracture with arthroscopic absorbable screw, and can contribute to the diag- nosis and treatment of other associated injuries in the joints, can early do fimctional exercise to help restore joint func- tion. Furthermore, this technique do not need the second operation to take off the screw, so it is worthy of clinical appli- cation.