摘要
目的探讨膝关节损伤中Segond骨折合并伤的诊治及Segond骨折的临床价值。方法 2010年9月-2014年9月收治24例Segond骨折患者,经核磁共振检查及关节镜下直视18例合并前交叉韧带（Anterior cruciate ligament,ACL）损伤,4例合并内侧副韧带（Medial collateral ligament,MCL）断裂,4例合并外侧副韧带（1ateral collateral ligament,LCL）断裂,8例合并内侧半月板撕裂（Medial meniscus tear）,10例合并外侧半月板撕裂（Lateral meniscus tear）。分别根据不同的损伤予以处理,术前术后采用Lysholm膝关节功能评分评估患膝功能。结果所有患者均获得随访1年,根据Lysholm膝关节功能评分术前术后评分有明显差异。总体取得了较好的临床效果。结论 Segond骨折多存在合并伤,对于ACL损伤具有强有力的提示作用,应根据损伤的情况选择不同的外科处理方法,同期处理合并伤可获得良好的临床效果。
Objective To investigate the diagnosis and treatment of Segond fracture＇s coexistent injuries in knee joint injury and its value in clinical application.Methods From September 2010 to September 2014, Nuclear Magnetic Resonance and Arthroscopic exploration were performed in 24 patients with Segond fracture.18 patients were associated with anterior cruciate ligament（ACL） ruptures, 4 with medial collateral ligament（MCL）, 4 with Lateral collateral ligament（LCL）breakage,8 with medial meniscus tear and 10 with lateral meniscus tear. Personalized treatment should be chosen according to coexistent injuries. All the patients underwent the Lysholm score before and after operation. Results All patients were followed up for 12 months. According to Lysholm scoring system, there were statistical differences preoperative and postoperative. The clinical outcome were satisfactory. Conclusion Patients with a Segond fracture combined with a tibial plateau fracture have a high risk of avulsion fracture of the ACL. It is strongly predictive for ACL injury. Different surgical handing methods were choosed in accordance with status of damage, favourable clinical results can be required if the coexistent injuries were dealed with in the same period.
出处
《生物骨科材料与临床研究》
CAS
2016年第3期21-23,I0003,共4页
Orthopaedic Biomechanics Materials and Clinical Study
