关节镜下不同固定方法治疗胫骨髁间嵴骨折的临床对比研究

Comparative Study of Treating Tibial Eminence Fracture in Different Fixation Methods on Arthroscopic

目的:对比关节镜下缝合法和钢丝固定治疗胫骨髁间嵴骨折的临床效果。方法:收集我院2012年1月至2014年12月年收治的87例胫骨髁间嵴骨折患者根据手术固定方法:不同分为A组(40例)组(37例),其中A组患者使用缝线法固定组患者使用钢丝固定,分别于术后3、6、12个月后随访患者影像学资料观察两组患者骨折骨折复位愈合情况,包括愈合时间、膝关节功能进行评估关节屈伸活动度,手术时间以及并发症发生情况等。结果:术前Lysholm评分组间差异无统计学意义(P>0.05),术后3个月术Lysholm评分组间差异亦无统计学意义(P>0.05),术后6、12个月差异具有统计学意义(P<0.05);两组术后Lysholm评分与术前相比均逐渐升高差异具有统计学意义(P<0.05);两组手术时间差异无统计学意义(P>0.05),术后随访第12个月两组患者膝关节屈伸活动度比较A组患者显著优于B组患者A组愈合时间短于B组差异均具有统计学意义(P<0.05)。结论:使用关节镜下缝合线固定治疗胫骨髁间嵴骨折具有创伤小、操作简便、固定稳固、利于关节早期的康复,可推广使用。

Objective：To investigate the effective of treating tibial eminence fracture in suture andwire fixation on arthroscopic.Methods：87 patients of tibial eminence fracture cases collected from Jun 2012 to Dec 2013 in our hospital,which were divided into group A（n=40）,group（37 cases）B according ways of fixation,which group A was given suture fixation,and group B wire fixation,observing reset condition after 3,6,12 months,including healing time,assess knee function,range of motion of the knee,surgery time and complications.Results：Preoperative and postoperative 3 months between Lysholm score was no significant difference（P〉0.05）,6and 12 months the difference was statistically significant（P〈0.05）;The two groups of Lysholm score were gradually increased in preoperative,comparative with postoperative,and the difference was statistically significant（P〈0.05）;Operative time had no significant difference in two groups（P〉0.05）,and patients knee a range of motion of the comparative group of patients was significantly better than group B（P〈0.05）,and healing time of A group shorter than group B group（P〈0.05）.Conclusion：Arthroscopic suture fixation between the tibial eminence fracture with less frauma,simple,fixed solid,beneficial joint early rehabilitation,can be widely used.