关节镜下复位结合克氏针交叉固定治疗胫骨髁间嵴骨折

Treatment of Tibial Intercondylar Ridge Fracture with Arthroscopic Reduction and Kirschner Wire Cross Fixation

目的 观察关节镜下克氏针固定治疗胫骨髁间嵴骨折的疗效。方法 回顾性分析河南省骨科医院2014年7月至2019年7月收治的34例胫骨髁间嵴骨折患者的资料,对其予以关节镜下复位骨块结合克氏针固定。比较术前、术后3、6个月Lysholm评分、Lachman及前抽屉试验结果 ,X线摄片评价复位与愈合情况。结果 34例患者术后Lachman及前抽屉试验均为阴性,膝关节恢复良好,克氏针无进针、退针、断针;术后3、6、12个月Lysholm评分均较术前升高(P<0.05),术后3、6、12个月VAS评分均较术前降低(P<0.05)。所有患者均未出现并发症。结论 关节镜下复位结合克氏针治疗胫骨髁间嵴骨折,稳固可靠,有利于患者预后,有效且安全。

Objective To observe the clinical efficacy of Kirschner wire fixation under arthroscopy in the treatment of tibial intercondylar ridge fractures.Method A retrospective analysis was conducted on the clinical data of 34 patients with tibial intercondylar ridge fractures admitted to Henan Orthopedic Hospital from July 2014 to July 2019,all of whom were treated with arthroscopic reduction of bone blocks combined with Kirschner wire fixation.Compare the Lysholm score,Lachman test,and anterior drawer test results of patients before and 3 and 6 months after surgery,and evaluate the reduction and healing status through X-ray imaging.Results showed that the Lachman and anterior drawer tests were negative in all 34 patients after surgery,and the knee joint recovered well.The Kirschner wires did not enter,withdraw,or break;The Lysholm score at 3,6,and 12 months postoperatively increased compared to preoperative(P<0.05),while the VAS score at 3,6,and 12 months postoperatively decreased compared to preoperative(P<0.05).No complications occurred in all patients.Conclusion Arthroscopic reduction combined with Kirschner wire treatment for tibial intercondylar ridge fractures is stable,reliable,beneficial for patient prognosis,effective,and safe.