胫骨隆突骨折13例手术治疗分析

Experience on Tibial Eminence Fracture with Opening Reduction and Internal Fixation

目的:探讨胫骨隆突骨折的治疗方法,总结13例胫骨隆突骨折切开复位内固定的手术体会。方法:13例Ⅱ型以上胫骨隆突骨折的患者接受了切开复位内固定的治疗,手术切口为膝前内侧切口的下半段,内固定物为粗的不可吸收缝线或直径1 mm的钢丝。结果:所有骨折均愈合,膝关节均恢复正常的稳定,术后膝关节平均活动度为0°(伸)～120°(屈)。结论:Ⅱ型以上骨折应积极地进行骨折的复位和内固定。

Objective:To explore the methods of treating tibial eminence fracture and to collect the experience of opening reduction and internal fixation to treat tibial eminence fracture. Methods: Thirteen cases (3 patients with type-Ⅱ fracture, 8 with type-Ⅲ, 2 with type-Ⅳ) were treated by operation. The incision of the distal part of the anteromedial parapatellar was used. The material for internal fixation was a stainless steel-wire(diameter 1 mm) or a nonabsorbable suture. Results: All fractures were healed. The stability of knees in all cases was recovered. The average motion degree was from 0° (extension)to 120° (flexion). Conclusion:Type-Ⅱ tibial eminence fracture or those more serious fractures shoud be treated by reduction and internal fixation.