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关节镜下FiberTape线套扎法治疗胫骨髁间嵴撕脱骨折的临床研究 被引量:3
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作者 史德军 吴巍巍 +2 位作者 叶勇健 张杰彪 李之斌 《浙江创伤外科》 2020年第5期853-854,共2页
目的分析关节镜下FiberTape缝线领带结套扎法微创治疗胫骨髁间嵴撕脱骨折的效果。方法将2017年7月至2020年1月期间到本院治疗的60例胫骨髁间嵴撕脱骨折患者作为研究对象,随机分为对照组和治疗组,每组30例。其中对照组实施关节镜下复位... 目的分析关节镜下FiberTape缝线领带结套扎法微创治疗胫骨髁间嵴撕脱骨折的效果。方法将2017年7月至2020年1月期间到本院治疗的60例胫骨髁间嵴撕脱骨折患者作为研究对象,随机分为对照组和治疗组,每组30例。其中对照组实施关节镜下复位骨折块后用空心钉固定治疗,治疗组实施关节镜下FiberTape缝线领带结套扎法微创治疗。研究结束后,分析两组术后指标和膝关节功能。结果治疗组患者的术后指标优于对照组,两组对比有统计学意义(P<0.05),治疗前,两组在膝关节功能评分无明显差异,治疗后治疗组的膝关节功能评分高于对照组,对比有统计学意义(P<0.05)。结论采用关节镜下FiberTape缝线领带结套扎法为患者实施治疗可缩短患者的手术时间,住院时间,促使患者尽快康复,对于增强患者膝关节功能具有重要意义,值得推广。 展开更多
关键词 关节镜 fibertape缝线 微创治疗 前交叉韧带
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关节镜下FiberTape缝线固定治疗前交叉韧带胫骨止点撕脱骨折疗效观察 被引量:2
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作者 吴巍巍 屠春晖 +2 位作者 于艳丽 郭斌 单周通 《中国骨与关节损伤杂志》 2023年第10期1080-1081,共2页
目的观察关节镜下FiberTape缝线固定治疗前交叉韧带胫骨止点撕脱骨折的临床疗效。方法回顾性分析自2019-04—2020-04采用关节镜下FiberTape缝线固定治疗的16例前交叉韧带胫骨止点撕脱骨折,建立骨隧道,关节镜下用抓线钳置入FiberTape缝... 目的观察关节镜下FiberTape缝线固定治疗前交叉韧带胫骨止点撕脱骨折的临床疗效。方法回顾性分析自2019-04—2020-04采用关节镜下FiberTape缝线固定治疗的16例前交叉韧带胫骨止点撕脱骨折,建立骨隧道,关节镜下用抓线钳置入FiberTape缝线一端,从骨隧道经过时将一端拉入,并在胫骨隧道外口留下末端。FiberTape缝线另一端放置于关节腔,FiberTape缝线穿过前交叉韧带胫骨止点并在前方交叉,形成领带结套扎后穿过胫骨,屈伸膝关节观察韧带松弛度与骨块牢固程度,保证韧带张力合适且骨块牢固贴伏,再将FiberTape两端于胫骨表面骨隧道出口处打结固定。结果16例术后均获得随访,随访时间为6~26个月,平均17.7个月。随访期间未出现膝关节不稳、膝关节伸直受限、膝关节僵硬、内固定失效、骨折不愈合等并发症。骨折愈合时间为9~15周,平均12.1周。末次随访时前抽屉试验为阴性,Lachman试验为阴性;膝关节活动度为95°~135°,平均117.1°;膝关节功能Lysholm评分为89~100分,平均94分。结论关节镜下FiberTape缝线固定治疗前交叉韧带胫骨止点撕脱骨折可取得满意的疗效,撕脱骨块固定可靠,有利于患者早期膝关节功能锻炼,术后并发症发生率降低,值得临床推广应用。 展开更多
关键词 前交叉韧带胫骨止点撕脱骨折 关节镜 fibertape缝线 膝关节功能
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SwiveLock Bone Anchor Stabilization of the Cranial Cruciate Ligament Deficient Stifle in Dogs: Clinical Outcome
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作者 Matthew Raske Don Hulse 《Open Journal of Veterinary Medicine》 2013年第7期297-301,共5页
A number of surgical procedures have been reported for the cranial cruciate ligament (CCL) deficient stifle in dogs. The objectives of this study were to report long-term outcomes in dogs with CCL deficient stifles st... A number of surgical procedures have been reported for the cranial cruciate ligament (CCL) deficient stifle in dogs. The objectives of this study were to report long-term outcomes in dogs with CCL deficient stifles stabilized with a knotless SwiveLock bone anchor preloaded with FiberTape and to report associated complications. Medical records were reviewed to identify dogs with unilateral CCL deficient stifles treated with the SwiveLock system (n = 41) between June 2008 and January 2012. Dogs were divided into three groups according to body weight to assess differences between owner assessed functional outcomes. Complications were recorded and a validated owner questionnaire was used to evaluate long-term outcomes at least 6 months postoperatively. Owner assessment prior to and after treatment with the SwiveLock system was statistically significant for each of the categories of the validated owner questionnaire. There was no significant difference among the weight groups for any of the preoperative and postoperative treatment owner questions. Complications requiring surgical revision occurred in three (7.3%) dogs. Two had surgical site infections and one had a subsequent meniscal tear. The authors concluded that the SwiveLock system placed at near isometric sites is an effective surgical option for the treatment of dogs with CCL deficient stifles. 展开更多
关键词 Canine CRANIAL CRUCIATE LIGAMENT fibertape ISOMETRIC STABILIZATION SwiveLock
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