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首页> 外文期刊>中华创伤杂志（英文版） >A novel arthroscopic procedure for fixation of avulsion fracture of tibial attachment of anterior cruciate ligament guided by meniscal stitching needle
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A novel arthroscopic procedure for fixation of avulsion fracture of tibial attachment of anterior cruciate ligament guided by meniscal stitching needle

机译：一种新的关节镜下半月板缝合针引导固定前交叉韧带胫骨附件撕脱性骨折

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摘要

Objective: To introduce a novel technique in which meniscal stitching needle is used as a puller to induct steel wire to secure the tibial eminence avulsion under arthroscopic visualization, and evaluate the clinical results.Methods : From 1999 to 2005, fifteen cases of tibial eminence avulsion were treated with this new technique. Lysholm scoring scale system was used to assess knee function before and after surgery. Regular plain anteroposterior and lateral X-ray films were undertaken to detect the bony healing of avulsed fragment.Results: The operating time could be controlled within 30 minutes. No complications such as intraarticular infection, iatrogenic injury, fibroarthritis or nonunion of fracture occurred in this group. X-ray film revealed that bony healing in all 15 cases was achieved from 6 weeks to 12 weeks postoperatively. Lysholm score was improved from 19.1±15.2 (ranging from 10 to 56) preoperatively to 97.5 ±3.7 (ranging from 91 to 100) postoperatively on average in 12-54 months follow up ( mean 23 months). The statistically significant difference was shown in Student's t test (t = 18. 483, P = 3. 100 × 10 -11 , P ＜ 0. 01). Wire breakage was found in two patients whose wires were removed 8 months and 14 months after initial operation, respectively.Conclusion : This technique has many advantages, such as simplicity, wide indications from type Ⅱ to type Ⅳ fractures, minimal invasion, short operating time and predictable satisfactory results.
机译：目的：介绍一种新技术，以半月板缝合针作为牵拉器，在关节镜下引导钢丝固定胫骨隆起撕脱，并评价其临床效果。方法：1999〜2005年，收治15例胫骨隆起撕脱。接受了这项新技术的治疗。 Lysholm评分系统用于评估手术前后的膝盖功能。常规X线平片及前后X线片检查撕脱性骨的骨愈合情况。结果：手术时间控制在30分钟以内。该组未发生诸如关节内感染，医源性损伤，纤维性关节炎或骨折不愈合等并发症。 X射线胶片显示，所有15例患者的骨愈合均在术后6周至12周实现。术后12-54个月（平均23个月），Lysholm评分从术前的19.1±15.2（从10到56）提高到术后的97.5±3.7（从91到100）平均。统计显着性差异显示在学生的t检验中（t =18。483，P =3。100×10 -11，P ＜0. 01）。两名患者分别在初次手术后8个月和14个月时摘除导线，发现钢丝断裂。结论：该技术具有许多优点，例如操作简便，从Ⅱ型到Ⅳ型骨折的适应症广泛，侵入最小，手术时间短和可预期的令人满意的结果。

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  • 来源
    《中华创伤杂志（英文版）》 |2008年第1期|18-21|共4页
  • 作者

    ZHANG Chun-li; XU Hu; FAN Hong-bin; MENG Cheng-fei; CHEN Hui; CAO Shi-lei;

  • 作者单位

    Department of Orthopedics, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China;

    Department of Orthopedics, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China;

    Department of Orthopedics, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China;

    Department of Orthopedics, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China;

    Department of Orthopedics, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China;

    Department of Orthopedics, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China;

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  • 原文格式 PDF
  • 正文语种 chi
  • 中图分类 外科学;
  • 关键词

    Avulsion fracture; Anterior cruciate ligament; Needles; Bone wires; Arthroscopy;

    机译：撕脱性骨折;前交叉韧带;针;骨线;关节镜;
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