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[1]王慶東,李付彬,徐向峰,等.關(guān)節(jié)鏡下可吸收螺釘內(nèi)固定治療兒童脛骨髁間嵴骨折[J].中醫(yī)正骨,2015,27(12):52-54.
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關(guān)節(jié)鏡下可吸收螺釘內(nèi)固定治療兒童脛骨髁間嵴骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年12期
頁碼:
52-54
欄目:
臨床報(bào)道
出版日期:
2015-12-30

文章信息/Info

作者:
王慶東李付彬徐向峰李杰峰康樂金艷南彭高峰
漯河醫(yī)學(xué)高等專科學(xué)校第二附屬醫(yī)院,河南 漯河 462300
關(guān)鍵詞:
脛骨骨折 關(guān)節(jié)鏡檢查 髁間嵴骨折 兒童
摘要:
目的:觀察關(guān)節(jié)鏡下可吸收螺釘內(nèi)固定治療兒童脛骨髁間嵴骨折的臨床療效及安全性。方法:2005年1月至2014年6月,采用關(guān)節(jié)鏡下可吸收螺釘內(nèi)固定治療兒童脛骨髁間嵴骨折患者7例,男5例、女2例。年齡6~13歲,中位數(shù)11歲。左側(cè)4例,右側(cè)3例。合并內(nèi)側(cè)半月板后角損傷1例、內(nèi)側(cè)副韌帶損傷1例。按照脛骨髁間嵴骨折的Meyers-McKeever-Zaricnyi分類,Ⅱ型2例、Ⅲ型5例。受傷至手術(shù)時(shí)間2~7 d,中位數(shù)5 d。術(shù)后隨訪觀察患者骨折愈合、關(guān)節(jié)功能恢復(fù)及并發(fā)癥發(fā)生情況。結(jié)果:手術(shù)時(shí)間45~60 min,中位數(shù)49 min。所有患者均獲隨訪,隨訪時(shí)間6~16個(gè)月,中位數(shù)8個(gè)月。骨折均愈合,愈合時(shí)間3~5個(gè)月,中位數(shù)4個(gè)月。均未出現(xiàn)感染、骨折端移位、股骨髁間窩撞擊綜合征、創(chuàng)傷性關(guān)節(jié)炎等并發(fā)癥。Lachman試驗(yàn)、前抽屜試驗(yàn)及軸移試驗(yàn)均陰性,膝關(guān)節(jié)活動(dòng)功能良好。治療前Lysholm膝關(guān)節(jié)功能評(píng)分為(7.4±3.5)分、治療后為(94.5±3.2)分。結(jié)論:關(guān)節(jié)鏡下可吸收螺釘內(nèi)固定治療兒童脛骨髁間嵴骨折,具有固定可靠、骨折愈合好、并發(fā)癥少等優(yōu)點(diǎn),有助于促進(jìn)膝關(guān)節(jié)功能恢復(fù)。

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備注/Memo

備注/Memo:
2015-10-09收稿 2015-11-15修回
更新日期/Last Update: 2015-12-30