切开复位内固定治疗胫骨附着处后交叉韧带撕脱骨折的疗效

Shouryashil V Khambalkar, Tanish C. Patil, Jaydeep K. Patil, Kapil R. Ghorpade, Nagesh Naik
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引用次数: 0

摘要

目的:分析胫骨附着体切开复位内固定治疗后交叉韧带撕脱骨折的临床和功能效果。方法:本观察性研究在某三级专科医学院骨科进行。40例成年PCL撕脱性骨折患者根据预先确定的纳入和排除标准纳入本研究。所有患者均行切开复位内固定治疗。患者随访1年。使用Lysholm量表和膝关节社会评分来评估功能预后。p值小于0.05被认为具有统计学意义。结果:总体而言,34名(75%)男性和6名(15%)女性参与了本研究,M: F比为1:0.17。患者的平均年龄为37.3±7.34岁。40例患者中,道路交通事故致骨折29例(72.50%),运动相关损伤7例(17.50%)。Lysholm and Knee Society评分从就诊到最后随访期间有显著改善(P<0.0001)。抽屉试验结果表明,仅有1例(2.5%)患者出现残余关节不稳定。结论:经切开复位内固定治疗后交叉韧带撕脱骨折在功能方面效果良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcome of Posterior Cruciate Ligament Avulsion Fractures from Tibial Attachment Treated by Open Reduction and Internal Fixation
Objectives: To analyze the clinical and functional outcomes of posterior cruciate ligament avulsion fractures treated by open reduction and internal fixation from tibial attachment.Methods: This observational study was conducted at the orthopedics department of a tertiary care medical college. Forty adult patients with PCL avulsion fractures were included in this study based on predefined inclusion and exclusion criteria. All patients were treated by open reduction and internal fixation. Patients were followed up for one year. The Lysholm scale and knee society score were used to assess functional outcomes. A p-value less than 0.05 was considered to be statistically significant.Results: Overall, 34 (75 %) males and 6 (15%) females participated in this study with an M: F ratio of 1:0.17. The mean age of affected patients was 37.3 +/- 7.34 years. Out of 40 patients, 29 (72.50%) patients sustained fractures secondary to road traffic accidents, while 7 (17.50%) had sports-related injuries. There was a highly significant improvement in the Lysholm and Knee Society scores from the time of presentation to the final follow-up (P<0.0001). Only 1 (2.5%) patient developed residual joint instability as evidenced by the drawer test result.Conclusion: Patients with posterior cruciate ligament avulsion fracture treated by Open reduction and internal fixation were found to have excellent results in terms of functional outcomes.
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