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目的:观察关节镜辅助下行骨折复位、应用不可吸收缝线固定治疗儿童陈旧性胫骨髁间前棘骨折术后膝关节功能恢复情况并评价其临床疗效。方法:对我院在2013年1月~2016年1月在关节镜下复位、应用2#爱惜邦不可吸收缝线固定治疗的15例陈旧性胫骨髁间前棘骨折患儿临床资料进行回顾性研究,手术时患儿年龄为6~15岁,男10例,女5例;右膝9例,左膝6例。记录所有患儿术前、术后3个月的症状、体征、关节活动度及X线片检查结果,并对其膝关节功能予Lysholm膝关节评分和国际膝关节文献委员会(IKDC)评分。结果:15例患儿术后均获11.67±4.27个月随访。术后3个月复查X线提示均为骨性愈合,患膝关节活动度恢复满意。术后3个月Lysholm评分(95.8±3.34)、IKDC评分(92.08±2.04)值与术前Lysholm评分(52.12±5.77)(t=-28.62,P<0.01)、IKDC评分(47.33±4.29)(t=-39.01,P<0.01)相比显著提高。结论:关节镜辅助下行骨折复位、应用不可吸收缝线固定治疗儿童陈旧性胫骨髁间前棘骨折能获得较好的疗效。
OBJECTIVE: To observe the arthroscopy-assisted descending fractures reduction and to apply nonabsorbable suture fixation to treat functional recovery of knee joint in children with old tibial intercondylar fractures and to evaluate its clinical efficacy. Methods: The clinical data of 15 old tibial intercondylar fractures in our hospital from January 2013 to January 2016 were retrospectively analyzed with arthroscopy. The clinical data of 2 cases of non-absorbable suture fixation with non-absorbable suture were retrospectively analyzed Study, surgery, children aged 6 to 15 years old, 10 males and 5 females; right knee in 9 cases, left knee in 6 cases. The symptoms, signs, joint activities and X-ray examination results of all children before and 3 months after operation were recorded. The knee function of Lysholm knee and IKDC were also evaluated. Results: All the 15 children were followed up for 11.67 ± 4.27 months. The 3-month review of X-ray showed that the bony union was healing and the degree of knee joint activity recovery was satisfactory. The Lysholm score (95.8 ± 3.34), IKDC score (92.08 ± 2.04) and Lysholm score (52.12 ± 5.77) (t = -28.62, P <0.01) and IKDC score (47.33 ± 4.29) t = -39.01, P <0.01). CONCLUSIONS: Arthroscopy assisted in the reduction of fractures and the use of nonabsorbable sutures for the treatment of children with old tibial intercondylar anterior fractures can achieve good results.