带线锚钉缝合固定治疗髌骨软骨骨折的疗效

余敏; 丑克; 李雨佳

doi:10.12259/j.issn.2095-610X.S20220202

带线锚钉缝合固定治疗髌骨软骨骨折的疗效

doi: 10.12259/j.issn.2095-610X.S20220202

1.
南华大学附属长沙中心医院运动医疗科，湖南长沙　410004
2.
中南大学湘雅二医院骨科，湖南长沙　410011

基金项目: 湖南省卫生健康委科研基金资助项目（20201318）

详细信息

作者简介:
余敏（1979～），男，湖南长沙人，博士，副主任医师，研究方向：骨关节疾病及运动损伤

中图分类号: R684.7
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出版历程
- 收稿日期: 2021-07-09
- 网络出版日期: 2022-01-25
- 刊出日期: 2022-03-04

Effect of Repairing Patellar Cartilage Fracture with Suture Anchor

1.
Sports Medicine Department，The Affiliated Changsha Central Hospital，University of South China，Changsha Hunan 410004
2.
Dept . of Orthopaedics，The Second Xiangya Hospital of Central South University，Changsha Hunan 410011，China

摘要

摘要: 目的研究带线锚钉固定修复髌骨软骨骨折的临床效果。方法选取2016年7月至2018年6月髌骨软骨骨折病例50例，其中男18例，女32例，年龄17～28岁，均为外伤致急性髌骨外侧脱位伴髌骨软骨骨折，术前Lysholm评分为（63.8±7.2），VAS评分为（8±1.7）。均采取带线锚钉缝合固定方法修复髌骨软骨骨折。结果术后所有患者伤口愈合良好，无膝关节肿胀及积液，髌骨软骨愈合良好，锚钉无松动、脱出，软骨块无移位。除3例患者术后6周时股四头肌轻度萎缩，肌肉力量恢复欠佳，其他患者下肢肌肉力量均恢复良好。Lysholm评分（87.3±4.1），VAS评分（2±2.3 ），均较术前明显改善（P < 0.05）。结论采取带线锚钉缝合固定髌骨软骨骨折，手术操作简单，能有效固定软骨骨折，避免刺激髌前滑囊，有其独特优势。
- 髌骨软骨 /
- 骨折 /
- 带线锚钉
Abstract: Objective To study the effect of repairing patellar cartilage fracture with the suture anchor. Methods Between July 2016 and June 2018, 50 patients with patellar cartilage fracture were chosen, 18 male and 32 female, age 17 to 28. All of them were acute lateral dislocation of patella with fracture of patellar cartilage caused by trauma. Lysholm score is （63.8±7.2）, VAS score is （ 8±1.7）. All of the patellar cartilage fracture was repaired by suture anchor. Results All patients’wound healed well after operation, no swelling and effusion of knee joint, patellar cartilage healed well, no loosening of anchor, no displacement of cartilage fragments. Except for 3 patients with mild atrophy of quadriceps and poor recovery of muscle strength at 6 weeks after operation, the other patients’muscle strength recovered well. Lysholm score is （87.3±4.1）, VAS score is （ 2±2.3）, which were significantly improved compared with those before operation. Conclusion The operation technique which is fixation of patellar cartilage fracture with suture anchor is simple, can effectively fix cartilage fracture and avoid stimulating anterior patellar bursa, which has its unique advantages.
- Patellar cartilage /
- Fracture /
- Suture anchor

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图 1 关节镜下观察

a:关节镜下观察：关节镜下髌骨软骨骨折情况； b:修复前大体情况：髌骨软骨缺损区局部清创及软骨骨折块； c:修复后：带线锚钉缝合固定软骨骨折； d:修复后关节镜下复位情况。

Figure 1. Arthroscopic observation

下载: 全尺寸图片幻灯片

图 2 术后复查

a：术后复查：术后正侧位X线； b：术后复查：术后CT。

Figure 2. Postoperative re-examination

下载: 全尺寸图片幻灯片

表 1 术前及术后Lysholm评分及VAS评分[（$\bar x \pm s $），分]

Table 1. Preoperative and postoperative Lysholm score and VAS score [（$\bar x \pm s $），score]

组别 Lysholm评分 VAS评分

术前 63.8 ± 6.2 8 ± 1.7
术后 87.3 ± 4.5 2 ± 2.1
P 0.01 0.03

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