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膝关节Inlay小切口入路空心螺钉内固定治疗后交叉韧带胫骨止点撕脱骨折 被引量:2

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摘要 目的观察膝关节Inlay小切口入路切开复位空心螺钉内固定治疗后交叉韧带(PCL)胫骨止点撕脱骨折的临床疗效。方法回顾分析2013年9月至2021年2月在我科采用膝关节Inlay小切口手术治疗的PCL胫骨止点撕脱骨折21例,均行切开复位空心螺纹钉内固定。所有患者在末次随访时均行影像学检查评估骨折复位、固定效果以及愈合情况,并采用Rasmussen评分系统评价膝关节功能恢复情况。结果21例均获得随访,随访时间6~24个月,中位时间15个月。骨折均愈合且无切口感染、下肢深静脉血栓形成、骨折再移位及内固定物松动等并发症。末次随访时膝关节伸直0°,屈曲120°~145°,平均126°。Rasmussen评分:优14例,良7例。结论采用膝关节Inlay小切口入路切开复位空心螺钉内固定治疗PCL胫骨止点撕脱骨折疗效确切,具有创伤小、操作简单、入路显露充分、空心螺钉固定可靠、学习曲线短等优点。
出处 《江西医药》 CAS 2023年第3期301-302,305,共3页 Jiangxi Medical Journal
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