关节镜下空心螺钉与缝线内固定治疗胫骨課间棘骨折陈维东(盐城市第三人民医院骨科、江苏省盐城市224001)文草壳点:比较关节镜下应用空心螺钉(门二25)与缝线(n=21)内固定治疗胫骨傑间棘骨折的效果，得出空心螺钉治疗胫骨髒间棘骨折比缝线有利于胫骨傑间棘骨折恢复的结论,提供临床同仁借鉴。关键词：骨关节植入物；骨科杭入物；关节镜；胫骨餘间棘骨折；空心螺钉；缝线；内固定；Lysholm评分：疗效主题词：骨折；关节镜；内固定器；缝线；骨钉陈维东，副主任医师、主要从爭骨科方而的研究。weidong666@126.com中图分类号:R348摘要文献标识码:A文葷编号:209&4344背景：胫骨撫间棘骨折临床ri前多川关节镜卜于术治疗，但其尚定方法ri前尚有争议。(2013)52-09017.06目的：比较关节镜卜应川空心螺钉与缝线内固定治疗胫骨侏间棘骨折的临床疗效。方法：收集盐城市第三人民医院自2010年6月至2013年1月收治的46例胫骨髒间棘骨折患者,根据患者意愿及医师建议分为空心螺钉组(n=25)和缝线组(n=21),分别在关节镜卜行空心螺钉与缝线内固定。修同FI期:2013-11-15(201309002/YJ•Y)结果与结论：空心螺钉组与缝线组胫骨髒间棘骨折患者固定后Ikeuchi膝关节评分优良率茅异无显著性意义(P>0.05),但空心螺钉组患者固定后功能训练时间明显比缝线组短(P<0.05)。提示关节镜下空心螺钉治疗胫骨髒间棘骨折比缝线有利于胫骨髒间棘骨折患者的恢复。HollowscrewandsuturefixationfortreatmentoftibialintercondylareminencefracturesunderarthroscopyChenWei-dong(DepartmentofOrthopedics,theThirdPeople'sHospitalofYancheng,Yancheng224001,JiangsuProvinee,China)AbstractBACKGROUND:Intercondylareminencefracturesofthetibiaareoftentreatedbyarthroscopicsurgery,butthefixationmethodsarecontroversial.OBJECTIVE:Tocomparecurativeeffectofhollowscrewandsuturefixationintreatmentoftibialintercondylareminencefracturesunderarthroscopy.METHODS:Atotalof46patientswithtibialintercondylareminencefractureswererecruitedfromtheThirdPeople'sHospitalofYancheng,ChinafromJune2010toJanuary2013.Accordingtothepatient'swillingandphysician'ssuggest!ons,theinvolvedpatientsweredividedintohollowscrewgroup(n=25)andsuturefixationgroup(n=21),undergoinghollowscrewandsuturefixationunderarthroscopy,respective!y.RESULTSANDCONCLUSION:AccordingtoIkeuchigrade,theexcellentandgoodrateafterfixationshowednosignificantdifferencesbetweenthetwogroups(P>0.05),butthefunctionaltrainingtimeinhollowscrewgroupwassignificantlyshorterthanthatinsuturefixationgroup(P<0.05).Hollowscrewtreatmentunderthearthroscopyisbetterthansuturefixationintreatmentofintercondylareminencefracturesofthetibia.Subjectheadings:fracture;arthroscopy;internalfixator;suture;bonenailsChenVVD.Hollowscrewandsuturefixationfortreatmentoftibialintercondylareminencefracturesunderarthroscopy.ZhongguoZuzhiGongchengYanjiu.2013;17(52):9017-9022.ChenWei-dong,Associatechiefphysician,DepartmentofOrthopedics,theThirdPeople'sHospitalofYancheng,Yancheng224001,』angsuProvince,Chinaweidong666@126.comAccepted:2013-11-150弓I言Introduction胫骨礫间棘骨折是一种膝关节多发性骨折，属关节内骨折，多见于儿童运动损伤或者成人机械性损伤【1呵,发病率较高，占前交叉韧带损伤的14%(10-19lo胫骨牒间棘骨折患者常发生牒间棘骨折撕脱的骨折块上移至牒间肉，且骨折上移明显时顶挤牒间出现顶部撞击，除彩响膝关节伸直外，还会导致前交叉韧带松弛，关节稳定性差等问题［20'21,o骨折后前交叉韧带功能丧失，外侧半月板前角损伤，膝关节的稳定性受到严巫影响，前交叉韧带松弛，会出现前交叉韧带缺失的症状，需手术进行治疗来恢复膝关节功能。如没仃准确及时的给予处理，患者还可能会出现创伤性关节炎。临床目前多川关节镜下手术治疗胫骨牒间棘骨折，其疗效确切【址231。关节镜下治疗胫骨牒间棘撕脱骨折...