后交叉韧带胫骨止点撕脱骨折的早期诊断与手术治疗.docx

348THEJOURNALOFBONEANDJOINTINJURYVol.17.NO.5.Sep.2002

后交叉韧带胫骨止点撕脱骨折的早期诊断与手术治疗

黄长明*陈勇*颜志平**张新合*王建雄*沈瑞群*吴贵华**

摘要目的探讨后交叉韧带胫骨止点撕脱骨折的早期诊断与手术治疗。治18例后交叉韧带胫骨止点撕脱骨折的诊断与治疗情况。训练伤1例，车性骨折2例。10例行三维CT重建检查。18例手术均用腓肠肌内侧斜切口6例。结果18例均得到随访，时间6个月~2年，平均1.8年。优10例利于后交叉韧带胫骨止点撕脱骨折早期诊断；腓肠肌内侧斜切口有利于该：关键词后交叉韧带；骨折；三维CT重建

2001年10月共收骨折16例，陈旧,钢丝2例，螺钉三维CT重建有

EarlyDiagnosisandSurgicalTreatmentforTibialAvulsionFracturewiththePosteriorCruciateLigament

HuangChangming,ChenYong,YanZhiping,etal.DepartmentofOrthopaedics,The174thHospitalofPLA,Xiamen

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AbstractObjectiveToexploretheearlydiagnosisandsurgicaltreatmentfortibialavulsionfracturewiththeposteriorcruciateliga-ment.MethodsEightencasesoftibialavulsionfracturewiththeposteriorcuciateligamentwerereviewedduringthetimefromJau-nary,1995toOctober,2001.Sixteenpatientshadfreshinjuries.Thecausesoftheinjuriesweremotoreyclecrashesfor16cases.TencasesoftibialavulsionfracturewiththeposteriorcruciateligamentwereexaminedproperativelyunderCTscanandthree-dimensionalcomputedtomographreconstruction(3-DCT).Eighteencasesoperationusedmedial-obliqueincisionwithgastrocnemiusmuscle.Re-sultsFollow-uptimerangedfrom6monthsto2years(average,1.8years).Thekneefunctionexcellentwere10cases,better6cases,fair2cases.Conclusion3-DCTplaysanimportantroleinearlydiagnosisoftibialavulsionfracturewiththeposteriorcruciateigamentandtheincisionofmedial-obliqueincisionwithgastrocnemiusmusclemaybethebestchoiceofsurgicalapproaches.

KeywordsPosteriorcruciateligament;Fracture;Tom