双带线锚钉治疗青少年胫骨结节处急性髌腱断裂的临床疗效分析
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延边大学附属医院

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Clinical efficacy analysis of treatment of tibial tubercle acute patellar tendon ruptures in adolescence with double suture anchors
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Yanbian University Hospital

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    摘要:

    [目的]探讨双带线锚钉治疗青少年胫骨结节处急性髌腱断裂的临床疗效。[方法]选取2015年6月至2018年6月延边大学附属医院收治的11例胫骨结节处急性髌腱断裂的青少年患者作为研究对象,其中男性8例,女性3例;年龄范围为13~17岁,平均(15.3±2.1)岁。手术采用双带线锚钉修复固定断裂的髌腱。术后定期门诊随访,指导功能锻炼。回顾性分析患者术前、术后1、3、6、12个月的膝关节Lysholm评分及影像学Insall-Salvati指数,评价术后膝关节功能恢复情况。[结果]所有患者均获随访12~20个月,平均15.8个月。术后均无感染、切口不愈合、锚钉松动、脱出或髌腱再次断裂等并发症发生。患侧膝关节Lysholm评分术前为差,术后1和3个月为良,术后6和12个月均为优。患侧膝关节Insall-Salvati指数术前高于健侧(P<0.05),但术后1、3、6、12个月患侧与健侧膝关节无统计学差异(P>0.05)。[结论]采用双带线锚钉治疗青少年胫骨结节处急性髌腱断裂,具有方法简单,修复可靠,能早期康复训练等优点,可以获得满意的临床疗效。

    Abstract:

    [Objective] To investigate the clinical efficacy of treatment of tibial tubercle acute patellar tendon ruptures in adolescence with double suture anchors. [Methods] The 11 patients with tibial tubercle acute patellar tendon ruptures in adolescence treated by Affiliated Hospital of Yanbian University were selected as the research objects from june 2015 to june 2018.There were 8 males and 3 females.Age range13~17 years, with an average age of 15.3±2.1 years.Using double suture anchors to repair and fix patellar tendon ruptures on operation.Regular postoperative outpatient follow-up was conducted to guide functional exercise.The knee joints Lysholm scores and the radiological Insall-Salvati index were retrospectively analyzed before operation and at 1,3,6 and 12 months after operation, and the recovery of knee function after surgery was also evaluated. [Results] All patients were followed up for 12~20 months, averaging 15.8 months. There was not complication observed such as infection, incision nonhealing, loose anchor, prolapse anchor or secondary crack of the patellar tendon.The Lysholm scores of the affected side knee joints were poor before operation, good at 1 and 3 months after operation, and excellent at 6 and 12 months after operation.The Insall-Salvati index of the affected side knee joints were higher than that of the unaffected knee joints before operation(P<0.05).However,there were no significant difference between the affected side and the unaffected side knee joints at 1,3,6 and 12 months after operation(P>0.05).[Conclusion] Using double suture anchors to treat tibial tubercle acute patellar tendon ruptures in adolescence has the advantages of simple method, reliable repair, early rehabilitation training, may achieve satisfactory clinical efficacy.

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  • 收稿日期:2019-12-29
  • 最后修改日期:2020-01-12
  • 录用日期:2020-03-09
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