Arthroscopic treatment of tibial plateau fractures: Intercondylar eminence avulsion fractures
Arthroscopic treatment of tibial plateau fractures: Intercondylar eminence avulsion fractures
复制标题
DOI：
10.1016/j.arthro.2004.09.031
复制
发表时间：
2005-01-01
影响因子：
4.7
通讯作者：
Guttmann, D
中科院分区：
文献类型：
--
作者：
Lubowitz, JH;Elson, WS;Guttmann, D
关节镜下复位内固定（ARIF）治疗胫骨髁间隆起骨折是一种新兴的技术，推荐用于移位的III型骨折，所有移位的II型骨折都应考虑采用ARIF。闭合复位后无移位的骨折需要仔细评估，以排除骨卡压。尽管有客观前后松弛的报告，但ARIF的主观结果一致极佳。早期的活动范围练习对于防止伸展丧失至关重要。与使用螺钉的ARIF相比，使用不可吸收缝线固定进行修复，当强度足以允许早期活动范围时，具有消除骨折碎片粉碎、后部神经血管损伤和需要取出硬件的风险的优势。
Arthroscopic reduction and internal fixation (ARIF) of tibial intercondylar eminence fractures is the emerging state-of-the-art. ARIF is recommended for displaced type III fractures and should be considered for all cases of displaced type II fractures. Fractures without displacement after closed reduction require careful evaluation to rule out meniscal entrapment. Subjective results of ARIF are uniformly excellent, despite reports of objective anteroposterior laxity. Early range-of-motion exercises are essential to prevent loss of extension. Repair using nonabsorbable suture fixation, when of adequate strength to allow early range-of-motion, has the advantages of eliminating the risks of comminution of the fracture fragment, posterior neurovascular injury, and need for hardware removal, compared with ARIF using screws.