Self-made sharp opening teeth entrapment plate for treatment of avulsion fractures
LU Rao, LIU Jun, RUI Yong-jun, WU Yong-wei， MA Yun-hong
Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (5) : 584-587.
Self-made sharp opening teeth entrapment plate for treatment of avulsion fractures
Objective To investigate the characteristics and therapeutic efficacy of self-made sharp opening teeth entrapment plate for treatment of avulsion fractures. Methods Sixteen cases with avulsion fractures were treated with self-made sharp opening teeth entrapment plate between January 2012 and February 2015. There were 10 males and 6 females, with an age ranging from 20 to 63 years old, averaging 43.6 years old. Among all the cases, there were posterior cruciate ligament tibial avulsion fractures in 8 cases, lateral malleolus avulsion fractures in 2 cases, medial humeral epicondyle avulsion fractures in 3 cases,greater tuberosity of humerus avulsio fractures in 1 cases and olecranon avulsion fractures in 2 cases. All were fresh fractures, and the fracture type（according to Meyer method）: type I in 1 cases, type II in 6 cases and type III in 9 cases. Early postoperative rehabilitation was taken. The limb functionary recovery was evaluated according to the Lysholm knee score, Kaikkonen ankle injury scores and DASH upper limb function evaluation questionnaire, respectively. Result The incision healed by first intention, without vascular and nerve injuries. All were followed up, the follow-up time was 12~24 months , with an average 18.1 months. All fractures healed, and the healing time was 2~3 months,with an average 2.5 months. No redisplacement of fracture and loosening of internal fixation occured. At the last follow-up, the limb functionary recovery was excellent in 12 cases, good in 4 cases (the excellent and good rate was 100%). no instability of joint and other complications was noted. Conclusion Self-made sharp opening teeth entrapment plate for treatment of avulsion fractures is simple, widely indicated, and has reliable fixation and good effectiveness.
Ligament / Avulsion fracture / Sharp opening teeth entrapment plate
[1] Lysholm J, Gillguist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J]. Am J Sport Med,1982,10(3):150-154.
[2] 王良勇，李建刚，张春，等. 植入物固定后交叉韧带胫骨止点撕脱骨折：膝关节活动度及功能评价[J]. 中国组织工程研究，2015,19(24)：3793-3797.
[3] Xu Z,Chen D,Shi D,et al.Case report: Osteochondral avulsion fracture of the posteromedial bundle of the PCL in knee hyperflexion[J]. Clin Orthop Relat Res, 2012, 470(12): 3616-3623.
[4] Bali K, Prabhakar S, Saini U, et al. Open reduction and internal fixation of isolated PCL fossa avulsion fractures[J]. Knee Surg Sports Traumatol Arthrosc, 2012, 20(2):315-321.
[5] 张世明,李海丰,黄轶刚.骨折分类与功能评定[M].北京：人民军医出版社, 2008:297-344.
[6] 高彦平，陈金荣，吴宇峰，等.前交叉韧带胫骨棘止点的形态学特征及其生物力学特性研究. 中国临床解剖学杂志, 2005,23(5):532-534.
[7] Oleg Y, Philipp L. Refixation of tibial bony avulsions of the posterior cruciate ligament with a hook plate[J]. Oper Orthop Traumatol, 2010, 22(4):347-353.
[8] 贾科江，关津京，杨朝垒，等. 膝后内侧人路金属空心螺钉治疗后交叉韧带螺钉治疗后交叉韧带胫骨止点撕脱骨折的疗效分析[J].中国骨伤，2013, 26（9）：727-729.
[9] Huang W, Gong X, Priyanka S, et al. Anterior arthroscopic-assisted fixation of posterior cruciate ligament avulsion fractures[J]. Eur J Med Res, 2015, 20(1):88-93.
[10] 郑鹏，韩基雄，汪少源，等.带齿垫片螺钉治疗后交叉韧带胫骨止点撕脱骨折[J].中华创伤杂志, 2010,26（2）:130-131.
[11] 卢华定, 曾春, 董云旭, 等. 钢丝内固定治疗后交叉韧带胫骨止点撕脱骨折[J]. 中国骨伤, 2011, 24(3):195-198.
[12] 潘江, 温亮, 林源，等. 双排锚钉线桥技术固定后交叉韧带胫骨止点撕脱骨折的疗效分析[J]. 中国矫形外科杂志, 2014,22(12):1077-1080.
[13] 陈万军，宋娟，徐俊昌，等.同种骨钉内固定治疗后交叉韧带胫骨止点撕脱性骨折[J]. 中国修复重建外科杂志，2007,21（3）：313-314.
[14] Chen SY, Cheng CY, Chang SS, et al. Arthroscopic suture fixation for avulsion fractures in the tibial attachment of the posterior cruciate ligament[J]. Arthroscopy, 2012, 28(10): 1454-1463.
[15] Chen W, Tang D, Kang L. Effects of microendoscopy-assisted reduction and screw fixation through a single mini-incision on posterior cruciate ligament tibial avulsion fracture[J]. Arch Orthop Trauma Surg,2012,132(4): 429-435.
[16] 王庆, 黄华扬, 张涛, 等. 关节镜下螺钉与缝线固定前交叉韧带胫骨止点撕脱骨折的疗效比较[J].中华创伤骨科杂志, 2015,17(4):309-311.
[17] 林宏衡, 蔡桦, 梁祖建. 克氏针张力带复位技术联合锁定钢板固定治疗尺骨鹰嘴MayoⅡA型骨折[J].中国骨科临床与基础研究杂志,2015,7(5):281-284.
[18] 岳勇, 赵东风, 刘欣伟, 等. 可吸收张力带与钢丝张力带固定治疗尺骨鹰嘴骨折疗效的比较[J]. 中国骨与关节损伤杂志, 2015, 30(9):987-989.
[19] 陈群, 骆顺. 克氏针张力带及解剖钢板治疗尺骨鹰嘴骨折效果观察[J]. 健康导报：医学版, 2015,20(9):26-27.
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