关节镜下治疗儿童胫骨髁间棘骨折的研究进展
Research Progress of Arthroscopic Treatment for Tibial Intercondylar Eminence Fractures in Children
DOI: 10.12677/ACM.2020.1012484, PDF,   
作者: 李振宇*, 张泽坤：济宁医学院临床医学院，山东 济宁；秦国岳, 段国庆#：济宁医学院附属医院，山东 济宁
关键词: 髁间棘；骨折；儿童；关节镜；Intercondylar Eminence； Fracture； Children； Arthroscopy
摘要: 胫骨髁间棘骨折是临床中相对少见一种关节内骨折，也是前交叉韧带损伤的特殊类型，青少年多见，常见于运动和意外事故，可分为4种类型。I型和无移位的II型骨折一般选择保守治疗，而III型及IV型骨折往往需要手术治疗，成人的髁间棘骨折治疗已趋于成熟，可以选择钢丝、缝线、克氏针、可吸收螺钉等固定物，儿童由于骨骺尚未发育成熟，膝关节解剖和生理特性也与成人有所区别，治疗方式及固定物的选择上与成人有所不同。本文就近年来关节镜下儿童髁间棘骨折的治疗进行综述。
Abstract: Tibial intercondylar spine fracture is a relatively rare intra-articular fracture and a special type of anterior cruciate ligament injury, mainly occurs in children. TIEF can be classified into four types, type I fracture and type II fracture without displacement are often treated conservatively; while type III and IV fractures often need surgical treatment. Adult intercondylar fracture surgery has become mature. Steel wire, suture, Kirschner wire, absorbable screw and so on are commonly used for fixture. Because the epiphysis has not been closed in children, the anatomical and physiological characteristics of the knee joint are different from those of adults, the choice of treatment and fixation in children is different from that of adults. This article reviews the treatment of intercondylar spine fractures in children under arthroscopy in recent years.
文章引用：李振宇, 秦国岳, 张泽坤, 段国庆. 关节镜下治疗儿童胫骨髁间棘骨折的研究进展[J]. 临床医学进展, 2020, 10(12): 3233-3239. https://doi.org/10.12677/ACM.2020.1012484

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