Ipsilateral Tibiofibular Fracture and Hip Fracture-Dislocation Associated with Posterior Cruciate Ligament Injuries:7 Cases Report_West China Medical Journal

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West China Hospital, Sichuan University, Chengdu Sichuan 610041,China;

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Keywords：

脛腓骨; 髖關節脫位; 骨折; 膝后交叉韌帶; 損傷

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目的:對同側脛腓骨骨折、髖關節骨折后脫位合并膝后交叉韌帶損傷的創傷機制及診斷進行分析探討。方法:對2007年1月至2008年6月收治的7例同側脛腓骨骨折、髖關節骨折后脫位合并膝后交叉韌帶損傷患者的臨床資料、診治經過和隨訪結果進行總結分析。結果: 脛腓骨開放性骨折3例(42.9%),閉合性骨折4例(57.1%);髖關節均有后脫位,其中伴有髖部骨折5例(71.4%)。膝后交叉韌帶實質部斷裂4例(57.1%),脛骨止點撕脫骨折3例(42.9%)。7例患者獲平均14.7個月(12～18個月)隨訪。Lysholm膝關節功能評分術后6月95.8±3.71,術后12月97.6±2.7。結論:明確同側脛腓骨骨折、髖關節骨折后脫位合并膝后交叉韌帶損傷的創傷機制,全面、準確、系統的問診查體和完善的輔助檢查是早期確診、提高療效的關鍵。

Citation： ZHENG Jinwen,KONG Qingquan,YANG Tianfu,et al.. Ipsilateral Tibiofibular Fracture and Hip Fracture-Dislocation Associated with Posterior Cruciate Ligament Injuries:7 Cases Report. West China Medical Journal, 2009, 24(10): 2525-2527. doi: Copy

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1. 榮國威,王承武.骨折.北京:人民衛生出版社,2004:848-849.
2. SCHULZ M S, RUSSE K, WEILER A, et al. Epidemiology of posterior cruciate ligament injuries[J]. Arch Orthop Trauma Surg,2003,123:186-91.
3. DANDY D J, PUSEY R J. The longterm results of unrepaired tears of the posterior cruciate ligament[J]. J Bone Joint Surg Br,1982,64:92-94.
4. RUBINSTEIN RA J R, SHELBOURNE K D, MCCANOU J R, et al. The accuracy of the clinical examination in the setting of posterior cruciate ligament injuries[J]. Am J Sports Med,1994,22:550-557.
5. 侯志勇,張英澤,齊向北,等.髖關節骨折后脫位合并膝后交叉韌帶損傷的創傷機制及漏診原因分析[J]. 中華創傷骨科雜志,2005,7:892-894.
6. GROSS M L, GROVER J S, BASSETT L W, et al. Magnetic resonance imaging of the posterior cruciate ligament. Clinical use to improve diagnostic accuracy. Am J Sports Med,1992,20:732737.
7. SONIN A H, FITZGERALD S W, FRIEDMAN H, et al. Posterior cruciate ligament injury: MR imaging diagnosis and patterns of injury[J]. Radiology,1994,190:455-458.
8. 劉溢,王強,彭濤,等.后交叉韌帶損傷MRI診斷指標的評價[J]. 臨床放射學雜志,2007,26:1122-1125.

West China Medical Journal

Ipsilateral Tibiofibular Fracture and Hip Fracture-Dislocation Associated with Posterior Cruciate Ligament Injuries:7 Cases Report

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