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：

胫腓骨; 髋关节脱位; 骨折; 膝后交叉韧带; 损伤

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目的:对同侧胫腓骨骨折、髋关节骨折后脱位合并膝后交叉韧带损伤的创伤机制及诊断进行分析探讨。方法:对2007年1月至2008年6月收治的7例同侧胫腓骨骨折、髋关节骨折后脱位合并膝后交叉韧带损伤患者的临床资料、诊治经过和随访结果进行总结分析。结果: 胫腓骨开放性骨折3例(42.9%),闭合性骨折4例(57.1%);髋关节均有后脱位,其中伴有髋部骨折5例(71.4%)。膝后交叉韧带实质部断裂4例(57.1%),胫骨止点撕脱骨折3例(42.9%)。7例患者获平均14.7个月(12～18个月)随访。Lysholm膝关节功能评分术后6月95.8±3.71,术后12月97.6±2.7。结论:明确同侧胫腓骨骨折、髋关节骨折后脱位合并膝后交叉韧带损伤的创伤机制,全面、准确、系统的问诊查体和完善的辅助检查是早期确诊、提高疗效的关键。

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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8.	刘溢,王强,彭涛,等.后交叉韧带损伤MRI诊断指标的评价[J]. 临床放射学杂志,2007,26:1122-1125.

1. 荣国威,王承武.骨折.北京:人民卫生出版社,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,张英泽,齐向北,等.髋关节骨折后脱位合并膝后交叉韧带损伤的创伤机制及漏诊原因分析[J]. 中华创伤骨科杂志,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. 刘溢,王强,彭涛,等.后交叉韧带损伤MRI诊断指标的评价[J]. 临床放射学杂志,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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