【摘 要】
：
目的 探讨Hoffa骨折合并后交叉韧带止点撕脱骨折的治疗.方法 2012年5月-2014年4月，收治6例Hoffa骨折合并后交叉韧带止点撕脱骨折.其中男4例，女2例；年龄25～47岁，平均36岁.致伤原因：交通事故伤4例，跌落伤2例.左侧4例，右侧2例.Hoffa骨折按Letenneur骨折分型：Ⅰ型4例，其中外髁骨折3例、内髁骨折1例；Ⅲ型2例，其中外髁骨折1例、内髁骨折1例.采用膝关节后正中切
【出 处】
：
第二届海峡两岸医药卫生交流协会骨科学术论坛暨四川省医学会第十八次骨科学术会议
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目的 探讨Hoffa骨折合并后交叉韧带止点撕脱骨折的治疗.方法 2012年5月-2014年4月，收治6例Hoffa骨折合并后交叉韧带止点撕脱骨折.其中男4例，女2例；年龄25～47岁，平均36岁.致伤原因：交通事故伤4例，跌落伤2例.左侧4例，右侧2例.Hoffa骨折按Letenneur骨折分型：Ⅰ型4例，其中外髁骨折3例、内髁骨折1例；Ⅲ型2例，其中外髁骨折1例、内髁骨折1例.采用膝关节后正中切口，后方向植入螺钉.结果 术后切口均Ⅰ期愈合，无早期并发症发生.6例均获随访，随访时间12～26个月，平均15个月.X线片示骨折均达骨性愈合，愈合时间10～18周，平均15周.术后无内固定物松动及断裂.末次随访时按Letenneur等的Hoffa骨折术后功能恢复评估标准评定，获优5例，良1例.结论 空心拉力螺钉结合普通螺钉治疗Hoffa骨折合并后交叉韧带止点撕脱骨折内固定可靠，骨折愈合率高，同一切口可完成骨折固定.
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