关节镜下青少年胫骨髁间嵴撕脱骨折复位术的护理

摘要

Objective To explore the nursing measures of teenagers with arthroscopic reduction of avulsed fracture of tibialintercondylar eminence. Methods Eighteen teenagers with avulsed fracture of tibialintercondylar eminence hospitalized from January 2013 to September 2014 were included in the study. Before operation, psychological care and operative preparation were delicately done. After operation, a plan for function training was made, the preventive measures for related complications were taken and discharge instruction was performed. Results All patients got recovered after function training 3 months since operation. The average score by Lysholm evaluation was (97.6 ± 2.3). Among them, one was Lachman test I positive, with mildly limited extension of the knee join. Conclusion The following nursing strategies inclucling psychological nursing before operation can help to reduce the incidence of complications.%目的：探讨关节镜下螺钉内固定治疗青少年胫骨髁间嵴撕脱骨折的护理要点。方法选择2013年1月～2014年9月18例本院收治的胫骨髁间嵴撕脱骨折青少年患者，术前做好心理护理和手术准备，术后进行指导进行功能锻炼，做好预防并发症工作等。结果患者经骨折手术治疗和功能锻炼后，骨折部位均3个月内愈合，住院时间5～7 d，平均（6．6±0．5）d。 Lysholm评分91～100分，平均（97．6±2．3）分，其中1例出现Lachman试验Ⅰ度阳性和轻度伸膝受限。结论术前做好心理疏导和手术准备，重视和加强术后功能锻炼指导是提高胫骨髁间嵴撕脱骨折手术疗效的关键。