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[Analysis on treatment and diagnosis of Segond fracture combined with injuries].
Zhongguo Gu Shang 2016; 29(2):149-53ZG

Abstract

OBJECTIVE

To investigate the clinical characteristics of Segond fracture combined with injuries, and to explore the operative method and opportunity.

METHODS

From June 2010 to December 2014, 10 patients with Segond fracture were treated. There were 10 males, ranging in age from 26 to 69 years old, with a mean of 42 years old. Under arthroscopy examination within 7 to 10 days after injury, 6 patients had compete rupture of anterior cruciate ligament and meniscus injury; 2 patients had tibial avulsion fractures of the ACL combined with meniscus injury. At 4 to 8 weeks after injury, 2 patients were performed with arthroscopy examination; 1 patient had complete rupture of anterior and posterior cruciate ligament combined with meniscus injury; and the other patient had complete rupture of anterior cruciate ligament alone. All the patients with cruciate ligament rupture were treated with reconstruction of cruciate ligament; 9 patients had meniscus injuries were treated with menisus plasty or suture; and 2 patients had tibial avulsion fractures of the ACL were treated with non-absorbable Ethicon suture fixation under arthroscopy. After operation, the Lysholm scoring system was used to evaluate clinical effects.

RESULTS

Eight patients were operated within 10 days after injury, the knee joints swelling was obvious at the 3rd day after operation, and blood oozing was found by joint puncture. These 8 patients did out-of-bed activity with assistance at 1 week postoperatively. Other 2 patients performed operation in 4 to 8 weeks after injury without knee joint obvious swelling at the 3rd day after operation, and no blood oozing was found by joint puncture. These 2 patients did out-of-bed activity with assistance after 3 days postoperatively. All the patients were followed up, and the duration ranged from 12 to 24 months, with an average of 18 months. Postoperative Lysholm score of all patients was higher than preoperative scor, and the results were satisfactory.

CONCLUSION

For Segond fractures, firstly, it is important to gain early diagnosis for treatment. Secondly, it is often associated with the rupture of anterior cruciate ligament and meniscus injuries, and the best time of cruciate ligament rebuilding and meniscus repairing maybe between 4 to 8 weeks after injury. Thirdly, personalized treatment should be chosen according to different complications.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

chi

PubMed ID

27141785

Citation

Sun, Bin, et al. "[Analysis On Treatment and Diagnosis of Segond Fracture Combined With Injuries]." Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology, vol. 29, no. 2, 2016, pp. 149-53.
Sun B, Wu XD, Shen Wx. [Analysis on treatment and diagnosis of Segond fracture combined with injuries]. Zhongguo Gu Shang. 2016;29(2):149-53.
Sun, B., Wu, X. D., & Shen, W. x. (2016). [Analysis on treatment and diagnosis of Segond fracture combined with injuries]. Zhongguo Gu Shang = China Journal of Orthopaedics and Traumatology, 29(2), pp. 149-53.
Sun B, Wu XD, Shen Wx. [Analysis On Treatment and Diagnosis of Segond Fracture Combined With Injuries]. Zhongguo Gu Shang. 2016;29(2):149-53. PubMed PMID: 27141785.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Analysis on treatment and diagnosis of Segond fracture combined with injuries]. AU - Sun,Bin, AU - Wu,Xu-dong, AU - Shen,Wan xiang, PY - 2016/5/5/entrez PY - 2016/5/5/pubmed PY - 2016/6/3/medline SP - 149 EP - 53 JF - Zhongguo gu shang = China journal of orthopaedics and traumatology JO - Zhongguo Gu Shang VL - 29 IS - 2 N2 - OBJECTIVE: To investigate the clinical characteristics of Segond fracture combined with injuries, and to explore the operative method and opportunity. METHODS: From June 2010 to December 2014, 10 patients with Segond fracture were treated. There were 10 males, ranging in age from 26 to 69 years old, with a mean of 42 years old. Under arthroscopy examination within 7 to 10 days after injury, 6 patients had compete rupture of anterior cruciate ligament and meniscus injury; 2 patients had tibial avulsion fractures of the ACL combined with meniscus injury. At 4 to 8 weeks after injury, 2 patients were performed with arthroscopy examination; 1 patient had complete rupture of anterior and posterior cruciate ligament combined with meniscus injury; and the other patient had complete rupture of anterior cruciate ligament alone. All the patients with cruciate ligament rupture were treated with reconstruction of cruciate ligament; 9 patients had meniscus injuries were treated with menisus plasty or suture; and 2 patients had tibial avulsion fractures of the ACL were treated with non-absorbable Ethicon suture fixation under arthroscopy. After operation, the Lysholm scoring system was used to evaluate clinical effects. RESULTS: Eight patients were operated within 10 days after injury, the knee joints swelling was obvious at the 3rd day after operation, and blood oozing was found by joint puncture. These 8 patients did out-of-bed activity with assistance at 1 week postoperatively. Other 2 patients performed operation in 4 to 8 weeks after injury without knee joint obvious swelling at the 3rd day after operation, and no blood oozing was found by joint puncture. These 2 patients did out-of-bed activity with assistance after 3 days postoperatively. All the patients were followed up, and the duration ranged from 12 to 24 months, with an average of 18 months. Postoperative Lysholm score of all patients was higher than preoperative scor, and the results were satisfactory. CONCLUSION: For Segond fractures, firstly, it is important to gain early diagnosis for treatment. Secondly, it is often associated with the rupture of anterior cruciate ligament and meniscus injuries, and the best time of cruciate ligament rebuilding and meniscus repairing maybe between 4 to 8 weeks after injury. Thirdly, personalized treatment should be chosen according to different complications. SN - 1003-0034 UR - https://www.unboundmedicine.com/medline/citation/27141785/[Analysis_on_treatment_and_diagnosis_of_Segond_fracture_combined_with_injuries]_ L2 - https://medlineplus.gov/leginjuriesanddisorders.html DB - PRIME DP - Unbound Medicine ER -