关节镜下双隧道技术不可吸收缝线固定治疗前交叉韧带胫骨止点撕脱骨折  

Non absorbable suture fixation by double tunnel technology under arthroscope in treatment of avulsion fracture of tibial stop of anterior cruciate ligament

作　　者：佟磊 魏东 王云清 刘加元 张俊玮 李华 TONG Lei;WEI Dong;WANG Yun-qing;LIU Jia-yuan;ZHANG Jun-wei;LI Hua(Department of Orthopaedics,the Second Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]徐州医科大学第二附属医院骨科,江苏徐州221000

出　　处：《骨科》2018年第6期434-437,共4页ORTHOPAEDICS

摘　　要：目的探讨关节镜下运用双隧道技术不可吸收缝线固定治疗前交叉韧带(anterior cruciate ligament, ACL)胫骨止点撕脱骨折的临床疗效。方法回顾性分析我院2015年5月至2017年6月采用关节镜下双隧道技术不可吸收缝线固定治疗ACL胫骨止点撕脱骨折10例,收集手术时间、术中出血量、前抽屉试验及Lachman试验情况;比较其手术前后的国际膝关节文献委员会(the international knee documentation committee, IKDC)膝关节评分及Lysholm膝关节功能评分;通过X线片评价骨折复位及愈合情况。结果本组病人术后均未出现严重并发症,前抽屉试验及Lachman试验均为阴性。术后随访12～24个月,平均17.7个月。末次随访时的Lysholm评分和IKDC评分分别为(86.60±5.10)分、(88.40±5.76)分,均较术前显著提高,差异具有统计学意义(t=18.515,P<0.001;t=20.672,P<0.001);复查X线片示骨折复位及愈合满意。结论关节镜下运用双隧道技术不可吸收缝线固定治疗ACL胫骨止点撕脱骨折,可有效恢复膝关节稳定性,疗效满意。Objective To investigate the clinical effect of non absorbable suture fixation by double tunnel technology under arthroscope in treatment of avulsion fracture of tibial stop of anterior cruciate ligament （ACL）. Methods From May 2015 to June 2017, 10 cases of avulsion fracture of tibial stop of ACL were treated with non absorbable suture fixation by double tunnel technology under arthroscope. The operative time,intraoperative blood loss, anterior drawer test and Lachman test results were collected. The knee score of the International Knee Documentation Committee （IKDC） and Lysholm knee function score before and after operation were compared, and the healing of fracture reduction was observed by X-ray. Results No serious complications occurred in all patients after operation, and the anterior drawer test and the Lachman test were negative. All patients were followed up for 12 to 24 months with an average of 17.7 months. The Lysholm score and IKDC score at the last follow-up were 86.60±5.10 and 88.40±5.76 respectively, which were significantly higher than those before operation （t=18.515, P〈0.001; t=20.672, P〈0.001）. The reexamination of X-ray showed that fracture reduction and healing were satisfied. Conclusion Non absorbable suture fixation by double tunnel technology under arthroscope in treatment of avulsion fracture of tibia stop of ACL can effectively restore the stability of the knee with satisfactory results.

关 键 词：前交叉韧带 胫骨骨折 关节镜检查 缝线固定 

分 类 号：R687.4[医药卫生—骨科学]