关节镜下双排缝线固定治疗前交叉韧带胫骨止点撕脱骨折  

Treatment of Avulsion Fracture of Anterior Cruciate Ligament Tibial Insertion with Double Row Suture under Arthroscopy

作　　者：廖欣宇 张瑶璋 钟瑞颖 杨登军 张奇爱 何璐 张红[2] 郑亚星 王福科[1] LIAO Xinyu;ZHANG Yaozhang;ZHONG Ruiying;YANG Dengjun;ZHANG Qiai;HE Lu;ZHANG Hong;ZHENG Yaxing;WANG Fuke(Dept.of Sports Medicine,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan,650032;Dept.of Psychiatry,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan,650032;Dept.of Rehabilitation Medicine,The 1st Affiliated Hospital of Hunan Normal University/Hunan Provincial People’s Hospital,Changsha Hunan 410000,China)

机构地区：[1]昆明医科大学第一附属医院运动医学科,云南昆明650032 [2]昆明医科大学第一附属医院精神科,云南昆明650032 [3]湖南师范大学附属第一医院/湖南省人民医院康复医学科,湖南长沙410000

出　　处：《昆明医科大学学报》2022年第9期107-113,共7页Journal of Kunming Medical University

基　　金：云南省陈世益专家工作站基金资助项目(2018IC102);云南省骨关节疾病临床医学中心基金资助项目(zx2019-03-04)。

摘　　要：目的探讨关节镜下双排缝线固定治疗前交叉韧带胫骨止点撕脱骨折的疗效。方法选择昆明医科大学第一附属医院运动医学科2017年1月至2020年12月收治的符合纳入、排除标准的前交叉韧带胫骨止点撕脱骨折患者35例,所有患者均在关节镜下行双排缝线固定治疗。比较患者术前与术后12月的Lysholm评分、国际膝关节文献委员会评分。所有入组患者均签署相关知情同意书,试验方案经昆明医科大学第一附属医院伦理委员会通过。结果患者12月复查时,Lysholm评分、IKDC评分均高于术前,且差异有统计学意义(Lysholm评分:(91.143±3.228)分vs(39.343±4.721)分,t=60.526,P<0.001;IKDC评分:(89.171±3.510)分vs(39.143±4.044)分,t=69.368,P<0.001)。结论关节镜下Versalok锚钉双排缝线固定法手术操作简单,即能保证撕脱骨块的稳定固定又能恢复前交叉韧带的张力,恢复膝关节稳定性。Objective To investigate the effect of double row suture fixation on avulsion fracture of anterior cruciate ligament(ACL)tibial insertion under arthroscopy.Methods A total of 35 patients with avulsion fracture of anterior cruciate ligament tibial insertion and meeting the inclusion and exclusion criteria were selected from the Department of Sports Medicine,the First Affiliated Hospital of Kunming Medical University from January 2017 to December 2020.All patients were treated with double row sutures under arthroscopy.Lysholm score and International Committee for Knee Literature score were compared between the patients before and 12 months after the surgery.All the enrolled patients signed the relevant informed consent,and the trial plan was approved by the Ethics Committee of the First Affiliated Hospital of Kunming Medical University.Results Lysholm score and IKDC score at 12 months of review were higher than those before the surgery,and the differences were statistically significant(Lysholm score:(91.14±3.22)vs(39.34±4.72),t=60.53,P<0.001;IKDC score:(89.17±3.51)vs(39.14±4.04),t=69.37,P<0.001.Conclusion The Versalok anchor double-row suture fixation method under arthroscopy is simple and can ensure the stable fixation of avulsed bone and restore the tension of ACL and stability of knee joint.

关 键 词：前交叉韧带胫骨止点撕脱骨折 Versalok锚钉 关节镜 微创治疗 Meyers-Mckeever分型 

分 类 号：R683.42[医药卫生—骨科学]