Therapeutic effect of two methods on avulsion fracture of tibial insertion of anterior cruciate ligament  

作　　者：Hai-Ming Niu Qing-Chun Wang Rui-Zhao Sun 

机构地区：[1]Department of Orthopedics,Guanyun People's Hospital,Lianyungang 222200,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2022年第27期9641-9649,共9页世界临床病例杂志

摘　　要：BACKGROUND The tibial stop of anterior cruciate ligament(ACL) is fan-shaped and attached to the medial groove in front of the intercondylar spine,which is located between the anterior horn of the medial and lateral meniscus.The incidence of this fracture is low previously reported,which is common in children and adolescents.With the increase of sports injury and traffic injury and the deepening of understanding,it is found that the incidence of the disease is high at present.AIM To explore the difference between open reduction and internal fixation with small incision and high-intensity non-absorbable suture under arthroscopy in the treatment of tibial avulsion fracture of ACL.METHODS Seventy-six patients with tibial avulsion fracture of anterior cruciate ligament diagnosed and treated in Guanyun County People’s Hospital from April 2018 to June 2020 were retrospectively analyzed.According to the surgical methods,they were divided into group A(40 cases) and group B(36 cases).Patients in group A were treated with arthroscopic high-strength non-absorbable suture,and patients in group B were treated with small incision open reduction and internal fixation.The operation time,fracture healing time,knee joint activity and functional score before and after operation,and surgical complications of the two groups were compared.RESULTS The operation time of group A was higher than that of group B,and the difference was statistically significant(P < 0.05);the fracture healing time of group A was compared with that of group B,and the difference was not statistically significant(P > 0.05);The knee joint function activity was compared between two groups before operation,3 mo and 6 mo after operation,and the difference was not statistically significant(P > 0.05);the knee joint function activity of group A and group B at 3 mo and 6 mo after operation was significantly higher than that before operation(P < 0.05);the limp,support,lock,instability,swelling,upstairs,squatting,pain and Lysholm score were compared between the two grou

关 键 词：Small incision Anterior cruciate ligament Open reduction and internal fixation ARTHROSCOPY Non-absorbable sutures Anterior cruciate ligament tibial avulsion fracture 

分 类 号：R683[医药卫生—骨科学]