关节镜下两种固定方式膝前交叉韧带止点撕脱骨折的短期临床疗效对比  

A Comparative Analysis of the Clinical Results of the Treatment of Avulsion Fracture of Anterior Cruciate Ligament with Absorbable Composite Anchors and Suture Bridge Fixation and tie Knot Fixation

作　　者：刘哲 徐永胜 魏宝刚 张忠 LIU Zhe;XU Yongsheng;WEI Baogang;ZHANG Zhong(Graduate School of Inner Mongolia Medical University,Hohhot 010110 China;Joint surgery,People's Hospital of Inner Mongolia,Hohhot 010017 China;Joint surgery,Wuhai People's Hospital,Wuhai 016000 China)

机构地区：[1]内蒙古医科大学研究生院,呼和浩特010110 [2]内蒙古自治区人民医院骨关节科,呼和浩特010017 [3]乌海市人民医院运动医学科,内蒙古乌海016000

出　　处：《内蒙古医学杂志》2023年第2期152-155,F0002,共5页Inner Mongolia Medical Journal

基　　金：内蒙古自治区自然科学基金项目(编号:2017MS08136)。

摘　　要：目的探讨关节镜下复合可吸收锚钉缝线桥固定与领带结固定治疗前交叉韧带止点撕脱骨折的临床疗效。方法回顾性分析2016年2月至2021年2月于乌海市人民医院收治的37例胫骨髁间棘骨折患者作为研究对象,其中14例行领带结固定治疗(领带结组),23例行复合可吸收锚钉缝线桥固定治疗(缝线桥组)。比较两组患者手术时间、住院时间、骨折愈合时间、膝关节活动度(ROM)、Lysholm评分等。结果两组患者术前一般资料比较差异均无统计学意义(P>0.05)。37例均获随访,随访时间12~18个月,平均(14.95±2.08)个月。两组住院时间、骨折愈合时间、术后3个月以上膝关节活动度,差异均无统计学意义(P>0.05)。缝线桥组术后1、2个月关节活动度优于领带结组,差异均有统计学意义(P<0.05);术后3个月及以后缝线桥组关节活动度与领带结组差异无统计学意义(P>0.05)。缝线桥组术后1、2个月Lysholm评分优于领带结组,差异有统计学意义(P<0.05);术后2、3个月Lysholm评分差异无统计学意义(P>0.05)。结论复合可吸收锚钉缝线桥固定与领带结固定治疗前交叉韧带止点撕脱骨折均可达到满意疗效,复合可吸收锚钉缝线桥固定在术后早期关节活动优于领带结固定,有利于促进术后早期关节活动及功能恢复。Objective To compare the clinical effects of arthroscopic fixation of avulsion fracture of anterior cruciate ligament with absorbable anchor and suture bridge and tie knot.Methods A totoal of 37 patients with tibial intercondylar eminence fracture,were 2021 from February 2016 in Wuhai People's Hospital.14 cases were treated with tie knot fixation(tie knot group),23 patients were treated with suture bridge fixation with absorbable composite anchors(suture bridge group).The operation time,hospitalization time,fracture healing time,knee range of motion,Lysholm score were compared between the two groups.Results There was no significant difference in preoperative general data between the two groups(P>0.05).All patients were followed up for 12-18 months mean(14.95±2.08)months.There was no significant difference between the two groups in terms of hospital stay,fracture healing time(P>0.05).The range of motion in suture bridge group was better than that in tie group at 1 and 2 months after Operation(P<0.05).There was no significant difference between the suture bridge group and the tie group 3 months after operation(P>0.05).Lysholm score in suture bridge group was significantly higher than that in tie group at 1 and 2 months after Operation(P<0.05),but there was no significant difference between Lysholm score at 2 and 3 months after Operation(P>0.05).Conclusion The results of treatment of avulsion fracture of anterior cruciate ligament(ACL)with composite absorbable anchors suture bridge fixation and tie knot fixation were satisfactory.The joint motion of composite absorbable anchors suture bridge fixation was better than that of tie knot fixation in the early postoperative period,it is beneficial to promote early postoperative joint activity and functional rehabilitation.

关 键 词：撕脱性骨折 胫骨 前交叉韧带 

分 类 号：R681.4[医药卫生—骨科学]