关节镜下钢丝内固定与栓桩缝线固定治疗前交叉韧带胫骨止点撕脱骨折的效果比较  

Comparison of the effects of steel wire internal fixation and fixation with anchor and sutures under arthroscopy in the treatment of anterior cruciate ligament tibial insertion avulsion fractures

作　　者：王跃华 Wang Yuehua(Ward I,Department of Limb Orthopedics,General Hospital of Pingmei Shenma Group,Pingdingshan 467000,China)

机构地区：[1]平煤神马医疗集团总医院四肢骨科一区,平顶山467000

出　　处：《中国实用医刊》2024年第13期21-24,共4页Chinese Journal of Practical Medicine

摘　　要：目的:比较关节镜下钢丝内固定与栓桩缝线固定治疗前交叉韧带(ACL)胫骨止点撕脱骨折的效果。方法:队列研究。抽取2021年8月至2024年1月平煤神马医疗集团总医院收治的65例ACL胫骨止点撕脱骨折患者为研究对象,均接受关节镜手术治疗。根据固定方案将其分为对照组(32例,钢丝内固定)和观察组(33例,栓桩缝线固定)。比较两组手术指标(手术时间、手术引流量、住院时间及骨折愈合时间)、手术前后膝关节功能[国际膝关节文献委员会评估表(IKDC)评分与Lysholm评分]、术后并发症发生情况。结果:观察组手术时间、手术引流量、住院时间、骨折愈合时间均少于对照组(P均<0.05)。术前,两组IKDC评分、Lysholm评分比较差异未见统计学意义(P>0.05);术后6个月,观察组IKDC评分、Lysholm评分均高于对照组(P均<0.05)。观察组并发症发生率(9.09%,3/33)与对照组(15.62%,5/32)比较差异未见统计学意义(P>0.05)。结论:相比钢丝内固定治疗,关节镜下栓桩缝线固定治疗ACL胫骨止点撕脱骨折,不仅手术时间更短,术后恢复更快,而且可以更好地改善膝关节功能。Objective:To compare the effects of steel wire internal fixation and fixation with anchor and sutures under arthroscopy on anterior cruciate ligament(ACL)tibial insertion avulsion fractures.Methods:A cohort study was conducted on 65 patients with ACL tibial avulsion fractures,all of whom underwent arthroscopic surgery in General Hospital of Pingmei Shenma Group from Augest 2021 to January 2024.And they were divided in to a control group(32 cases,treated by steel wire internal fixation)and an observation group(33 cases,treated by fixation with anchor and sutures)according to fixation schemes.The operation related indexes(operation time,intraoperative drainage volume,hospital stay and fracture healing time),preoperative and postoperative knee joint function assessed by the the International Knee Documentation Committee Knee Evaluation Form score and Lysholm score,incidence of postoperative complications were compared between the two groups.Results:Compared with the control group,the observation group had shorter operation time,less intraoperative drainage volume,and shorter hospital stay,shorter fracture healing time(P<0.05).There was no significant difference in IKDC score and Lysholm score between the two groups before surgery(P>0.05).Six months after surgery,the observation group had higher scores of IKDC and Lysholm compared with the control group(all P<0.05).There was no significant difference in the incidence of complications between the observation group(9.09%,3/33)and the control group(15.62%,5/32),P>0.05.Conclusions:Compared to steel wire internal fixation,fixation with anchor and sutures under arthroscopy not only has a shorter surgical time and faster postoperative recovery in the treatment of ACL tibial avulsion fracture,but also can better improve knee joint function.

关 键 词：前交叉韧带 胫骨止点撕脱骨折 关节镜下手术 钢丝内固定 栓桩缝线固定 膝关节功能 

分 类 号：R687.3[医药卫生—骨科学]