关节镜下前交叉止点细孔道缝线固定术治疗前交叉韧带胫骨止点撕脱骨折的临床效果  

Clinical Effect of Arthroscopic Suture Fixation of Anterior Cruciate Fork Insertion Point with Fine Holes in the Treatment of Avulsion Fracture of the Anterior Cruciate Ligament from the Tibia

作　　者：高山洪 白明亮 周豪 GAO Shanhong;BAI Mingliang;ZHOU Hao(Department of Orthopedics,Honghu Traditional Chinese Medicine Hospital,Honghu 433200,China;不详)

机构地区：[1]洪湖市中医医院骨科,湖北洪湖433200

出　　处：《中国医学创新》2024年第32期24-27,共4页Medical Innovation of China

摘　　要：目的:探讨前交叉韧带(ACL)胫骨止点撕脱骨折患者采用关节镜下前交叉止点细孔道缝线固定术治疗的临床效果。方法:选取2021年7月—2023年7月洪湖市中医医院收治的ACL胫骨止点撕脱骨折患者92例,根据手术方法的不同分成研究组(n=46)和对照组(n=46)。对照组给予关节镜下常规缝线固定术治疗,研究组给予关节镜下前交叉止点细孔道缝线固定术治疗。比较两组围手术期指标、膝关节功能、关节活动度及术后并发症。结果:研究组负重开始时间、骨折愈合时间均较对照组早,差异均有统计学意义(P<0.05);两组术后3个月特种外科医院(HSS)膝关节评分、国际膝关节文献委员会(IKDC)膝关节主观评价表评分均升高,且研究组均较对照组高,差异均有统计学意义(P<0.05);两组术后3个月关节活动度均增加,且研究组较对照组大,差异均有统计学意义(P<0.05);研究组并发症发生率[4.35%(2/46)]较对照组[19.57%(9/46)]低,差异有统计学意义(P<0.05)。结论:ACL胫骨止点撕脱骨折患者采用关节镜下前交叉止点细孔道缝线固定术治疗,能够有效促进患者膝关节功能恢复,改善关节活动度,减少术后并发症发生。Objective:To explore the clinical effect of arthroscopic suture fixation of anterior cruciate fork insertion point with fine holes in the treatment of patients with avulsion fracture of the anterior cruciate ligament(ACL)from the tibia.Method:A total of 92 patients with avulsion fracture of ACL from the tibia admitted to Honghu Traditional Chinese Medicine Hospital from July 2021 to July 2023 were selected and divided into study group(n=46)and control group(n=46)according to different surgical methods.The control group was given arthroscopic conventional suture fixation,and the study group was given arthroscopic suture fixation of anterior cruciate fork insertion point with fine holes.Perioperative indexes,knee function,the range of motion and postoperative complications were compared between the two groups.Result:The start time of weight bearing and fracture healing time in the study group were earlier than those in the control group,the differences were statistically significant(P<0.05).3 months after surgery,hospital for special surgery(HSS)knee scores and international knee documentation committee(IKDC)subjective knee form scores were increased in both groups,and those in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).3 months after surgery,the range of motion were increased in both groups,and that in the study group was larger than that in the control group,the differences were statistically significant(P<0.05).The complication rate of the study group[4.35%(2/46)]was lower than that of the control group[19.57%(9/46)],the difference was statistically significant(P<0.05).Conclusion:Arthroscopic suture fixation of anterior cruciate fork insertion point with fine holes in the treatment of patients with avulsion fracture of the ACL from the tibia can effectively promote recovery of knee function,improve the range of motion and reduce postoperative complications.

关 键 词：关节镜下前交叉止点细孔道缝线固定术 前交叉韧带胫骨止点撕脱骨折 膝关节功能 

分 类 号：R687.3[医药卫生—骨科学]