关节镜联合8字缝线对ACL胫骨止点撕脱骨折患儿功能恢复的影响  

Effect of Arthroscopy Combined with 8-suture on Functional Recovery of Children with ACL Tibial Insertion Avulsion Fracture

作　　者：张馨予 董俊 ZHANG Xin-yu;DONG Jun(Department of Pediatric Orthopedics,Tianjin Hospital,Tianjin 300131,China)

机构地区：[1]天津医院小儿骨科,天津300131

出　　处：《罕少疾病杂志》2025年第3期147-149,152,共4页Journal of Rare and Uncommon Diseases

摘　　要：目的 研究关节镜联合8字缝线对ACL胫骨止点撕脱骨折患儿功能恢复的影响。方法 选取2021年3至2022年3月在我院接受ACL胫骨止点撕脱骨折患儿50例,根据数字分配法随机分为关节镜微创螺丝固定组、“8”字缝线组,每组患儿各25例。针对两组患者围手术期间的各类指标进行统计对比,并使用Lysholm、IKDC评分对两组患者膝关节功能及主观能力恢复情况作出评价,酶联免疫吸附实验法检测IL-17、hs-CRP、IL-8水平、免疫透射比浊法检测ACTH、Cor、MDA水平,对比两组患儿术后不良反应及治疗效果。结果 “8”字缝线组治疗有效率高于关节镜微创螺丝固定组,具有统计学意义(P<0.05),与关节镜微创螺丝固定组相比,“8”字缝线组围手术期患儿各项指标较低,具有统计学意义(P<0.05)。手术后,“8”字缝线组患儿膝关节Lysholm评分、IKDC评分低于关节镜微创螺丝固定组,差异具有统计学意义(P<0.05)。手术后,与关节镜微创螺丝固定组相比,“8”字缝线组患儿L-17、hs-CRP、IL-8水平较低(P<0.05)。“8”字缝线组患儿在手术后血清ACTH、Cor、MDA水平低于关节镜微创螺丝固定组(P<0.05),关节镜微创螺丝固定组患儿术后并发症及不良反应略高于“8”字缝线组,无统计学意义(P>0.05)。结论使用关节镜联合“8”字缝线对ACL胫骨止点撕脱骨折患儿进行治疗,出血量低,住院时间缩短,膝关节功能恢复良好,造成创伤较小,安全性高,治疗效果显著。Objective To study the effect of arthroscopy combined with 8-word suture on functional recovery in children with tibial stop point avulsion fracture in ACL.Methods Fifty children of ACL tibial stop point avulsion fracture in our hospital from March 2021 to March 2022 were randomly divided into arthroscopic minimally invasive screw fixation group and"8"suture group according to the digital allocation method,with 25 children in each group.Statistical comparison of various indicators between the two groups,using Lysholm and IKDC scores for knee function and subjective ability recovery,IL-17,hs-CRP,immune-transmission,IL-8,ACTH,Cor,MDA,comparing postoperative adverse effects and treatment effect between the two groups.Results The treatment effectiveness rate of the"8"suture group was higher than that of the arthroscopic minimally invasive screw fixation group,with statistical significance(P<0.05).Compared with the arthroscopic minimally invasive screw fixation group,the"8"suture group had lower perioperative indicators in children,with statistical significance(P<0.05).After surgery,the Lysholm score and IKDC score of the knee joint in the"8"suture group were lower than those in the arthroscopic minimally invasive screw fixation group,and the difference was statistically significant(P<0.05).After surgery,compared with the arthroscopic minimally invasive screw fixation group,the children in the"8"suture group had lower levels of L-17,hs CRP,and IL-8(P<0.05).The postoperative serum ACTH,Cor,and MDA levels in the"8"suture group were lower than those in the arthroscopic minimally invasive screw fixation group(P<0.05),while the postoperative complications and adverse reactions in the arthroscopic minimally invasive screw fixation group were slightly higher than those in the"8"suture group,with no statistical significance(P>0.05).Conclusion Arthroscopy combined with 8-figure suture was used to treat children with ACL tibial insertion avulsion fracture.The amount of bleeding was low,the length of hospitalization was shortene

关 键 词：关节镜 “8”自缝线 前交叉韧带胫骨止点撕脱骨折 膝关节功能恢复 

分 类 号：R686[医药卫生—骨科学]