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关节镜下全内免打结锚钉和高强度缝线技术修复前交叉韧带胫骨止点撕脱骨折效果

王水, 丁德刚, 戴晓峰, 朱余龙

王水, 丁德刚, 戴晓峰, 朱余龙. 关节镜下全内免打结锚钉和高强度缝线技术修复前交叉韧带胫骨止点撕脱骨折效果[J]. 实用临床医药杂志, 2020, 24(23): 49-52. DOI: 10.7619/jcmp.202023016
引用本文: 王水, 丁德刚, 戴晓峰, 朱余龙. 关节镜下全内免打结锚钉和高强度缝线技术修复前交叉韧带胫骨止点撕脱骨折效果[J]. 实用临床医药杂志, 2020, 24(23): 49-52. DOI: 10.7619/jcmp.202023016
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WANG Shui, DING Degang, DAI Xiaofeng, ZHU Yulong. Effect of knotless anchor fixation and high-strength technique fiber suture under all-inside arthroscopy in repairing anterior cruciate ligament avulsion fracture of tibial insertion[J]. Journal of Clinical Medicine in Practice, 2020, 24(23): 49-52. DOI: 10.7619/jcmp.202023016
Citation: WANG Shui, DING Degang, DAI Xiaofeng, ZHU Yulong. Effect of knotless anchor fixation and high-strength technique fiber suture under all-inside arthroscopy in repairing anterior cruciate ligament avulsion fracture of tibial insertion[J]. Journal of Clinical Medicine in Practice, 2020, 24(23): 49-52. DOI: 10.7619/jcmp.202023016
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关节镜下全内免打结锚钉和高强度缝线技术修复前交叉韧带胫骨止点撕脱骨折效果

  • 江苏省盐城市射阳县人民医院 骨科, 江苏 盐城, 224300

详细信息

  • 中图分类号: R683.42;R687.3

Effect of knotless anchor fixation and high-strength technique fiber suture under all-inside arthroscopy in repairing anterior cruciate ligament avulsion fracture of tibial insertion

  • Department of Orthopedics, Sheyang County People's Hospital in Yancheng City of Jiangsu Province, Yancheng, Jiangsu, 224300

摘要

    摘要
  • 摘要: 目的 探讨关节镜下全内免打结锚钉和高强度纤维缝线技术修复前交叉韧带(ACL)胫骨止点撕脱骨折的效果。 方法 选取18例ACL胫骨止点撕脱性骨折的患者,采用关节镜下全内免打结锚钉和高强度纤维缝线技术治疗。通过Lysholm评分、国际膝关节文献委员会膝关节评估表(IKDC)评分、Tegner评分评估膝关节功能恢复情况。采用Lachman试验、膝关节屈伸活动范围(ROM)评价膝关节稳定性和活动度。 结果 术后随访显示,所有患者骨折均愈合,无术后关节内感染、内固定失效等情况。Lachman试验结果呈阴性, Lysholm评分、IKDC评分、Tegner评分、膝关节活动度均显著优于术前,差异有统计学意义(P<0.05)。 结论 关节镜下全内免打结锚钉和高强度纤维缝线技术修复ACL胫骨止点撕脱骨折效果显著,具有创伤小,固定牢,可早期进行膝关节康复锻炼等优点。
    Abstract: Objective To explore effect of all-inside arthroscopic technique for repairing anterior cruciate ligament(ACL)avulsion fracture of tibial insertion with knotless anchors and high-strength fiber sutures. Methods Eighteen patients with ACL avulsion fracture of tibial insertion were treated with knotless anchor fixation and high-strength technique fiber suture under all-inside arthroscopy. The functional recovery of the knee joints was evaluated by Lysholm score, International Knee Documentation Committee(IKDC)score and Tegner score. The stability and range of motion of the knee were evaluated by Lachman test and knee flexion and extension range of motion(ROM). Results Postoperative follow-up showed that all the fractures healed without postoperative joint infection and failure of internal fixation. Lachman test was negative, and Lysholm score, IKDC score, Tegner score and knee range of motion were significantly better than those before surgery(P< 0.05). Conclusion Knotless anchor fixation and high-strength technique fiber suture under all-inside arthroscopy have significant effects in repairing anterior cruciate ligament avulsion fracture of tibial insertion and they have the advantages of less trauma, strorg fixation, and early knee rehabilitation exercise and so on.
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出版历程
  • 收稿日期:  2020-09-21
  • 网络出版日期:  2020-12-20

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