中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (51): 9684-9690.doi: 10.3969/j.issn.2095-4344.2012.51.033

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    

线缆与丝线捆扎固定前交叉韧带胫骨止点撕脱性骨折

刘忠国1，陈青植1，邱必成2，余跃伟1   

  • 出版日期:2012-12-16 发布日期:2012-12-16

Orthopedic cable system fixation versus suture fixation in the treatment of anterior cruciate ligament avulsion fractures at the tibial insertion

Liu Zhong-guo1, Chen Qing-zhi1, Qiu Bi-cheng2, Yu Yue-wei1   

  • Online:2012-12-16 Published:2012-12-16

PDF

783

被引次数

9

摘要：

背景：关节镜下治疗前交叉韧带胫骨止点撕脱骨折已被广泛应用并取得了良好效果，但在内固定方法的许多方面仍未达成共识，甚至颇具争议。
目的：分析关节镜下手术进行前交叉韧带胫骨止点撕脱骨折复位AO线缆固定与丝线固定对膝关节运动功能和稳定性的影响。
方法：选择关节镜下手术治疗前交叉韧带胫骨止点撕脱骨折患者25例，其中应用AO线缆行骨折块内固定治疗者13例，应用丝线行骨折块固定治疗者12例。比较两组治疗后的膝关节活动度及稳定性。
结果与结论：治疗后随访6个月-5年，两组伸膝及屈膝运动功能差异无显著性意义，AO线缆组膝关节稳定性明显好于丝线组(P < 0.05)。表明在关节镜下复位固定前交叉韧带胫骨止点撕脱骨折使用AO线缆固定较使用丝线固定效果满意。

Abstract:

BACKGROUND: Arthroscopic treatment of avulsion fractures of the anterior cruciate ligament (ACL) at the tibial insertion has been widely accepted and obtained satisfactory clinical outcomes. However, no accepted conclusions have been drawn, and there is a controversy regarding the different fixation methods.
OBJECTIVE: To analyze the function evaluation and knee stability in patients with ACL avulsion fractures at the tibial insertion undergoing arthroscopic-assisted fixation using either AO cable system or Ethibond sutures.
METHODS: A total of 25 patients with ACL avulsion fractures at the tibial insertion were treated with arthroscopic-assisted fixation using either AO cable system (13 patients) or Ethibond sutures (12 patients). Follow-up assessment included function evaluation and knee stability.
RESULTS AND CONCLUSION: During the follow-up (6 months to 5 years), there were no significant differences in neither extension nor flexion between the two groups. Better knee stability in AO cable system group was found with respect to suture fixation group (P < 0.05). AO cable fixation provides better clinical outcomes than Ethibond suture to treat ACL avulsion fractures at the tibial insertion.