Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (51): 9684-9690.doi: 10.3969/j.issn.2095-4344.2012.51.033

Previous Articles    

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

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.