Tibial eminence avulsion fracture of the anterior cruciate ligament fixed with arthroscopic double-steel wire clip

doi:10.3969/j.issn.2095-4344.2015.29.029

Abstract

Abstract:

BACKGROUND: Conventional surgical repair can cause large traumas in patients with knee injuries, and patients often recover slowly after implant fixation, most of whom can appear to have poor recovery of knee function.

OBJECTIVE: To explore the follow-up effect of arthroscopic double-steel wire clip fixation on tibial eminence avulsion fracture of anterior cruciate ligament.

METHODS: A retrospective analysis was performed on the clinical data of 23 patients with tibial eminence avulsion fractures, who were given arthroscopic double-steel wire clip fixation. The patients were followed up for 1-6 months. Short- and middle-term therapeutic effect as well as IKDC and Lysholm scores before and after treatment were observed and analyzed.

RESULTS AND CONCLUSION: The operation time was 35-65 minutes, and no complications, such as blood, nerve and anterior cruciate ligament injuries occurred. Moreover, no infection and other poor biocompatible reactions occurred after internation fixation. All patients were followed up for 1-6 months. The excellent and good rate was 87% at 1 month after treatment and 96% at 6 months after treatment. All the patients had improved IKDC score and Lysholm score after treatment (P < 0.05), indicating that the knee function of patients was improved significantly.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Arthroscopes, Anterior Cruciate Ligament, Tibial Fractures

CLC Number:

R318

Xie Jing-rui, Chen Bin, Zhang Ning-sheng, Feng Xiao-reng, Lin Kun. Tibial eminence avulsion fracture of the anterior cruciate ligament fixed with arthroscopic double-steel wire clip [J]. Chinese Journal of Tissue Engineering Research, 2015, 19(29): 4742-4746.

Figures/Tables 3

References

[1] 郭永智,姜鑫,孙延山,等.关节镜下钢丝三维缝合固定儿童胫骨髁间嵴撕脱骨折的疗效[J].中华小儿外科杂志,2012,33(6): 434-436.

[2] 钱春晓,茅治湘,杨小奇,等.关节镜直视下钢丝固定治疗胫骨髁间隆突撕脱性骨折[J].山东医药,2006,46(24):61-61.

[3] 曾春,宋炎成,蔡道章,等.关节镜下复位固定治疗儿童胫骨髁间隆突骨折[J].中华小儿外科杂志,2009,30(9):612-614.

[4] 段小军,杨柳,何天佐,等.关节镜辅助下胫骨髁间棘撕脱性骨折的手术治疗[J].中国骨伤,2006,19(6):338-340.

[5] Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale.Am J Sports Med. 1982;10(3):150-154.

[6] Irrgang JJ, Anderson AF, Boland AL, et al. Development and validation of the international knee documentation committee subjective knee form. Am J Sports Med. 2001; 29(3):600-613.

[7] 温宏,张宇.儿童胫骨嵴骨折关节镜下复位固定技术[J].中华小儿外科杂志,2005,26(9):479-480.

[8] 姜军,陈坚.关节镜下改良双股钢丝前后挤夹固定胫骨嵴撕脱骨折[J].中华医学杂志,2014,94(39):3091-3094.

[9] 冯宗权,陈逊文,陈志维,等.关节镜在膝关节及周围骨折中的应用[J].中华创伤杂志,2006,22(9):660-662.

[10] 刘雄文,黎庆初,蒋宁茂,等.关节镜下治疗胫骨髁间棘撕脱骨折16例分析[J].微创医学,2008,3(1):38-39.

[11] 王敏,吴争鸣,施翔,等.关节镜下钢丝内固定治疗胫骨棘骨折[J].现代实用医学,2010,22(11):1245-1246,1249.

[12] 任乐夫,何柏云,龙志强,等.儿童胫骨髁间前棘骨折的关节镜治疗[J].实用医学杂志,2006,22(18):2173-2174.

[13] 徐思越,贺西京,李浩鹏,等.关节镜下治疗胫骨髁间嵴撕脱骨折的临床分析[J].中国全科医学,2010,13(9):997-999.

[14] 郭永智,姜鑫,张益民等.关节镜下自制缝针缝合固定后交叉韧带胫骨止点撕脱骨折[J].中华创伤骨科杂志,2010,12(4):387-388.

[15] 江永发,尚平,刘志祥,等.关节镜下微创治疗胫骨髁部骨折的分型和方法[J].中国骨伤,2007,20(11):746-748.

[16] 俞胜宝,胡四生,汪炜,等.关节镜下治疗前交叉韧带下止点撕脱骨折16例[J].中华全科医学,2011,09(7):1050-1051.

[17] 张庆,黄明,郑延贵,等.关节镜手术治疗胫骨髁间隆突撕脱性骨折[J].蚌埠医学院学报,2014,39(5):616-618.

[18] 温宏,刘忠堂.胫骨嵴撕脱骨折关节镜下微创治疗技术[C].//全国骨与关节损伤学术会议论文汇编，2006:137-138.

[19] 王旭东,曲剑林,李刚,等.关节镜下钢丝固定治疗胫骨髁间嵴撕脱骨折[J].中国微创外科杂志,2010,10(9):807-808.

[20] 贺常仁,刘芳,付三清,等.关节镜下治疗胫骨髁间棘骨折12例临床分析[J].医学临床研究,2003,20(12):942-943.

[21] 段小军,杨柳,唐康来,等.关节镜辅助下胫骨髁间棘撕脱性骨折的手术治疗[C].//第2届中国重庆关节外科国际学术研讨会暨第二届全军关节镜学术研讨会论文集,2005:255-258.

[22] 张志,翟宏利,雒萌,等.关节镜下治疗胫骨髁间嵴撕脱骨折[J].内蒙古医科大学学报,2012,34(z1):14-15.

[23] 姚建华,朱兵,黄炎,等.关节镜下治疗前交叉韧带胫骨附着点撕脱骨折19例[J].华北国防医药,2008,20(4):33-34.

[24] 严超,常花,刘常宇,等.关节镜下治疗胫骨髁间棘骨折方式的选择及术后疗效分析[J].骨科,2014,5(4):201-203.

[25] 阴鑫哲,王琦.钢丝内固定治疗胫骨嵴撕脱骨折18例[J].陕西医学杂志,2010,39(9):1266-1266.

[26] 李纯勇,徐亮.应用钢丝固定后交叉韧带胫骨附着部撕脱性骨折[J].中国中医药咨讯,2011,03(9):449.

[27] 韩立民,宓士军,张远成,等.C型臂透视下定位腘窝纵行小切口治疗后交叉韧带止点胫骨嵴撕脱骨折[J].中国全科医学,2011, 14(8):920-921.

[28] 张春礼,徐虎,范宏斌,等.半月板缝合针引导钢丝关节镜下内固定治疗前交叉韧带胫骨嵴撕脱骨折[J].中国微创外科杂志, 2007, 7(7):630-631,634.

[29] 李森田,张达夫,赵秀泉,等.关节镜辅助下胫骨嵴撕脱骨折的治疗[J].创伤外科杂志,2008,10(3):277.

[30] 冯明光,邢斐,杨海涛,等.关节镜下双带线锚钉前交叉韧带止点足印重建治疗胫骨髁间嵴撕脱骨折[J].中国运动医学杂志, 2012, 31(8):673-676.

[31] 王法正,梁志林,张军,等.关节镜下 PDS 线张力固定前交叉韧带胫骨髁间嵴撕脱性骨折的疗效分析[J].新疆医科大学学报, 2014, 37(7):894-896.

[32] 徐虎,张春礼,范宏斌,等.半月板缝合针引导钢丝关节镜下内固定治疗前交叉韧带胫骨嵴撕脱骨折[C].//全军第四届关节镜暨运动医学第五届上颈椎外科国际研讨会论文汇编.2007:105-107.

[33] 刘雪峰,王鲲鹏,廉永云,等.关节镜下治疗前交叉韧带胫骨髁间嵴撕脱骨折[J].临床骨科杂志,2012,15(1):48-50.

[34] 常青,黄迅悟,关长勇,等.胫骨髁间嵴撕脱骨折关节镜下内固定治疗[J].中国矫形外科杂志,2004,12(5):394-395.

[35] 吴萌,高莉,汉华,等.关节镜下空心钉内固定治疗陈旧性胫骨髁间嵴撕脱骨折的临床观察[J].中华显微外科杂志, 2010,33(6): 509-510.

[36] 陈坚,姜军,孙铁铮,等.关节镜下改良双股钢丝前后挤夹固定治疗胫骨嵴撕脱骨折[C].//第六届《中华骨科杂志》论坛论文集, 2013:307-310.

[37] 陈述祥,司徙坚,丁林坚,等.膝关节镜监视下复位内固定与切开复位内固定治疗胫骨髁间嵴撕脱骨折的临床对比研究[J].中国内镜杂志,2004,10(2):99-99,106.

[38] Bong MR,Romero A,Kubiak E,et a1.Suture versus screw fixation of displaced tibia eminence fracture：a biomechanical comparison[J].Arthroseopy.2005;21:1172-1176.

[39] 冯万文,夏亚一,党跃修,等.关节镜下固定移位的胫骨髁间嵴撕脱性骨折[J].中华关节外科杂志:电子版,2012,6(2):40-43.

[40] 李晓东,王春宇,武继伟,等.关节镜下复位可吸收空心钉内固定治疗胫骨髁间前嵴撕脱骨折[J].中国骨与关节损伤杂志, 2014, 29(10):991-993.