Chinese Journal of Tissue Engineering Research ›› 2014, Vol. 18 ›› Issue (53): 8629-8633.doi: 10.3969/j.issn.2095-4344.2014.53.019

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Arthroscopic treatment with tension band wire for avulsion fracture of tibial intercondylar eminence

Peng Li-bo, Zhao Hong, Xie Zi-kang, Wang Bin, Qu Yu-xing   

  1. Department of Orthopedics, Changzhou TCM Hospital, Changzhou 213003, Jiangsu Province, China
  • Revised:2014-11-13 Online:2014-12-24 Published:2014-12-24
  • Contact: Qu Yu-xing, M.D., Professor, Chief physician, Master’s supervisor, Department of Orthopedics, Changzhou TCM Hospital, Changzhou 213003, Jiangsu Province, China
  • About author:Peng Li-bo, Attending physician, Department of Orthopedics, Changzhou TCM Hospital, Changzhou 213003, Jiangsu Province, China
  • Supported by:

    a grant from Jiangsu Provincial Administration of Traditional Chinese Medicine, No. LZ11137

Abstract:

BACKGROUND: Avulsion fracture of tibial intercondylar eminence, as a fracture of insertion of anterior cruciate ligament, was caused by huge shear stress and angulated movement. The arthroscopic treatment was preferred. There is controversy about the style of fixation: pining or tension band wire under arthroscopy.
OBJECTIVE: To detect the clinical efficacy of arthroscopic treatment with tension band wire for avulsion fracture of tibial intercondylar eminence.
METHODS: From January 2010 to August 2014, 19 patients were treated by arthroscopic treatment with tension band wire in Changzhou TCM Hospital. All patients were followed up at 1, 3, 6, 12 months post-operation. The results of Lanchman test, bone healing time, range of motion, and Lysholm score of knee joint function were recorded at the final follow-up.
RESULTS AND CONCLUSION: All patients got followed. At the final follow-up, the Lanchman tests were all negative, the bone healing time was 7-11 months (average 8.4±1.9 months), Lysholm score was 94.1±4.6 points, and the range of motion was 121.7±9.6°. Good results were got by arthroscopic treatment with tension band wire for avulsion fracture of tibial intercondylar eminence. Advantages of this method are minimal invasive, good fixation of the anterior cruciate ligament.


中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程


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Key words: arthroscope, bone fixation wire, fractures, bone nails

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