Clinical comparative study of two kinds of fixation methods by arthroscopy in treatment of ACL tibial avulsion fracture
10.3969/j.issn.1007-1989.2018.02.008
- VernacularTitle:关节镜下两种固定方式治疗前交叉韧带胫骨止点撕脱骨折的临床研究
- Author:
Xiao-Lei LI
1
;
Peng WEI
;
Zhong-Peng QIU
Author Information
1. 石河子大学第一附院 骨一科
- Keywords:
arthroscopy;
screw;
suture;
ACL tibial avulsion fracture;
clinical effects
- From:
China Journal of Endoscopy
2018;24(2):38-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effects' differences of screw and suture fixation by arthroscopy in treatment of patients with ACL tibial avulsion fracture. Methods 80 patients with ACL tibial avulsion fracture were chosen and randomly divided into both groups including A group (40 patients) with suture fixation by arthroscopy and B group (40 patients) with screw fixation by arthroscopy; and the operation time, the Lysholm knee score, the IKDC knee function subjective scale score, the difference of uninjured and injured side displacement, and the incidence of flexion contracture of both groups were compared. Results The operation time of B group were significantly shorter than A group (P < 0.05). There was no significant difference in the Lysholm knee score, the IKDC knee function subjective scale score and the difference of uninjured and injured side displacement between the two groups (P > 0.05). There was no significant difference in the incidence of flexion contracture between the two groups (P > 0.05). Conclusion Screw and suture fixation by arthroscopy in treatment of patients with ACL tibial avulsion fracture possess the same clinical effects to higher the stability of reduction and improve the joint motion function; but screw fixation by arthroscopy application can efficiently shorten the operation time and reduce the operation difficulty.
