关节镜下缝线“8”字打结空心钉固定治疗前交叉韧带胫骨止点撕脱性骨折

The Research about Figure of 8 Suture Fixation with Cannulated Screw and washer Under Arthroscopic in the Treatment of Anterior Cruciate Ligament Tibial Avulsion Fracture

目的分析关节镜下缝线"8"字打结空心钉固定治疗前交叉韧带胫骨止点撕脱性骨折的价值。方法以68例患者为对象,比较患者术前、后Lysholm膝关节功能评分和Lachman试验阴性率。结果:所有患者骨折均愈合良好。术后Lysholm评分为(92.84±1.65)分,显著高于术前(28.46±1.37)的评分(t=33.486,P=0.000)。术后Lachman阴性率为0.00%,显著低于术前100.00%的阳性率(χ2=36.942,P=0.000)。结论关节镜下缝线"8"字打结空心钉固定治疗前交叉韧带胫骨止点撕脱性骨折具有较好的近期疗效。

Objective to analyze the value of figure of 8 suture fixation with cannulated screw and washer under arthroscopic in the treatment of anterior cruciate ligament tibial avulsion fracture. Methods the Lysholm knee score and the Lachman test negative rate of 68 cases of patients before and after surgical operation were compared to evaluate the value of the 8 suture fixation with cannulated screw and washer under arthroscopic. Results all fractures were healed well. Postoperative Lysholm score was（92.84 ＋1.65）,which was significantly higher than that before operation with score（28.46 ±1.37）（t =33.486,P =0.000）.Postoperative Lachman negative rate was 0%,which was significantly lower than that before operation with 100.00%（χ2=36.942,P =0.000）.Conclusion figure of 8 suture fixation with cannulated screw and washer under arthroscopic has good effect in the treatment of anterior cruciate ligament tibial avulsion fracture.