关节镜下双排锚钉固定治疗前交叉韧带胫骨止点撕脱骨折

Clinical efficacy of arthroscopic double-row suture anchor fixation in treatment of anterior cruciate ligament tibial avulsion fracture

[目的]探讨关节镜下双排锚钉固定技术治疗前交叉韧带胫骨止点撕脱骨折的可行性和应用价值。[方法]2012年10月-2015年10月,在关节镜监视下,使用双排锚钉固定技术治疗前交叉韧带胫骨止点撕脱骨折30例。[结果]本组获得随访13-36个月,平均15个月。所有病例均获得骨性愈合,术后X线片示前交叉韧带胫骨止点撕脱骨折复位位置满意,术后功能满意,查体膝关节稳定性良好。[结论]关节镜下锚钉固定技术是一种微创、可靠治疗关节内骨折的新的固定方法,而双排锚钉提供了拉、压双重力量,固定更可靠、牢固,更简单、快速,是一种理想的固定方式。

[ Objective] To investigate the clinical efficacy of arthroscopic double -row suture anchor fixation in the treat- ment of anterior cruciate ligament tibia1 avulsion fracture. [ Method] A total of 30 patients with anterior cruciate ligament tibial avulsion fracture underwent arthroscopic double -row suture anchor fixation from October 2012 to October 2015. [ Result] The patients were followed up for 13 - 36 months （mean 15 months）. All fractures achieved bony union. Postoperative X - ray showed that the bones were fixed. The function after fixation was satisfactory, and the knee stability was good. [ Conclusion ] Arthroscopic anchor fixation is a minimally invasive, reliable, intra -articular, and new fixation method for anterior eruciate ligament tibial avulsion fracture. The double - row suture anchor can provide pulling and pressing forces to make the fixation more reliable, stronger, simpler, and faster. Therefore, arthroscopic double -row suture anchor fixation is a new ideal fixation method for anterior cruciate ligament tibia1 avulsion fracture.