经关节镜下带线锚钉内固定治疗后交叉韧带止点骨折的临床效果观察

Clinical effect observation of arthroscopic internal fixation with threaded anchor in the treatment of posterior cruciate ligament fractures

目的探讨经关节镜下带线锚钉内固定治疗后交叉韧带止点骨折的临床效果。方法选取2019年6月—2020年6月解放军联勤保障部队第九〇八医院鹰潭医疗区收治的80例后交叉韧带止点骨折患者,按照随机数字表法将其分为对照组和试验组,每组各40例。对照组患者接受常规胭窝钢丝固定术,试验组患者接受经关节镜下带线锚钉内固定术,两组患者术后均随访6个月。比较两组患者的手术相关指标、术后临床疗效。比较两组患者术前与术后6个月的功能恢复情况。结果试验组患者的手术用时及切口Ⅰ期愈合时间均短于对照组,且术中出血量少于对照组,差异有统计学意义(P<0.05);术前,两组患者的Lysholm评分比较,差异无统计学意义(P>0.05);术后6个月,两组患者的Lysholm评分高于术前,差异有统计学意义(P<0.05);术后6个月,试验组患者的Lysholm评分高于对照组,且试验组患者的总有效率(92.50%)高于对照组(72.50%),差异有统计学意义(P<0.05)。结论经关节镜下带线锚钉内固定治疗可显著减轻后交叉韧带止点骨折患者的临床症状,促进其关节功能恢复,疗效显著。

Objective To explore the clinical effect of arthroscopic internal fixation with threaded anchors in the treatment of posterior cruciate ligament fractures.Methods A total of 80 patients with posterior cruciate ligament anchorage fractures admitted to Yingtan Medical District,No.908 Hospital of Joint Logistic Support Force of Chinese People′s Liberation Army from June 2019 to June 2020 were selected.According to the random number table method,they were divided into control group and experimental group,40 cases in each group.Patients in the control group underwent conventional rouge socket wire fixation,and patients in the experimental group received arthroscopic internal fixation with wire anchors.Patients in both groups were followed up for 6 months.Operation-related indexes and postoperative clinical efficacy were compared between the two groups.The functional recovery before and 6 months after surgery of the two groups was compared.Results The operation time and the healing time of theⅠincision in the experimental group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,with statistical significances(P<0.05).Before surgery,there was no significant difference in Lysholm score between the two groups(P>0.05).At 6 months after surgery,Lysholm scores in the two groups were higher than those before surgery,the differences were statistically significant(P<0.05).At 6 months after surgery,Lysholm score in the experimental group was higher than that in the control group,and the total effective rate in the experimental group(92.50%)was higher than that in the control group(72.50%),with statistical significances(P<0.05).Conclusion Arthroscopic internal fixation with threaded anchors can significantly reduce the clinical symptoms of patients with posterior cruciate ligament attachment fractures,promote joint function recovery,and have a significant effect.