带线锚钉缝合修复治疗改良Sherman Ⅰ型前交叉韧带损伤疗效研究

Clinical evaluation of suture repair with suture anchor in the treatment of modified Sherman typeⅠanterior cruciate ligament injury

目的探讨带线锚钉缝合修复治疗改良ShermanⅠ型前交叉韧带损伤的临床疗效。方法选取自2019年1月至2022年1月收治的30例前交叉韧带损伤患者为研究对象。根据治疗方法分为锚钉组与肌腱重建组,每组各15例。锚钉组采用带线锚钉缝合修复治疗,肌腱重建组采用自体腘绳肌腱重建治疗,比较两组治疗方法的临床治疗效果。结果两组患者均获得12~24个月的随访,平均随访时间20.4个月。术后1周,所有患者膝关节浮髌试验、前抽屉试验均为阴性,未出现关节不稳症状。术后3、6、12个月,两组患者的国际膝关节文献委员会评分、Lysholm评分比较,差异均有统计学意义(P<0.05)。术后6周,肌腱重建组的疼痛视觉模拟评分为(7.25±1.27)分,明显低于锚钉组的(9.65±1.75)分,差异有统计学意义(P<0.05)。结论带线锚钉缝合修复治疗改良ShermanⅠ型前交叉韧带损伤,可较大程度保留自体韧带组织,弥补重建手术不足,患者满意度高,临床疗效确切。

Objective To explore the clinical efficacy of suture repair with suture anchor in the treatment of modified Sherman typeⅠanterior cruciate ligament injury.Methods A total of 30 patients with anterior cruciate ligament injury treatedfrom January 2019 to January 2022 were selected.According to the treatment method,they were divided into anchor group and tendon reconstruction group,with 15 cases in each group.The anterior cruciate ligament was repaired in the anchoring group through suture with wire anchors implanted,and the anterior cruciate ligament was reconstructed in the tendon reconstruction group through external braid from the hamstring tendon taken from the body.The clinical efficacy of the two groups were compared.Results Patients in both groups were followed up for 12 to 24 months,with an average of 20.4 months.One week after the surgery,all patients were assessed for joint stability,and the floating patellar test and front drawer test were negative.International Knee Document Committee score and Lysholm score of the two groups were compared 3,6 and 12 months after surgery,the differences were statistically significant(P<0.05).At 6 weeks after surgery,the visual analoguescale score of tendon reconstruction group was(7.25±1.27),which was significantly lower than that of anchor group(9.65±1.75),and the difference was statistically significant(P<0.05).Conclusion The treatment of modified Sherman typeⅠanterior cruciate ligament injury with suture anchor nail repair can preserve autologous ligament tissue to a large extent,compensate for insufficient reconstruction surgery,and achieve high patient satisfaction and definite clinical efficacy.