关节镜下空心钉复位与改良10#爱惜康丝线内固定治疗胫骨髁间嵴骨折的疗效比较

目的比较关节镜下空心钉复位与改良10#爱惜康丝线治疗胫骨髁间嵴骨折疗效。方法选取胫骨髁间嵴撕脱骨折21例,其中空心钉内固定组11例,改良10#爱惜康丝线固定组10例。观察2组手术时间、骨折愈合时间、膝关节活动度、并发症、Lysholm膝关节评分变化情况。结果改良10#爱惜康丝线固定组在手术时间上显著长于关节镜空心钉内固定组(P0.05),而2组在术中出血量、住院时间、骨折愈合时间上、膝关节屈伸活动度、Lysholm膝关节评分、并发症等方面比较无显著差异(P0.05)。结论关节镜下复位空心钉内固定和改良10#爱惜康丝线均是治疗胫骨髁间棘骨折良好方式。

Effect comparison between arthroscopic hollow screw reset and modified 10# Ethicon silk thread internal fixation in treatment of patients with tibial eminence fracture

Objective To compare the effect of arthroscopic hollow screw reset and modified 10# Ethicon silk thread internal fixation on treatment of patients with tibial eminence fracture.Methods A total of 21 patients with tibial eminence fracture were selected and randomly divided into the arthroscopic hollow screw reset fixation group (n =11) and modified 10# Ethicon silk suture fixation group (n =10).The operation time,fracture healing time,knee joint mobility,complications,Lysholm knee score were observed between the two groups.Results In the modified 10# Ethicon silk suture fixation group,the operation time was significantly higher than the arthroscopic hollow screw fixation group (P ＜ 0.05),and there were no significant differences in the amount of bleeding,hospitalization time,fracture healing time,knee flexion and extension activity,Lysholm knee score and complications between two groups (P ＞ 0.05).Conclusion Arthroscopic hollow screw reset and modified 10# Ethicon silk thread internal fixation are good methods for the treatment of patients with tibial eminence fracture.