缝线结合空心钉与缝线内固定治疗前交叉韧带胫骨髁间棘撕脱骨折疗效比较

目的比较缝线结合空心钉与缝线内固定治疗前交叉韧带胫骨髁间棘撕脱骨折疗效。方法将该院诊治的78例前交叉韧带胫骨髁间棘撕脱骨折患者随机分入A组与B组,A组患者接受缝线内固定,B组患者接受缝线结合空心钉内固定治疗,评估两组临床疗效。结果两组患者随访10~18个月,所有患者均骨性愈合。B组患者术后Lysholm膝关节评分显著高于A组(96.73±6.56)vs(91.26±6.17),P<0.05];术后B组患者Lachman试验和前抽屉试验结果显著优于A组(P<0.05);术后B组与A组IKDC2000主观膝关节评分差别具有统计学意义(P<0.05)。结论与缝线内固定相比,缝线结合空心钉内固定前交叉韧带胫骨髁间棘撕脱骨折效果更为理想,患者关节功能恢复好。

Effect comparison of suture combined with cannulated screw fixation and suture fixation in treating anterior cruciate ligament tibial eminence avulsion fracture

Objective To compare the effect of suture combined with cannulated screw fixation and suture fixation in treating anterior cruciate ligament tibial eminence avulsion fracture. Methods Seventy-eight cases with anterior cruciate ligament tibial eminence avul-sion fracture were randomized into group A and group B. Group A received suture fixation and group B was given suture combined with cannulated screw fixation. Clinical effects were compared between two groups. Results All the patients were followed up for 10-18 months,who obtained bony union. Postoperative Lysholm knee assessment score in group B was much higher than that in group A （96. 73±6. 56） vs（91. 26±6. 17）,P〈0. 05]. Postoperative Lachman test result and anterior drawer test result in group B were su-perior to those in group A （P〈0. 05）. There were significant differences in IKDC2000 scores between group A and group B （P〈0. 05）. Conclusions Compared with suture fixation,suture combined with cannulated screw fixation has better clinical effects with ide-al recovery of joint function.