CAJ | 학술논문

目的探讨分析关节镜下缝线套扎治疗前交叉韧带胫骨止点撕脱性骨折的临床疗效。方法回顾性分析经关节镜下缝线套扎治疗且随访时间满1年的26例前交叉韧带胫骨止点撕脱性骨折患者，比较患者术前、术后膝关节体格检查的差异，通过X线检查观察患者骨折愈合情况，并比较患者术前、术后Lysholm评分以及IKDC2000主观膝关节评分。结果随访末期所有患者的膝关节主动屈伸均可达到0°～130°。术后6个月骨折线块全部消失，所有骨折均骨性愈合。术后6个月，Lysholm评分为86～98分，平均（92．7±4．3）分，与患者术前比较差异有统计学意义（t＝36．7，P＜0．05）；术后6个月，IKDC2000主观膝关节评分为83～96分，平均（90．7±4．2）分，与患者术前比较差异有统计学意义（ t＝22．5，P＜0．05）。结论关节镜下缝线套扎治疗前交叉韧带胫骨止点撕脱骨折方法简便，创伤小，效果肯定。
목적탐토분석관절경하봉선투찰치료전교차인대경골지점시탈성골절적림상료효。방법회고성분석경관절경하봉선투찰치료차수방시간만1년적26례전교차인대경골지점시탈성골절환자，비교환자술전、술후슬관절체격검사적차이，통과X선검사관찰환자골절유합정황，병비교환자술전、술후Lysholm평분이급IKDC2000주관슬관절평분。결과수방말기소유환자적슬관절주동굴신균가체도0°～130°。술후6개월골절선괴전부소실，소유골절균골성유합。술후6개월，Lysholm평분위86～98분，평균（92．7±4．3）분，여환자술전비교차이유통계학의의（t＝36．7，P＜0．05）；술후6개월，IKDC2000주관슬관절평분위83～96분，평균（90．7±4．2）분，여환자술전비교차이유통계학의의（ t＝22．5，P＜0．05）。결론관절경하봉선투찰치료전교차인대경골지점시탈골절방법간편，창상소，효과긍정。
Objective To investigate the outcomes of arthroscopic treatment of anterior cruciate ligament tibial eminence avul-sion fractures by using loop ligature fixation .Methods 26 patients with anterior cruciate ligament tibial eminence avulsion frac-tures .All the patients were fellowed up at least one year .Results The X-ray indicated that all the avulsion fractures of tibial anteri-or eminence were healed after 6 months of the operation .The mean Lysholm score improved from (50 .8 ± 6 .5) preoperatively to (92 .7 ± 4 .3)postoperatively(t=36 .7 ,P<0 .05) .The mean IKDC 2000 subject score improved from (55 .6 ± 7 .4)preoperatively to (90 .7 ± 4 .2) postoperatively(t=22 .5 ,P<0 .05) .Conclusion Arthroscopic treatment of anterior cruciate ligament tibial eminence avulsion fractures by using loop ligature fixation could provide satisfying reduction ,stable fixation and well healing of the avulsed fragment .This arthroscopic suture fixation method is a minimally invasive ,simple and effective treatment for patients with tibial eminence fracture .