CAJ | 학술논문

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。
목적：비교봉선결합공심정여봉선내고정치료전교차인대경골과간극시탈골절료효。방법장해원진치적78례전교차인대경골과간극시탈골절환자수궤분입A조여B조,A조환자접수봉선내고정,B조환자접수봉선결합공심정내고정치료,평고량조림상료효。결과량조환자수방10~18개월,소유환자균골성유합。 B조환자술후Lysholm슬관절평분현저고우A조[(96.73±6.56) vs(91.26±6.17),P<0.05]；술후B조환자Lachman시험화전추체시험결과현저우우A조(P<0.05)；술후B조여A조IKDC2000주관슬관절평분차별구유통계학의의(P<0.05)。결론여봉선내고정상비,봉선결합공심정내고정전교차인대경골과간극시탈골절효과경위이상,환자관절공능회복호。
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.