CAJ | 학술논문

背景:关节镜下治疗前交叉韧带胫骨止点撕脱骨折已被广泛应用并取得了良好效果,但在内固定方法的许多方面仍未达成共识,甚至颇具争议. 目的:分析关节镜下手术进行前交叉韧带胫骨止点撕脱骨折复位 AO 线缆固定与丝线固定对膝关节运动功能和稳定性的影响. 方法:选择关节镜下手术治疗前交叉韧带胫骨止点撕脱骨折患者25例,其中应用AO线缆行骨折块内固定治疗者13例,应用丝线行骨折块固定治疗者12例.比较两组治疗后的膝关节活动度及稳定性. 结果与结论:治疗后随访6个月-5年,两组伸膝及屈膝运动功能差异无显著性意义,AO线缆组膝关节稳定性明显好于丝线组(P<0.05).表明在关节镜下复位固定前交叉韧带胫骨止点撕脱骨折使用AO线缆固定较使用丝线固定效果满意.
배경:관절경하치료전교차인대경골지점시탈골절이피엄범응용병취득료량호효과,단재내고정방법적허다방면잉미체성공식,심지파구쟁의. 목적:분석관절경하수술진행전교차인대경골지점시탈골절복위 AO 선람고정여사선고정대슬관절운동공능화은정성적영향. 방법:선택관절경하수술치료전교차인대경골지점시탈골절환자25례,기중응용AO선람행골절괴내고정치료자13례,응용사선행골절괴고정치료자12례.비교량조치료후적슬관절활동도급은정성. 결과여결론:치료후수방6개월-5년,량조신슬급굴슬운동공능차이무현저성의의,AO선람조슬관절은정성명현호우사선조(P<0.05).표명재관절경하복위고정전교차인대경골지점시탈골절사용AO선람고정교사용사선고정효과만의.
BACKGROUND:Arthroscopic treatment of avulsion fractures of the anterior cruciate ligament (ACL) at the tibial insertion has been widely accepted and obtained satisfactory clinical outcomes. However, no accepted conclusions have been drawn, and there is a controversy regarding the different fixation methods. @@@@OBJECTIVE:To analyze the function evaluation and knee stability in patients with ACL avulsion fractures at the tibial insertion undergoing arthroscopic-assisted fixation using either AO cable system or Ethibond sutures. @@@@METHODS:A total of 25 patients with ACL avulsion fractures at the tibial insertion were treated with arthroscopic-assisted fixation using either AO cable system (13 patients) or Ethibond sutures (12 patients). Fol ow-up assessment included function evaluation and knee stability. @@@@RESULTS AND CONCLUSION:During the fol ow-up (6 months to 5 years), there were no significant differences in neither extension nor flexion between the two groups. Better knee stability in AO cable system group was found with respect to suture fixation group (P<0.05). AO cable fixation provides better clinical outcomes than Ethibond suture to treat ACL avulsion fractures at the tibial insertion.