期刊
JOURNAL OF BIOMATERIALS AND TISSUE ENGINEERING
卷 11, 期 10, 页码 1977-1982出版社
AMER SCIENTIFIC PUBLISHERS
DOI: 10.1166/jbt.2021.2776
关键词
Anterior Cruciate Ligament Reconstruction; Tibial Avulsion Fracture; Suture Fixation; Arthroscopy
资金
- National Natural Science Foundation of China [81672210]
The study demonstrates that arthroscopic treatment using the two-point suture fixation technique is effective for ACL avulsion fractures, restoring knee joint function and stability.
This study aimed to present and evaluate a new arthroscopic technique that uses two-point suture fixation for anterior cruciate ligament (ACL) tibial avulsion fractures. A total of 15 patients diagnosed with ACL tibial avulsion fracture underwent arthroscopic suture fixation from November 2018 to October 2019 and were treated using two-point suture fixation. The patients were followed up and evaluated according to Lysholm scores, International Knee Documentation Committee (IKDC) subjective scores, Tegner activity level scales, anterior drawer testing, and KT-1000 arthrometer testing. The mean follow-up period was 18 months (12 to 24). All patients had a negative Lachman test and anterior drawer test at final follow-up and showed the radiological union of avulsion fracture at 12-week postoperative radiograph. The Lysholm score improved significantly postoperatively with a mean score of 94.26 +/- 3.63 (87 to 98; p < 0.001). The Tegner score improved significantly postoperatively from 3.61 +/- 1.37 to 7.14 +/- 1.51 (p < 0.001). The KT-1000 measured value decreased significantly postoperatively from 7.3 11.5 to 1.4 11.2 (p < 0.001). The IKDC category was abnormal or severely abnormal preoperatively, and all patients improved to normal or nearly normal at final follow-up. Arthroscopic treatment using the two-point suture fixation technique is effective for ACL avulsion fracture and can restore the function and stability of the knee joint.
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