关节镜下缝线固定结合Endo-Button治疗后交叉韧带止点撕脱性骨折的疗效分析

Arthroscopic suture fixation combined with Endo-Button in treatment of tibial avulsion fracture of posterior cruciate ligament

摘要:

采用关节镜下缝线固定结合Endo-Button治疗后交叉韧带（PCL）止点撕脱性骨折，探讨此技术的临床疗效。方法?回顾性分析该科2015年6月－2018年6月收治的16例PCL止点撕脱性骨折患者，均采用关节镜下缝线固定结合Endo-Button予以复位固定。其中，男10例，女6例，年龄23～56岁，平均38岁，所有患者术前术后均采用国际膝关节文献委员会（IKDC）膝关节主观评分、Lysholm膝关节功能评分和影像学进行评估。结果?所有患者均获得6～36个月随访，平均19.2个月，术后均无切口感染和深静脉血栓等手术相关并发症，IKDC膝关节主观评分从（48.6±3.4）分增加到（93.8±3.2）分，Lysholm膝关节功能评分从（36.6±2.2）分增加到（93.6±2.3）分，IKDC膝关节主观评分和Lysholm膝关节功能评分术前术后比较，差异均有统计学意义（P <0.05）。结论?关节镜下缝线固定结合Endo-Button治疗PCL止点撕脱性骨折，疗效确切，具有操作简便、创伤小和安全可靠等优点，有利于患者早期进行膝关节功能锻炼。

Abstract:

To evaluate the outcome of arthroscopy treatment using suture fixation combined with Endo-Button in treatment of tibial avulsion fracture of posterior cruciate ligament. Methods From June 2015 to June 2018, 16 patients with PCL avulsion fracture were treated with arthroscopic suture fixation combined with Endo-Button. There were 10 male patients and 6 female patients with an average age of 38 years old (range, 23~56 years). All the patients were evaluated with the International Knee Documentation Committee (IKDC) knee subject score, knee Lysholm score and imaging examination before and after operation. Results All the 16 cases were followed up for 6 ~ 36 months (average 19.2 months). Fortunately, there were no postoperative complications such as incision infection, deep vein thrombosis and so on. The subjective score of IKDC knee joint increased from (48.6 ± 3.4) to (93.8 ± 3.2). The Lysholm score of knee joint function increased from (36.6 ± 2.2) to (93.6 ± 2.3), there was significant difference before and after operation (P < 0.05). Conclusion Arthroscopic suture fixation combined with Endo-Button is a simple, safe, reliable, effective, and micro-invasive treatment to PCL tibial avulsion fracture. Which is good for early postoperative rehabilitation.