Treatment of avulsion fracture of tibial intercondylar anterior spine with suture fixation under arthroscope

doi:10.3877/cma.j.issn.1674-134X.2021.04.017

Abstract

Abstract:

Objective

To explore the comparison of arthroscopic bolted fixation and wire fixation for anterior cruciate ligament tibial avulsion fracture.

Methods

A series of 26 cases of avulsion fractures of the anterior intercondylar spine of the tibia were treated from February 2016 to February 2019. Inclusion criteria were as follows: Meyers-McKeever classification II-III based on three-dimensional CT reconstruction; unilateral fresh closed injury. The patients were divided into the wire group (n=15) and the bolted group (n=11). The operative time, range of motion (ROM) and Lysholm score of all the patients were recorded. Monthly X-ray examination was conducted to determine the fracture healing time. The results were compared by independent t test.

Results

The mean operation time of the bolted group was(56.8±6.7)min, and that of the wire group was(68.5±5.1)min. The operation time of the bolted group was significantly shorter(t=5.062, P<0.05). All the patients were followed up for six to 13 months. The healing time of wire group was(4.3±0.3) months, and that of bolted group was (4.1±0.4)months(t=1.463, P>0.05). Lysholm score at three month post-operatively in the wire group was(82.4±9.1), and that in the bolted group was (84.1±9.5)(t=0.462, P>0.05). Lysholm score was(94.6±7.2)in the wire group and(93.1±6.4)in the bolted group six months after operation(t=0.551, P>0.05). There was no statistical difference.

Conclusion

Arthroscopic bolting post technique is easy to actualize withless operation time and good result.

Key words: Arthroscope, Fracture fixation, internal, Fractures, avulsion

Yan Xia. Treatment of avulsion fracture of tibial intercondylar anterior spine with suture fixation under arthroscope[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(04): 499-502.

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References 13

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分组	例数	性别(例)		年龄[岁，(±s)]	Meyers-McKeever分型(例)
分组	例数	男	女	年龄[岁，(±s)]	Ⅱ	Ⅲ	Ⅳ
栓桩组	11	7	4	35±6	4	4	3
钢丝组	15	9	6	38±7	7	6	2
统计值		-		t＝1.033	χ²＝0.822
P值		1.000^*		>0.05	>0.05

分组	例数	性别(例)		年龄[岁，(±s)]	Meyers-McKeever分型(例)
分组	例数	男	女	年龄[岁，(±s)]	Ⅱ	Ⅲ	Ⅳ
栓桩组	11	7	4	35±6	4	4	3
钢丝组	15	9	6	38±7	7	6	2
统计值		-		t＝1.033	χ²＝0.822
P值		1.000^*		>0.05	>0.05

分组	例数	手术时间(min)	骨折愈合时间(个月)	Lysholm评分(分)		ROM(°)
分组	例数	手术时间(min)	骨折愈合时间(个月)	3个月	6个月	ROM(°)
栓桩组	11	56.8±6.7	4.1±0.4	84.1±9.5	93.1±6.4	124.1±9.2
钢丝组	15	68.5±5.1	4.3±0.3	82.4±9.1	94.6±7.2	121.3±9.6
t值		5.062	1.463	0.462	0.551	0.757
P值		<0.001	>0.05	>0.05	>0.05	>0.05

分组	例数	手术时间(min)	骨折愈合时间(个月)	Lysholm评分(分)		ROM(°)
分组	例数	手术时间(min)	骨折愈合时间(个月)	3个月	6个月	ROM(°)
栓桩组	11	56.8±6.7	4.1±0.4	84.1±9.5	93.1±6.4	124.1±9.2
钢丝组	15	68.5±5.1	4.3±0.3	82.4±9.1	94.6±7.2	121.3±9.6
t值		5.062	1.463	0.462	0.551	0.757
P值		<0.001	>0.05	>0.05	>0.05	>0.05

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