MEDLINE/PubMed Journal Browser Search

Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

Title: [Clinical Efficacy of Anchor Suture Bridge Technique for Avulsion Fractures of the Posterior Cruciate Ligament Tibial Insertion Point in the Knee Joint].
Author: Chu X, Li Y, Zheng Y, Li Y, Wang F.
Journal: Sichuan Da Xue Xue Bao Yi Xue Ban; 2024 Jul 20; 55(4):1020-1025. PubMed ID: 39170006.
Abstract:
OBJECTIVE: To investigate the clinical efficacy of the anchor suture bridge technique in treating avulsion fractures at the tibial insertion point of the posterior cruciate ligament (PCL) in the knee joint. METHODS: In this study, we reviewed 80 patients with PCL tibial avulsion fractures treated using the anchor suture bridge technique in our department from February 2010 to December 2023. Follow-ups were conducted starting at 3 months post-surgery, then every 3 months until 12 months post-surgery. Clinical and follow-up data of each patient were analyzed. The Lysholm and Hospital for Special Surgery Knee-Rating Scale (HSS) scores of knee function before surgery and at the last follow-up were compared to assess the surgical treatment outcome. RESULTS: The 80 patients were followed up for an average of (12.16±1.08) months post-surgery. Re-examination X-rays showed that all fractures had healed, with an average healing time of (3.66±0.51) months. All patients recovered well, with primary healing of surgical incisions and no complications such as neurovascular injury, skin necrosis, incision infection, fracture displacement, or ligament laxity. Postoperative knee Lysholm and HSS scores were significantly higher than preoperative scores. At the last follow-up, the Lysholm score increased from (46.30±6.10) preoperatively to (90.85±3.27), and the HSS score increased from (45.30±5.80) to (91.15±2.66), with statistically significant differences (P<0.025). CONCLUSION: The anchor suture bridge technique is effective in treating avulsion fractures of the PCL tibial insertion point in the knee joint. It has a high safety profile and leads to good postoperative knee function recovery, with no serious postoperative complications, demonstrating excellent clinical efficacy. 目的: 研究锚钉缝线桥技术在治疗膝关节后交叉韧带胫骨止点撕脱骨折方面的临床效果。方法: 回顾我科自2010年2月–2023年12月在我院接受锚钉缝线桥技术治疗的膝关节后交叉韧带胫骨止点撕脱骨折的80例患者。从手术后3个月开始随访，每3个月随访1次，随访至术后12个月。分析每位患者的临床及随访资料，通过比较和分析入院手术前膝关节功能Lysholm评分和HSS评分和术后最后1次随访膝关节功能评分，观察其手术治疗效果。结果: 80例患者在术后接受了（12.16±1.08）个月的随访，复查X片显示所有骨折都已愈合，愈合时间为（3.66±0.51）个月，所有患者均恢复良好，术后切口均Ⅰ期愈合，并且没有出现神经血管损伤、皮肤坏死、切口感染、骨折移位或韧带松弛等并发症。手术后，患者的膝关节Lysholm评分和HSS评分均高于手术前，截至末次随访，Lysholm评分由术前的（46.30±6.10）分升至（90.85±3.27）分，HSS评分由术前的（45.30±5.80）分升至（91.15±2.66）分，差异均有统计学意义（P<0.025）。结论: 锚钉缝线桥技术在治疗膝关节后交叉韧带胫骨止点撕脱骨折方面具有确切的疗效，无严重的术后并发症发生，术后膝关节功能恢复良好，安全性较高，具有良好的临床效果。

[Abstract] [Full Text] [Related] [New Search]