Clinical outcome of arthroscopic Y-shaped suture technique for fixation of displaced anterior cruciate ligament avulsion fractures
Objective To investigate the suture technique and clinical effect of double sutures Y-shaped fixation of avulsion fractures of the anterior cruciate ligament(ACL)under arthroscopy.Methods A retrospective analysis was performed on 30 patients with ACL avulsion fractures and fixed with Y-shaped suture technique under arthroscopy in Jiangsu Province Hospital from Jan.2018 to Dec.2021,including 19 males and 11 females aged 27-56(mean 36.8)years.VAS and Lysholm scores were used to evaluate the recovery effects,and CT scans to eval-uate the fracture healing.Results Patients were followed up for 18-31(mean 24.6)months.The preoperative VAS was 7.3±1.3 on average,which was significantly decreased at postoperative 1,6,12 months and last follow-up(0.5±0.5,all P＜0.05 compared with that before surgery).The Lysholm score was 45.4±7.6 before surgery,which after surgery showed no significant increase at 1 month,but was significantly increased at 6 months(85.1±5.3)and 12 months(92.4±2.4,both P＜0.05 compared with that before surgery).CT scan at 12 months after surgery showed bone healing for all patients and negative results for both drawer test and Lachman test.Conclusion Doub-le sutures Y-shaped fixation of ACL avulsion fracture under arthroscopy is simple and very effective,thus can be pro-moted in clinical practice.
万方数据
维普
