关节镜下缝线桥技术与空心钉固定术治疗前交叉韧带胫骨止点撕脱骨折的效果对比
Comparison of the Effect of Arthroscopic Suture Bridge Technique and Hollow Nail Fixation on Anterior Cruciate Ligament Avulsion Fracture
高强 1李鹏1
作者信息
- 1. 洛南县中医院骨科,陕西 商洛 726100
- 折叠
摘要
目的:探讨关节镜下缝线桥技术与空心钉固定术治疗前交叉韧带胫骨止点撕脱骨折的疗效对比.方法:选取该院 2017年 12月—2022年 10月收治的 70例前交叉韧带胫骨止点撕脱骨折患者为研究对象,按随机数字表法将其分为对照组与观察组,各 35例.对照组采用空心钉固定术治疗,观察组采用关节镜下缝线桥技术治疗.对比2组的手术指标、患者治疗后的膝关节功能改善情况及生活质量变化,并且比较 2组患者的治疗并发症发生率.结果:观察组手术时间、住院时间均短于对照组,术后引流量少于对照组,组间差异有统计学意义(P<0.05).术后 3、6个月,观察组膝关节功能评分高于对照组,差异有统计学意义(P<0.05).观察组生活质量各个维度评分均高于对照组,组间差异有统计学意义(P<0.05).观察组并发症总发生率为 2.86%,低于对照组的 17.14%,差异有统计学意义(P<0.05).结论:前交叉韧带胫骨止点撕脱骨折患者使用关节镜下缝线桥技术的效果突出,可改善膝关节功能及日常活动能力,降低并发症发生率,具有应用价值.
Abstract
Objective:To investigate the effect of suture bridge and hollow nail fixation under arthroscopy on anterior cruciate ligament tibial arrest avulsion fracture.Methods:70 patients with avulsion fracture of anterior cruciate ligament tibial insertion admitted to our hospital from December 2017 to October 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 35 cases in each group.The control group was treated with hollow nail fixation,and the observation group was treated with suture bridge technique under arthroscopy.The surgical indicators,the improvement of knee function and the change of quality of life after treatment were compared between the two groups,and the incidence of treatment complications were compared between the two groups.Results:The operation time and hospital stay in the observation group were shorter than those in the control group,and the postoperative drainage volume was less than that in the control group,with statistical significance(P<0.05).At 3 and 6 months after surgery,the knee function score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The quality of life scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The total incidence of complications in the observation group was 2.86%,lower than 17.14%in the control group,and the difference was statistically significant(P<0.05).Conclusion:In patients with anterior cruciate ligament tibial arrest avulsion fracture,suture bridge technique under arthroscopy has outstanding effect,which can improve knee joint function and daily activity ability,reduce the incidence of complications,and has application value.
关键词
交叉韧带胫骨止点撕脱骨折/关节镜下缝线桥技术/空心钉固定术Key words
Avulsion fracture of tibial interlock of cruciate ligament/Suture bridge technique under arthroscopy/Hollow nail fixation引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据