Analysis of the efficacy of arthroscopic non-absorbable wire"8"suture technique in the treatment of avulsion fractures of the tibial stop of the anterior cruciate ligament
Objective To investigate the efficacy of arthroscopic non-absorbable thread"8"suture technique in the treatment of knee anterior cruciate ligament avulsion fracture(KACLAF).Methods Sixty-seven patients with KACLAF admitted to our hospital between September 2021 and September 2022 were selected,including 40 males and 27 females.The mean age was(34.56±11.55)years.Knee stability and mobility were assessed by knee range of motion(ROM),bilateral anterior tibial translation distance difference,isometric strength test and jumping test.Knee functions were evaluated by Knee injury and osteoarthritis outcome score(KOOS),the International Knee Documentation Committee(IKDC)score,Tegner Activity Scale(TAS),and the Lysholm knee scoring scale(LKSS).Visual analog scale(VAS)for pain and the ACL quality of life(ACL-QOL)were used to assess knee pain and postoperative quality of life.Results Compared with the preoperative data,ROM was elevated at 3,6,9 and 12 months postoperatively;the differences in bilateral anterior tibial shift distance decreased(P<0.05);isometric strength tests(quadriceps 60°/s,quadriceps 180°/s,quadriceps 300°/s,hamstrings 60°/s,hamstrings 180°/s,and hamstrings 300°/s)and jump tests(single,triple and lateral jumps)results were progressively increasing(P<0.05);KOOS,IKDC,TAS and LKSS were higher than that preoperatively(P<0.05);ACL-QOL was higher than that preoperatively;VAS was lower than that preoperatively(P<0.05).Conclusions The arthroscopic non-absorbable suture"8"suture technique can effectively improve the movement and stability of the knee joint and knee function after KACLAF.
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