Arthroscopic Reconstruction of ACL Tibial Avulsion Fracture with Knot Free Anchor and Double Bundle High-Strength Suture
Objective:To explore the clinical efficacy of arthroscopic reconstruction of anterior cruciate ligament(ACL)tib-ial avulsion fractures with Pushlock anchors and dual bundle high-strength sutures.Methods:Clinical data of 100 patients with ACL tibial insertion avulsion fractures who underwent surgical treatment from January 2015 to January 2023 were collected.All patients underwent arthroscopic surgery using Pushlock anchors combined with dual bundle high-strength sutures.Prior to surgery and at the final follow-up,all patients underwent physical examination using the Lachman test and anterior drawer test,while also checking for presence of anterior knee pain or local tenderness.The Lysholm knee joint scoring scale,the International Knee Joint Scoring Committee(IKDC)knee joint scoring scale,and the Tegner knee joint motion level scoring system were used to evaluate the functional recovery level of the affected knee.The range of motion(ROM)of knee joint flexion and extension was used to evaluate the stability and activity of the knee joint.Results:All 100 patients with ACL tibial avulsion fractures successfully completed surgery.At the last follow-up,the Lachman test and an-terior drawer test were negative,and the Lysholm scores,IKDC scores,and Tegner scores were significantly higher than before surgery(P＜0.001).The knee joint range of motion was significantly improved compared to before surgery(P＜0.001).The X-ray film showed that all fractures in 100 patients achieved anatomical or near anatomical reduction and bone healing.Conclusion:The surgical effect of arthroscopic Pushlock anchor combined with double bundle high-strength suture reconstruction for ACL tibial insertion avulsion fracture is clear,the results are satisfactory,and it is worth promoting.
ACL tibial avulsion fracture at the insertion pointarthroscopyknot free anchorhigh strength suture
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