Sun Hejun, Li Qi, Tang Xin, Deng Lanlan, Zheng Guo, Wang Fei, Fu Weili, Li Jian
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2014 Sep;28(9):1072-6.
To investigate the effectiveness of open reduction by mini incision and absorbable screw internal fixation for the treatment of anterior cruciate ligament (ACL) tibial eminence avulsion fracture.
Between January 2006 and July 2012, 90 patients (90 knees) with ACL tibial eminence avulsion fracture were treated. There were 58 males and 32 females, aged from 10 to 58 years with an average of 33.7 years. The causes of injury were traffic accident injury in 60 cases, sports injury in 22 cases, and fallinginjury in 8 cases. The disease duration was 1-365 days with a median of 106 days. Combined injuries included 14 cases of meniscus injury, 5 cases of medial collateral ligament injury, and 3 cases of avulsion fracture of the anterior horn of the lateral meniscus. All patients underwent open reduction by mini incision and internal fixation with absorbable screw. Postoperative rehabilitation exercise was performed.
Two patients had delayed healing of incision, and others obtained primary healing. All the patients were followed up 6-72 months (mean, 40.1 months). X-ray examination showed that bone union was achieved in all patients at 3-12 months after operation; nail tail came off in 7 cases at 4-13 months after operation, and the nail tail was taken out under arthroscopy. At 6-12 months after operation, the range of motion (ROM), Tegner score, Lysholm score, and International Knee Documentation Committee (IKDC) score were significantly increased when compared with preoperative ones (P < 0.05).
A combination of open reduction by mini incision and absorbable screw internal fixation for the treatment of ACL tibial eminence avulsion fracture has the advantages of easy operation, firm fixation, and satisfactory functional rehabilitation, so it is a safe and effective method for the treatment of ACL tibial eminence avulsion fracture.
探讨小切口切开复位可吸收螺钉内固定治疗前交叉韧带（ACL）胫骨髁间嵴撕脱骨折的疗效。
2006年1月至2012年7月，收治90例（90膝）ACL胫骨髁间嵴撕脱骨折患者。其中男性58例，女性32例，年龄10～58岁，平均33.7岁。受伤原因：交通事故伤60例，运动伤22例，坠落伤8例。病程1～365天，中位数为106天。合并损伤包括半月板损伤14例，内侧副韧带损伤5例，外侧半月板前角撕脱骨折3例。所有患者均行小切口切开复位可吸收螺钉内固定，并进行术后康复锻炼。
2例患者切口延迟愈合，其余患者切口一期愈合。所有患者均获随访，随访时间6～72个月，平均40.1个月。X线检查显示，所有患者术后3～12个月均达到骨愈合；7例患者术后4～13个月出现钉尾脱出，在关节镜下取出钉尾。术后6～12个月，与术前相比，患者的活动范围（ROM）、Tegner评分、Lysholm评分及国际膝关节文献委员会（IKDC）评分均显著提高（P<0.05）。
小切口切开复位可吸收螺钉内固定治疗ACL胫骨髁间嵴撕脱骨折具有操作简便、固定牢固、功能康复满意等优点，是治疗ACL胫骨髁间嵴撕脱骨折的一种安全有效的方法。
