Arthroscopy. 2019 May;35(5):1545-1546. doi: 10.1016/j.arthro.2019.02.007.
Arthroscopic reduction and fixation of tibial eminence avulsion fractures has excellent clinical results and adequately restores anterior cruciate ligament function with a low rate of complications. Clinical outcomes are preserved at an average of 8 years, and the incidence of osteoarthritis is low at midterm follow up. These injuries may represent the best-case scenarios of anterior cruciate ligament injury because they represent lower energy injuries without significant associated meniscal or chondral pathologies. These findings may give us additional clues about which patients are the best candidates for primary anterior cruciate ligament repair in the setting of femoral-sided avulsions.
关节镜下胫骨髁间嵴撕脱骨折复位固定具有极佳的临床疗效，能够充分恢复前交叉韧带功能，且并发症发生率低。平均随访 8 年后，临床效果得以维持，中期随访时骨关节炎的发生率较低。这些损伤可能代表了前交叉韧带损伤的最佳情况，因为它们代表了低能量损伤，没有明显的半月板或软骨病理改变。这些发现可能为我们提供更多线索，了解在股骨侧撕脱的情况下，哪些患者是前交叉韧带修复的最佳候选者。
