Mutchamee Supamongkol, Ganokroj Phob
Department of Orthopaedic Surgery, Khon Kaen Hospital, Khon Kaen, Thailand.
Department of Orthopedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Arthrosc Tech. 2020 Oct 1;9(10):e1607-e1611. doi: 10.1016/j.eats.2020.05.005. eCollection 2020 Oct.
Few cases of tibial spine avulsion injuries occur in adolescents. An open or arthroscopic surgical approach is indicated for displaced and nonreducible fractures, but evidence for a gold standard is insufficient. Various arthroscopic techniques are available. Suture fixation is popular and shows good results. The proposed technique is a modified suture-bridge fixation using 2 high-strength sutures tied through 2 transosseous tunnels. This simple and low-cost technique avoids the potential complications of hardware fixation within a joint. It represents an arthroscopic treatment option for anterior cruciate ligament tibial avulsion injuries.
青少年中很少发生胫骨棘撕脱伤。对于移位且无法复位的骨折，建议采用开放或关节镜手术方法，但尚无足够证据证明哪种是金标准。有多种关节镜技术可供选择。缝线固定很常用且效果良好。所提出的技术是一种改良的缝线桥固定，使用2根高强度缝线穿过2个经骨隧道打结。这种简单且低成本的技术避免了关节内硬件固定的潜在并发症。它是前交叉韧带胫骨撕脱伤的一种关节镜治疗选择。
