Chu Yupeng, Hu Ting, Chen Mangmang, Jiang Chendi, Wu Zhuqi, Shi Junwu
Department of Orthopaedic Surgery, The Dingli Clinical Institute of Wenzhou Medical University, Wenzhou, 325000, Zhejiang, China.
BMC Musculoskelet Disord. 2021 Jan 13;22(1):74. doi: 10.1186/s12891-021-03948-9.
Tibial intercondylar eminence avulsion fractures occur primarily in adolescents and young adults. However, the incidence of such fractures is increasing in adults, concurrent with an increase in sports injuries and traffic accidents. This study describes the fixation-based double-row anchor suture-bridge technique, a novel technique for treating tibial intercondylar eminence fractures in adults; and evaluates its preliminary clinical outcomes.
A retrospective evaluation of adult patients with tibial intercondylar eminence fractures treated at our institution from June 2016 to June 2018 was conducted. Seven such patients, treated with the anchor suture-bridge technique, were included. All patients were assessed for knee joint range of motion (ROM), Lysholm knee score, International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form score, Tegner activity score pre-surgery, and the healing of the fracture at 3, 6 and 12 months minimal post-surgery follow-up.
Patients were followed for a mean of 12.43 months (range 9-15 months). By the final follow-up, all fractures had fully healed. The mean Lysholm score improved from 27.86 (range, 2 to 54) pre-surgery to 88.14 (range, 81 to 100) 3 months post-surgery (p < 0.05). Similarly, the mean IKDC score improved from 48.86 (range, 43 to 55) to 84.29 (range, 75 to 90) (P < 0.05); and the mean Tegner activity score improved from 1.71 (range, 0 to 4) to 3.29 (range, 2 to 4) (p < 0.05). Furthermore, knee joint ROM, Lysholm scores, IKDC scores, and Tegner activity scores displayed excellent outcomes at the 6 and 12 months minimal follow-up.
The arthroscopic anchor suture-bridge technique is a valid and secure method for achieving effective fixation of tibial intercondylar eminence fractures in adults.
胫骨髁间隆起撕脱骨折主要发生在青少年和年轻成年人中。然而，随着运动损伤和交通事故的增加，此类骨折在成年人中的发病率也在上升。本研究描述了基于固定的双排锚钉缝合桥技术，这是一种治疗成人胫骨髁间隆起骨折的新技术；并评估其初步临床疗效。
对2016年6月至2018年6月在我院接受治疗的成人胫骨髁间隆起骨折患者进行回顾性评估。纳入7例采用锚钉缝合桥技术治疗的此类患者。对所有患者进行膝关节活动范围（ROM）、Lysholm膝关节评分、国际膝关节文献委员会（IKDC）主观膝关节评估表评分、术前Tegner活动评分，以及术后3、6和12个月最短随访时骨折愈合情况的评估。
患者平均随访12.43个月（范围9 - 15个月）。至末次随访时，所有骨折均完全愈合。Lysholm评分均值从术前的27.86（范围2至54）提高到术后3个月的88.14（范围81至100）（p < 0.05）。同样，IKDC评分均值从48.86（范围43至55）提高到84.29（范围75至90）（P < 0.05）；Tegner活动评分均值从1.71（范围0至4）提高到3.29（范围2至4）（p < 0.05）。此外，在术后6个月和12个月最短随访时，膝关节ROM、Lysholm评分、IKDC评分和Tegner活动评分均显示出良好结果。
关节镜下锚钉缝合桥技术是实现成人胫骨髁间隆起骨折有效固定的一种有效且安全的方法。
