关节镜下可调双环板内固定治疗后交叉韧带胫骨止点撕脱骨折：回顾性队列研究。
Treatment of tibia avulsion fracture of posterior cruciate ligament with total arthroscopic internal fixation with adjustable double loop plate: A retrospective cohort study.
机构信息
Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Operating Room, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
出版信息
Injury. 2022 Jun;53(6):2233-2240. doi: 10.1016/j.injury.2022.04.003. Epub 2022 Apr 6.
AIM
To evaluate the effects of treating tibia avulsion fracture of the posterior cruciate ligament (PCL) by internal fixation with an adjustable double loop plate under the arthroscopic.
METHODS
Patients with a tibia avulsion fracture of the PCL were identified and were divided into two groups. X-ray, CT, and magnetic resonance imaging (MRI) were used to evaluate the injury and the fixation of the knee. The results of the range of motion (ROM), Lysholm score, International Knee Documentation Committee (IKDC) score, KT-1000, and other clinical parameters were checked and recorded, and compared through the study.
RESULTS
A total of 26 patients were identified in this study according to the inclusion and exclusion criteria. The initial fixation was achieved the fracture fragments were well fixed in all patients and the fracture healed at 3 months postoperatively. The demographics and baseline characteristics showed no differences. There were no differences between the experimental group and the control group in IKDC score (54.1±6.2 vs. 53.2±7.1, P = 0.812), Lysholm score (37.5±4.1 vs. 36.8±2.5, P = 0.636), KT-1000 score (9.8±0.6 mm vs. 9.6±0.4 mm, P = 0.401), and ROM (30±4.5˚ vs. 31±3.7˚, P = 0.723) before the surgery. Compared with the preoperative results, in the experimental group, the postoperative ROM (133.5±6.3˚, P<0.001), Lysholm scores (84.3±5.2, P = 0.001), and IKDC scores (4.5±5.1, P = 0.001) increased, and the postoperative KT-1000 scores (1.6±0.4, P = 0.001) declined, there was a significant difference. Accordingly, in the control group, the postoperative ROM (131±4.2˚, P<0.001), Lysholm scores (81.5±3.2, P = 0.001), and IKDC scores (83.6±3.7, P = 0.001) increased, and the KT-1000 scores (1.7±0.5, P = 0.001) decreased, with a significant difference. The postoperative outcomes, ROM, Lysholm scores, IKDC scores, and KT-1000 scores showed no significant differences between the two groups (P>0.799).
CONCLUSIONS
Compared with the conventional method, arthroscopic internal fixation with an adjustable double loop shows promise but requires further study.
目的
评估关节镜下可调双环钢板内固定治疗后交叉韧带胫骨止点撕脱骨折的效果。
方法
对符合纳入和排除标准的后交叉韧带胫骨止点撕脱骨折患者进行识别，并分为两组。X 射线、CT 和磁共振成像（MRI）用于评估膝关节损伤和固定情况。检查和记录了运动范围（ROM）、Lysholm 评分、国际膝关节文献委员会（IKDC）评分、KT-1000 等临床参数的结果，并通过研究进行了比较。
结果
根据纳入和排除标准，本研究共确定了 26 例患者。所有患者的骨折碎片初始固定良好，骨折均愈合，术后 3 个月。实验组和对照组在 IKDC 评分（54.1±6.2 与 53.2±7.1，P=0.812）、Lysholm 评分（37.5±4.1 与 36.8±2.5，P=0.636）、KT-1000 评分（9.8±0.6 毫米与 9.6±0.4 毫米，P=0.401）和 ROM（30±4.5˚与 31±3.7˚，P=0.723）方面无差异。与术前相比，实验组术后 ROM（133.5±6.3˚，P<0.001）、Lysholm 评分（84.3±5.2，P=0.001）和 IKDC 评分（4.5±5.1，P=0.001）增加，术后 KT-1000 评分（1.6±0.4，P=0.001）下降，差异有统计学意义。相应地，在对照组中，术后 ROM（131±4.2˚，P<0.001）、Lysholm 评分（81.5±3.2，P=0.001）和 IKDC 评分（83.6±3.7，P=0.001）增加，KT-1000 评分（1.7±0.5，P=0.001）下降，差异有统计学意义。两组间术后结果、ROM、Lysholm 评分、IKDC 评分和 KT-1000 评分无显著差异（P>0.799）。
结论
与传统方法相比，关节镜下可调双环固定具有一定的前景，但需要进一步研究。
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