Ayati Firoozabadi Mohammad, Dehghaniashkezari Davood, Seyedtabaei Seyed Mohammad Milad, Tabatabaei Irani Pouya, Khaledian Homayoon, Bozorgi Savodji Pantea, Mortazavi S M Javad
Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Arthrosc Tech. 2023 Dec 11;13(1):102815. doi: 10.1016/j.eats.2023.08.020. eCollection 2024 Jan.
Various surgical management techniques have been introduced to treat anterior cruciate ligament avulsion fractures. There is disagreement among orthopedic surgeons about which fixation device to use during arthroscopy. Recently, there has been an increase in the use of arthroscopic techniques for fixation, and different devices such as sutures, screws, and fiber wires are being considered. The development of fiber wires has made it possible to use them in comminuted avulsions with satisfactory stability, whereas screws cannot be used in such cases. Sutures do not provide adequate stability for early range of motion compared to other methods. The article then goes on to describe a specific arthroscopic fixation technique that uses an adjustable loop cortical button to manage the avulsed fragment and provide stability.
为治疗前交叉韧带撕脱骨折，已引入了多种手术管理技术。骨科医生对于在关节镜检查期间使用哪种固定装置存在分歧。最近，关节镜技术用于固定的情况有所增加，并且正在考虑使用诸如缝线、螺钉和纤维线等不同装置。纤维线的发展使其能够用于粉碎性撕脱骨折并具有令人满意的稳定性，而螺钉在这种情况下则无法使用。与其他方法相比，缝线在早期活动范围内不能提供足够的稳定性。然后文章接着描述了一种特定的关节镜固定技术，该技术使用可调节环皮质纽扣来处理撕脱的碎片并提供稳定性。
