关节镜双Endobutton钢板与切开固定PCL止点骨折的比较

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Abstract Objective To compare the clinical efficacy between two Endobutton plates fixation under arthroscope and open reduction and cannulated screw fixation in tibial avulsion fracture of posterior cruciate ligament.Methods From March 2015 to June 2018，56 patients with acute tibial avulsion fracture of posterior cruciate ligament underwent surgery in our hospital who were randomly divided into two groups.26 patients underwent surgery with two Endobutton plates combined with high-strength line fixation under arthroscope (the arthroscope group).30 patients underwent surgery with modified posteromedial incision of knee by using two cannulated screws ( the open reduction group).The indicators such as operation time，hospitalization expenses，knee pain score before surgery and 3 days，1 month and 1 year after surgery，last follow-up in knee range of motion，Lysholm score，positive rate of posterior stress radiography and postoperative complications were recorded and analyzed for the comparison of two groups.Results All patients in both groups underwent successful operation without any incision-related complications.The operation time of the arthroscope group was longer than that of the open reduction group(P＜0.05).By comparing the hospitalization expenses，the cost of the arthroscope group was higher than that of the open reduction group(P＜0.05).In terms of the pain score in three days after surgery，the pain score of the arthroscope group was lower than that of the open reduction group (P＜0.05).There was no significant difference in knee pain scores between two groups based on the period of before operation，1 month and 1 year after operation (P＞0.05).There was no significant difference in knee range of motion in the last follow-up evaluation，Lysholm score，and the positive rate of posterior stress radiography (P＞0.05).Conclusion The usage of two Endobutton plates under arthroscope，and the usage of the modified posterior medial approach to the knee joint for the treatment of PCL abutment avulsion fracture with cannulated screws can both achieve good surgical results.The advantages such as minimally invasive and mild early pain are obvious in the arthroscope group，however，the operation time is longer and the cost is slightly higher of this group than that of the open reduction group.

Key words： posterior cruciate ligament avulsion fracture arthroscope open reduction internal fixation

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［1］Strobel MJ，Weiler A，Schulz MS，et al.Arthroscopic evaluation of articular cartilage lesions in posterior-cruciate-ligament-deficient knees ［J］.Arthroscopy，2003，19(3)：262-268.
［2］Yang CK，Wu CD，Chih CJ，et al.Surgical treatment of avulsion fracture of the posterior cruciate ligament and postoperative management ［J］.J Trauma，2003，54(3)：516-519.
［3］White EA，Patel DB，Matcuk GＲ，et al.Cruciate ligament avulsion fracture：anatomy，biomechanics，injury patterns，andapproach to anagemen［J］.Emerg Ｒadiol，2013，20(5)：429-440.
［4］CanaleST，Besty JH.坎贝尔骨科手术学［M］.王岩，唐佩福，裴国献，等译.11 版.北京：人民军医出版社，2009：1995-2006.
［5］赵建磊，阎亮，孙永强，等.关节镜下空心钉固定治疗 PCL胫骨止点撕脱骨折［J］.实用骨科杂志，2017，23(11)：1043-1045.
［6］Zhang X，Cai G，Xu J，et al.A minimally invasive postero-medialapproach with suture anchors for isolated tibial avulsion fracture ofthe posterior cruciate ligament ［J］.Knee，2013，20(2)：96-99.
［7］杨波，吴长坤，刘建永，等.关节镜下后交叉韧带胫骨止点撕脱骨折缝合固定术的中远期疗效分析［J］.中国运动医学杂志，2018，37(8)：646-651.
［8］Gavaskar AS，Karthik B，Gopalan H，et al.A novel MIS technique for posterior cruciate ligament avulsion fractures［J］.Knee，2017，24(4)：890-896.
［9］吴旅，陈前永.关节镜与切开手术治疗后交叉韧带胫骨止点骨折的疗效比较［J］.中国矫形外科杂志，2019，27(10)：880-884.
［10］王盼盼，商晓军，徐鹏，等.镜下双内钮扣固定治疗后交叉韧带胫骨止点撕脱骨折［J］.中国矫形外科杂志，2017，25(16)：1506-1510.
［11］林义才，罗高斌，罗颖丽，等.关节镜下与切开固定治疗后交叉韧带胫骨止点骨折的比较［J］.中国矫形外科杂志，2019，27(8)：673-677.

[1]	. [J]. sygkzz, 2021, 27(4): 359-362.