Acta Chir Orthop Traumatol Cech. 2022; 89(1):53-59 | DOI: 10.55095/achot2022/007

Therapeutic Effects of Small Incision Open Reduction and Internal Fixation and Arthroscopic High Strength Non-Absorbable Suture on Tibial Insertion Avulsion Fracture of the Anterior Cruciate LigamentOriginal papers

J. WU, W. LUO, F. REN, H. ZHENG, J. HUANG*
Second Ward of Sports Injuries and Arthroscopy, Tianjin Hospital, Tianjin, China

PURPOSE OF THE STUDY:
To evaluate the therapeutic effects of small incision open reduction and internal fixation and arthroscopic high strength non-absorbable suture on tibial insertion avulsion fracture of the anterior cruciate ligament (ACL).

MATERIAL AND METHODS:
In this prospectively study, 72 patients with ACL tibial insertion avulsion fracture treated from December 2017 to June 2020 were enrolled and divided into group A (treated with small incision open reduction and cannulated screw internal fixation) and group B (treated with arthroscopic high strength non-absorbable suture) using a random number table (n=36). Their general data, surgical indices and incidence of postoperative adverse reactions were compared. Knee function indices were compared before and after treatment, and evaluated by random walk model.

RESULTS:
No significant differences were found in the general data, intraoperative blood loss, preoperative Lysholm score, International Knee Documentation Committee (IKDC) score, Tegner score, knee range of motion and difference of bilateral tibial forward displacement distance, and total incidence rate of postoperative adverse reactions between the two groups (P>0.05). Group B had significantly longer operation time, and significantly shorter hospital stay, time of first ambulation after operation and bone healing time than group A (P

Keywords: small incision open reduction and internal fixation, arthroscopic high strength non-absorbable suture, tibial insertion avulsion fracture, anterior cruciate ligament, random walk model

Published: February 15, 2022  Show citation

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WU J, LUO W, REN F, ZHENG H, HUANG J. Therapeutic Effects of Small Incision Open Reduction and Internal Fixation and Arthroscopic High Strength Non-Absorbable Suture on Tibial Insertion Avulsion Fracture of the Anterior Cruciate Ligament. Acta Chir Orthop Traumatol Cech. 2022;89(1):53-59. doi: 10.55095/achot2022/007. PubMed PMID: 35247245.
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