{"title":"三种手术方法治疗移位后交叉韧带胫骨止点撕脱骨折的回顾性研究。","authors":"Gengao Wen, Congliang Chen, Song Wang, Zhuping Jiang, Shuo Feng, Wei Zheng","doi":"10.1186/s13018-025-05703-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to evaluate the clinical outcomes of three surgical methods, three types of arthroscopic suture fixation, suspension fixation with EndoButton, and open screw fixation, in the treatment of displaced posterior cruciate ligament tibial insertion avulsion fractures.</p><p><strong>Methods: </strong>A retrospective analysis of the clinical data of 104 patients with posterior cruciate ligament avulsion fractures between 2010 and 2023 was performed. The patients were divided into three groups according to the surgical approach used: suture fixation in Group A (24 patients), suspension fixation with EndoButton in Group B (37 patients), and hollow screw fixation in Group C (43 patients). The Lysholm score, International Knee Documentation Committee (IKDC) score, Tegner activity score, and postoperative imaging findings of all patients were collected. The final follow-up data were used to compare the differences among the three groups.</p><p><strong>Results: </strong>There was no statistically significant difference in the general information of the three groups of patients. Among the 104 patients, the mean postoperative Lysholm score was 92.9 (CI, 91.0-94.8) in Group A, 93.4 (CI, 92.3-94.6) in Group B, and 93.5 (CI, 92.6-94.4) in Group C. Postoperative IKDC subjective assessment of knee function was considered normal or near normal in more than 95% of the patients in all three groups. More than 93% of the patients in all three groups did not have severe abnormalities in knee range of motion. The mean postoperative Tegner activity score was 6.7 (CI, 6.3-7.1) in Group A, 7.0 (CI, 6.7-7.3) in Group B, and 6.9 (CI, 6.6-7.1) in Group C. Imaging at 3 months after surgery revealed bone healing, and no serious postoperative complications were found in any of the three groups.</p><p><strong>Conclusion: </strong>All three treatments yielded good clinical results and imaging healing. In particular, arthroscopic suspension fixation with EndoButton is recommended as the preferred treatment because of its low invasiveness, good mechanical properties and low complication rate.</p>","PeriodicalId":16629,"journal":{"name":"Journal of Orthopaedic Surgery and Research","volume":"20 1","pages":"333"},"PeriodicalIF":2.8000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960032/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparison of three surgical methods for displaced posterior cruciate ligament tibial insertion avulsion fractures: a retrospective study.\",\"authors\":\"Gengao Wen, Congliang Chen, Song Wang, Zhuping Jiang, Shuo Feng, Wei Zheng\",\"doi\":\"10.1186/s13018-025-05703-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The aim of this study was to evaluate the clinical outcomes of three surgical methods, three types of arthroscopic suture fixation, suspension fixation with EndoButton, and open screw fixation, in the treatment of displaced posterior cruciate ligament tibial insertion avulsion fractures.</p><p><strong>Methods: </strong>A retrospective analysis of the clinical data of 104 patients with posterior cruciate ligament avulsion fractures between 2010 and 2023 was performed. The patients were divided into three groups according to the surgical approach used: suture fixation in Group A (24 patients), suspension fixation with EndoButton in Group B (37 patients), and hollow screw fixation in Group C (43 patients). The Lysholm score, International Knee Documentation Committee (IKDC) score, Tegner activity score, and postoperative imaging findings of all patients were collected. The final follow-up data were used to compare the differences among the three groups.</p><p><strong>Results: </strong>There was no statistically significant difference in the general information of the three groups of patients. Among the 104 patients, the mean postoperative Lysholm score was 92.9 (CI, 91.0-94.8) in Group A, 93.4 (CI, 92.3-94.6) in Group B, and 93.5 (CI, 92.6-94.4) in Group C. Postoperative IKDC subjective assessment of knee function was considered normal or near normal in more than 95% of the patients in all three groups. More than 93% of the patients in all three groups did not have severe abnormalities in knee range of motion. The mean postoperative Tegner activity score was 6.7 (CI, 6.3-7.1) in Group A, 7.0 (CI, 6.7-7.3) in Group B, and 6.9 (CI, 6.6-7.1) in Group C. Imaging at 3 months after surgery revealed bone healing, and no serious postoperative complications were found in any of the three groups.</p><p><strong>Conclusion: </strong>All three treatments yielded good clinical results and imaging healing. In particular, arthroscopic suspension fixation with EndoButton is recommended as the preferred treatment because of its low invasiveness, good mechanical properties and low complication rate.</p>\",\"PeriodicalId\":16629,\"journal\":{\"name\":\"Journal of Orthopaedic Surgery and Research\",\"volume\":\"20 1\",\"pages\":\"333\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960032/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Orthopaedic Surgery and Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s13018-025-05703-5\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Surgery and Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13018-025-05703-5","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Comparison of three surgical methods for displaced posterior cruciate ligament tibial insertion avulsion fractures: a retrospective study.
Background: The aim of this study was to evaluate the clinical outcomes of three surgical methods, three types of arthroscopic suture fixation, suspension fixation with EndoButton, and open screw fixation, in the treatment of displaced posterior cruciate ligament tibial insertion avulsion fractures.
Methods: A retrospective analysis of the clinical data of 104 patients with posterior cruciate ligament avulsion fractures between 2010 and 2023 was performed. The patients were divided into three groups according to the surgical approach used: suture fixation in Group A (24 patients), suspension fixation with EndoButton in Group B (37 patients), and hollow screw fixation in Group C (43 patients). The Lysholm score, International Knee Documentation Committee (IKDC) score, Tegner activity score, and postoperative imaging findings of all patients were collected. The final follow-up data were used to compare the differences among the three groups.
Results: There was no statistically significant difference in the general information of the three groups of patients. Among the 104 patients, the mean postoperative Lysholm score was 92.9 (CI, 91.0-94.8) in Group A, 93.4 (CI, 92.3-94.6) in Group B, and 93.5 (CI, 92.6-94.4) in Group C. Postoperative IKDC subjective assessment of knee function was considered normal or near normal in more than 95% of the patients in all three groups. More than 93% of the patients in all three groups did not have severe abnormalities in knee range of motion. The mean postoperative Tegner activity score was 6.7 (CI, 6.3-7.1) in Group A, 7.0 (CI, 6.7-7.3) in Group B, and 6.9 (CI, 6.6-7.1) in Group C. Imaging at 3 months after surgery revealed bone healing, and no serious postoperative complications were found in any of the three groups.
Conclusion: All three treatments yielded good clinical results and imaging healing. In particular, arthroscopic suspension fixation with EndoButton is recommended as the preferred treatment because of its low invasiveness, good mechanical properties and low complication rate.
期刊介绍：
Journal of Orthopaedic Surgery and Research is an open access journal that encompasses all aspects of clinical and basic research studies related to musculoskeletal issues.
Orthopaedic research is conducted at clinical and basic science levels. With the advancement of new technologies and the increasing expectation and demand from doctors and patients, we are witnessing an enormous growth in clinical orthopaedic research, particularly in the fields of traumatology, spinal surgery, joint replacement, sports medicine, musculoskeletal tumour management, hand microsurgery, foot and ankle surgery, paediatric orthopaedic, and orthopaedic rehabilitation. The involvement of basic science ranges from molecular, cellular, structural and functional perspectives to tissue engineering, gait analysis, automation and robotic surgery. Implant and biomaterial designs are new disciplines that complement clinical applications.
JOSR encourages the publication of multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines, which will be the trend in the coming decades.
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