Comparative efficacy of tibial eminence avulsion fracture by using anchor and hollow tension screw fixation under arthroscopy

TANG Qing-ping; HUANG Cong-chao; GUI Hua

doi:10.3969/j.issn.1009-4237.2017.10.014

Abstract：Objective To analyze the curative effects of fixation in the treatment of tibial eminence avul-sion fracture by using anchor and hollow tension screw under arthroscopy,and provide reference for its clinical treat-ment. Methods Forty two patients with tibial eminence avulsion fracture were selected,who were treated in our hospital from May 2014 to Jul. 2015. Patients were randomly divided into anchor group and screw group. Patients in the anchor group were treated by wire anchor and patients in the screw group were treated by cannulated screw. Inci-sion healing,knee function and motion range of knee joint were observed and compared between the two groups. Re-sults Postoperative incisions were primarily healed without infection. All the patients were followed up for more than 1 year. The X ray examination showed good fracture reduction. Re-examination at 3 months after operation in-dicated that all fractures were healed without limb dysfunction. Before treatment,the knee joint function score and knee joint motion range had no significant difference between the two groups (P>0. 05);after treatment,the knee joint function scores and knee joint motion range in both groups were significantly increased (P<0. 05) ,and there was no significant difference between the two groups ( 92. 97 ± 3. 15 ) vs. ( 89. 94 ± 3. 28 ) , ( 120. 6 ± 11. 0 ) vs. (118. 5 ± 10. 7),P> 0. 05). Conclusion Both anchor and hollow tension screw fixation under arthroscopy can a-chieve good effect in the treatment of tibial eminence avulsion fracture. The wire anchor fixation does not require re-operations,which is more simple.