Li Hao,Li Hai,Sha Lin,et al.Clinical outcomes of screw fixation and suture fixation in the treatment of tibial eminence fractures in pediatric patients[J].Journal of Clinical Pediatric Surgery,,20():453-457.[doi:10.12260/lcxewkzz.2021.05.011]
Clinical outcomes of screw fixation and suture fixation in the treatment of tibial eminence fractures in pediatric patients
- Keywords:
- Tibial Fractures/SU; Arthroscopy/MT; Sutures/MT; Fracture Fixation/MT; Comparative Effectiveness Research; Child
- CLC:
- R683.42;R684
- Abstract:
- Objective To compare the clinical outcomes of arthroscopic reduction and internal fixation (ARIF) with cannulated screw versus nonabsorbable suture in the treatment of tibial eminence fractures in children.Methods A retrospective study was performed for 22 children with tibial eminence fractures.Based upon the Meyers-McKeever’s classification scheme,there were type Ⅰ (n=0),type Ⅱ (n=7),type Ⅲ (n=13) and Zaricznyj type Ⅳ (n=2).They underwent bilateral knee joint radiography and computed tomography (CT) pre-operation.According to the internal fixation materials,they were divided into two groups of nonabsorbable suture (n=8) and cannulated screw (n=14).Lysholm score,range of motion and Lachman test were recorded.Results The mean follow-up period was 23(12-30) months.No significant inter-group difference existed in Lysholm score (P>0.05).The average operative duration was shorter in cannulated screw group than that in nonabsorbable suture group (P<0.05).Conclusion Both cannulated screw and nonabsorbable suture are effective internal fixation options for tibial eminence fractures in children.And the operative duration of cannulated screw group is shorter.However,cannulated screw should be removed by re-operation.
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Memo
收稿日期:2020-05-14。
基金项目:上海交通大学医工交叉研究基金（编号：YG2021QN44）
通讯作者:沙霖,Email:shalin@xinhuamed.com.cn;张自明,Email:zhangziming@xinhuamed.com.cn