Clinical Original Article
Observation of curative effect of avulsion fracture of anterolateral ligament of knee joint
Wei Xuelei, Sun Jie, Wang Zengliang, Lu jie, Lu Yandong, Cui Meng, Li Fangguo, Zhang xi
Published 2017-07-16
Cite as Chin J Orthop, 2017,37(14): 841-847. DOI: 10.3760/cma.j.issn.0253-2352.2017.14.002
Abstract
ObjectiveTo explore the clinical effect of periarticular knee fractures combined with anterolateral ligament (ALL) avulsion fracture.
MethodsFrom June 2014 to November 2015, 13 patients with ALL avulsion fracture in periarticular knee fractures were fixed by the star plate, cannulated or screws suture anchor, including 9 male and 3 female with the mean age of 39.5 years (range from 28 to 51 years). 6 patients were diagnosed distal femoral fracture, 4 tibial plateau fracture, and 3 tibial in-tercondylar eminence avulsion fracture which all combined with ALL avulsion fracture. Postoperatively, all patients were treated with the adjustable knee brace for 3 months.
ResultsAll patients were followed up for 4-20 months, the mean follow-up time was 13.5 months. The average surgical time was 130 min (range from 90 to 210 min). In all 13 patients, ALL was found and identi-fied. Bone union was obtained in all patients, and the bone union time was 11.4 weeks (10-12 weeks). 7 cases were fixed with star plate, 5 cases were fixed with hollow screw, and 1 case was fixed with anchor. All follow-up patients underwent anteroposterior and lateral X-rays. Pain, swelling and functional recovery of the knee joint were observed. Patients were assessed postoperatively with International Knee Documentation Committee (IKDC) score, Lysholm score, and Tegner activity scale to evaluate the clinical ef-fect. At the last follow-up, all patients had full range of motion of the knee joint which from 0° to approximate 120°. The Lysholm, objective IKDC were 86.5 and 84.6 respectively. Among the 13 patients evaluated, 9 patients were graded A, and 4 patients were graded B by subjective IKDC. The Tegner activity scale at the last follow-up was 6.7. Incision of poor healing in 1 case, and got healed after 32 d cleaning dressing.
ConclusionThis study confirmed the presence of the ALL. The fixation of ALL avulsion fracture in periarticular knee fractures can be an effective procedure at a minimum follow-up of 13.5 months.
Key words:
Ligament; Fractures; Fracture fixation, internal
Contributor Information
Wei Xuelei
Department of Orthopaedic Trauma, Tianjin Hospital, Tianjin 300211, China
Sun Jie
Department of Orthopaedic Trauma, Tianjin Hospital, Tianjin 300211, China
Wang Zengliang
Department of Sports Medicine and Arthroscopy, Tianjin Hospital, Tianjin 300211, China
Lu jie
Department of Orthopaedic Trauma, Tianjin Hospital, Tianjin 300211, China
Lu Yandong
Department of Orthopaedic Trauma, Tianjin Hospital, Tianjin 300211, China
Cui Meng
Department of Orthopaedic Trauma, Tianjin Hospital, Tianjin 300211, China
Li Fangguo
Department of Orthopaedic Trauma, Tianjin Hospital, Tianjin 300211, China
Zhang xi
Department of Orthopaedic Trauma, Tianjin Hospital, Tianjin 300211, China