Krachow法缝合联合钢丝垂直间断治疗老年髌骨下极粉碎性骨折的疗效
Impact of Krachow sutures combined with discontinuous vertical wire fixation in elderly patients with a comminuted fracture of the inferior pole of the patella
李莹 1李晶 1刘日1
作者信息
摘要
目的 研究Krachow法缝合联合钢丝垂直间断固定治疗老年髌骨下极粉碎性骨折的疗效.方法 选取2019 年 1 月至 2022 年 3 月收治的 102 例老年髌骨下极粉碎性骨折患者作为研究对象.按随机数字表法分为两组,观察组 51 例,采用Krachow法缝合联合钢丝垂直间断固定,对照组 51 例,采用钢丝垂直间断固定.统计分析两组临床疗效、膝关节活动范围(ROM)、膝关节功能Bostman评分及并发症情况.结果 观察组临床疗效优良率为 88.24%,对照组优良率为 64.71%,差异有统计意义(P＜0.05).观察组膝关节ROM、Bostman评分分别为 131.51°±6.80°、(28.65±2.20)分,对照组膝关节ROM、Bostman评分分别为115.87°±5.91°、(23.58±2.51)分,差异有统计意义(P＜0.05).观察组并发症总发生率为 9.80%,对照组并发症总发生率为 27.45%,差异有统计意义(P＜0.05).结论 Krachow法缝合联合钢丝垂直间断固定治疗老年髌骨下极粉碎性骨折复位良好,固定牢靠,对周围软组织影响小,并发症少,有利于膝关节功能恢复.
Abstract
Objective The objective was to investigate the effects of Krachow sutures combined with discontinuous vertical wire suture fixation on knee range of motion(ROM)and the Bostman score in elderly patients with a comminuted fracture of the inferior pole of the patella.Methods A total of 102 elderly patients with a comminuted fracture of the inferior pole of the patella treated in our hospital from January 2019 to March 2022 were selected as the study subjects.They were divided into two groups according to the random number table method.The observation group(51 cases)was treated using Krachow sutures combined with discontinuous vertical steel wire sutures,and the control group(51 cases)was treated using discontinuous vertical steel wire sutures.The clinical efficacy,knee ROM,knee function Bostman score,and complications of the two groups were statistically analyzed.Results The observation group showed an excellent rate of 88.24%,and the control group had an excellent rate of 64.71%.The difference was statistically significant(χ2=7.173,P=0.009).The knee ROM and Bostman score of the observation group were 131.51°±6.80° and 28.65±2.20 points,respectively,while the knee ROM and Bostman score of the control group were 115.87°±5.91° and 23.58±2.51 points,respectively.The differences were statistically significant(t=9.043;10.346,P＜0.001).The total incidence of complications was 9.80%in the observation group and 27.45%in the control group;the difference was statistically significant(χ2=5.332,P=0.042).Conclusions Krachow sutures combined with discontinuous vertical steel wire sutures for treating elderly patients with a comminuted fracture of the inferior pole of the patella had good reduction,stable fixation,little influence on the surrounding soft tissue,few complications,and were conducive to the recovery of knee joint function.
关键词
髌骨下极粉碎性骨折/Krachow法/钢丝垂直间断固定/膝关节活动范围/Bostman评分Key words
Comminuted fracture of the inferior pole of the patella/Krachow method/Discontinuous vertical wire fixation/Knee range of motion/Bostman score引用本文复制引用
出版年
2024
NETL
NSTL
万方数据