首页|三维捆扎复位技术在髌骨骨折手术中的应用价值分析

三维捆扎复位技术在髌骨骨折手术中的应用价值分析

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目的 观察三维捆扎复位技术在髌骨骨折手术中的应用效果。方法 选取 110 例髌骨骨折患者为研究对象,按照随机数字表法分为常规组和试验组,每组 55 例。常规组实施传统切开复位内固定术治疗,试验组采用三维捆扎复位技术辅助治疗,比较两组的治疗、康复情况,术后并发症发生情况,步态评估情况及膝关节功能恢复情况。结果 在不同治疗方案下,试验组的术中透视时间、术中出血量、手术时间、住院时间、骨折愈合时间均低于常规组,差异有统计学意义(P<0。05);试验组的术后并发症发生率低于常规组(P<0。05);术后步长、步速、步频均高于常规组(P<0。05);术后 1 个月、3 个月、6 个月,试验组的HSS、Lysholm评分均高于常规组(P<0。05)。结论 三维捆扎复位技术在髌骨骨折手术中有较高应用价值,对缩短术中透视时间、手术时间,减少出血量、降低术后并发症发生风险,并促进患者步态、膝关节功能恢复均有积极意义。
Application value of three-dimensional strapping reduction technique in patellar fracture surgery
Objective To observe the application effect of three-dimensional strapping reduction technique in the patellar fracture surgery.Methods 110 patients with patellar fractures were selected as the study subjects and randomly divided into two groups,each with 55 cases.The traditional open reduction and internal fixation treatment was received by the patients in the conventional group,while three-dimensional strapping reduction technique as an auxiliary treatment was received by the patients in the experimental group.The treatment and rehabilitation status,postoperative complications,gait evaluation,and knee joint function recovery were compared between the two groups patients.Results The intraoperative fluoroscopy time,intraoperative blood loss,surgical time,hospital stay,and fracture healing time in the experimental group were significantly lower than those in the control group,showing a statistically significant difference(P<0.05).The incidence of postoperative complications in the experimental group was significantly lower than that in the control group(P<0.05).The postoperative step length,pace,and frequency in the experimental group were significantly higher than those in the conventional group(P<0.05).The HSS and Lysholm scores in the experimental group were significantly higher than those in the control group at 1,3 and 6 months after surgery(P<0.05).Conclusion The three-dimensional strapping reduction technique has high application value in the open reduction and internal fixation of patellar fractures.It has a positive significance in shortening intraoperative fluoroscopy and surgical time,reducing bleeding,reducing the risk of surgical complications,and promoting the recovery of patient gait and knee joint function.

patella fracture3D strapping and resettingopen reduction and internal fixationgait assessmentknee joint function

张小雷、张仕锋、刘明辉

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平顶山市第二人民医院骨外一科,平顶山 467000

髌骨骨折 三维捆扎复位技术 切开复位内固定 步态评估 膝关节功能

河南省医学科技攻关项目

LHGJ20210131

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(4)