Objective To compare the effect of percutaneous minimally invasive titanium cable and percutaneous min-imally invasive Kirschner wire tension band for treatment of patellar fracture.Methods The 98 cases of patellar frac-tures were divided into group A(using minimally invasive percutaneous titanium cable internal fixation,49 cases)and group B(using minimally invasive percutaneous Kirschner wire tension band internal fixation,49 cases),according to different surgical methods.The operation conditions,fracture reduction and healing,knee flexion activity and complica-tions of the two groups were recorded.The knee function was assessed by Bostman score.Results All patients were followed up for 12～24(15.9±3.8)months.Postoperative radiographs showed good reduction of the fracture.All fractures healed within 11～16 weeks.There were no statistical differences in operation time,pain VAS at 3 d after op-eration and hospital stay time between the two groups(P>0.05).The hospitalization cost in group A was higher than that in group B(P<0.01).The postoperative X-ray film radiographs showed that the fracture reduction was good.All fractures healed in 11～16 cases weeks.There were no statistical differences in excellent-good rate of Bostman score at postoperative 3 months and knee flexion activity at the last follow-up between the two groups(P>0.05).The inci-dence rate of postoperative complications in group B was higher than that in group A(P<0.05).Conclusions Both percutaneous minimally invasive titanium cable internal fixation and percutaneous minimally invasive Kirschner wire tension band internal fixation can achieve satisfactory results in the treatment of patellar fracture.Percutaneous mini-mally invasive titanium cable internal fixation has fewer postoperative complications,but it also increases the hospital cost of patients.
万方数据
维普
