首页|带线锚钉+空心钉内固定治疗髌骨骨折的疗效

带线锚钉+空心钉内固定治疗髌骨骨折的疗效

The efficacy of internal fixation with the suture anchor and cannulated screw for treatment of patellar fractures

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目的 探讨带线锚钉+空心钉内固定治疗髌骨骨折的疗效.方法 将60 例髌骨骨折患者按照内固定方式不同分为观察组(采用带线锚钉+空心钉内固定治疗,30 例)和对照组(采用克氏针张力带+钢丝捆扎内固定治疗,30 例).记录两组手术时间、骨折愈合情况、术后并发症发生率.采用Lysholm评分评价膝关节功能.结果 患者均获得随访,观察组随访时间12~36(17.47±6.17)个月,对照组随访时间 12~30(17.70±4.06)个月.手术时间观察组短于对照组(P<0.01).两组骨痂形成时间 2~3 个月,骨折愈合时间 4~6 个月.术后并发症发生率观察组低于对照组(P<0.05).末次随访时Lysholm评分评价的膝关节功能优良率两组比较差异无统计学意义(P>0.05).结论 带线锚钉+空心钉内固定治疗髌骨骨折能有效缩短手术时间、降低手术难度、减少术后并发症的发生,而且内固定稳定、牢靠,患者术后膝关节功能恢复良好.
Objective To investigate the clinical effect of the suture anchor and cannulated screw for treatment of pa-tellar fracture.Methods The 60 patients with patellar fractures were divided into observation group(treated with su-ture anchor and cannulated screw internal fixation,30 cases)and control group(treated with Kirschner wire tension band and steel wire binding internal fixation,30 cases),according to different internal fixation methods.The surgical time,fracture healing status and postoperative complication incidence rate of both groups were recorded.Lysholm score was used to evaluate knee joint function.Results All patients were followed up,the time was 12~36(17.47±6.17)months in the observation group and 12~30(17.70±4.06)months in the control group.The surgical time in the observation group was shorter than that in the control group(P<0.01).The callus formation time in both groups was 2~3 months,and the fracture healing time was 4~6 months.The incidence rate of postoperative complications in the observation group was lower than that in the control group(P<0.05).At the last follow-up,there was no statisti-cally significant difference in the excellent-good rate of knee joint function evaluated by the Lysholm score between the two groups(P>0.05).Conclusions The treatment of patellar fractures with suture anchor and cannulated screw in-ternal fixation can effectively shorten the operation time,reduce the difficulty of surgery and occurrence of postopera-tive complications.Moreover,the internal fixation is stable and reliable,and the patient′s knee joint function recovers well after surgery.

patellar fracturessuture anchorcannulated screwsKirschner wire tension bandknee function

王强、吕欣、李兴业、刘晋元

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山西医科大学第二医院创伤骨科,山西 太原 030001

髌骨骨折 带线锚钉 空心钉 克氏针张力带 膝关节功能

2024

临床骨科杂志
安徽医科大学,安徽省医学会

临床骨科杂志

CSTPCD
影响因子:1.438
ISSN:1008-0287
年,卷(期):2024.27(2)
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