聚酯缝线Nice结固定横行髌骨骨折
Polyester sutures with Nice knots for fixation of transverse patella fracture
张增辉 1韩体超 1郭玉坤 1周洋洋 1张俊 1张俊宇 1王小龙 1尹宗生2
作者信息
- 1. 临泉县人民医院,安徽临泉 236400
- 2. 安徽医科大学第一附属医院,安徽合肥 230022
- 折叠
摘要
[目的]介绍聚酯缝线结合Nice结内固定治疗横行髌骨骨折的手术技术和初步临床效果.[方法]2019年6月—2022年3月对20例横行髌骨骨折患者采用聚酯缝线联合Nice结完成复位内固定治疗.采用膝前正中切口,复位骨折后沿髌骨纵轴建立4条均匀分布的骨隧道.使用5#不可吸收聚酯缝线经邻近关节面的2条骨隧道穿线后于髌骨表面行"8"字捆扎,再使用5#不可吸收聚酯缝线经另外2条骨隧道行环形捆扎,均以Nice结固定.[结果]全部患者均顺利完成手术,无严重并发症,手术时间为50～90 min.患者均获随访,随访时间12～18个月.末次随访时,Böstman髌骨骨折功能评分平均(28.3±1.6)分,膝关节最大活动度为(132.3±4.2)°,依据Böstman髌骨骨折功能评分标准,所有患者患膝功能均达优良级,所有骨折均获愈合.[结论]聚酯缝线联合Nice结固定治疗横行髌骨骨折具有固定牢靠,无需再次手术取出内固定的优势,短期临床疗效满意.
Abstract
[Objective]To introduce the surgical technique and preliminary clinical results of polyester sutures with Nice knots for fixa-tion of transverse patella fractures.[Methods]A total of 20 patients underwent non-absorbable polyester sutures with Nice knots for fixation of transverse patellar fractures.After anterior midline incision of the knee was made to expose the patella,the fractures were debrided and re-duced,and 4 evenly distributed bone tunnels were established along the longitudinal axis of the patella.The tension band of the suture in fig-ure of 8 was performed on the surface of the patella after the 5 # non-absorbable polyester sutures were introduced through the deeper 2 bone tunnels near articular surface.Finally,a circular band was performed with 5 # non-absorbable polyester sutures through the other superficial 2 bone tunnels.All the suture bundles were tensioned and fastened with Nice knots to fix the fracture.[Results]All the patients had opera-tion performed successfully without serious complications,while with operation time of 50～90 min.At the latest follow up lasted for 12 to 18 months,all of them achieved fracture healing with Böstman patellar fracture function score of(28.3±1.6),and the knee range of motion of(132.3±4.2)°.According to the Böstman patellar fracture function score,all patients were graded as excellent in term of knee function.[Con-clusion]Polyester sutures with Nice knots for fixation of transverse patellar fracture has the advantages of reliable fixation,less complica-tions,and no need for reoperation to remove the internal fixation,does achieve satisfactory clinical consequences in short-term.
关键词
髌骨骨折/聚酯缝线/Nice结/内固定Key words
patellar fracture/polyester suture/Nice knot/internal fixation引用本文复制引用
基金项目
阜阳市卫健委科研课题面上项目(FY2021-180)
出版年
2024
NETL
NSTL
万方数据